Article

Improvement of gross motor function and mobility are primary goals of
physical therapy in children with cerebral palsy (CP).
The purpose of this study
was to investigate the relationship between segmental control of the trunk and
the corresponding gross motor function in children with CP. METHOD: This
retrospective cross-sectional study was based on 92 consecutive referrals of
children with CP in Gross Motor Function Classification System (GMFCS) levels I
to V, 39 females, 53 males (median age 4y [range 1-14y]), and 77, 12, and 3 with
spastic, dyskinetic, and ataxic CP respectively. The participants were tested
using the Gross Motor Function Measure (GMFM), the Pediatric Evaluation of
Disability Inventory (PEDI), and the Segmental Assessment of Trunk Control
(SATCo). RESULTS: Linear regression analysis showed a positive relationship
between the segmental level of trunk control and age, with both gross motor
function and mobility. Segmental trunk control measured using the SATCo could
explain between 38% and 40% of variation in GMFM and between 32% and 37% of
variation in PEDI. INTERPRETATION: This study suggests a strong association
between segmental trunk postural control and gross motor function and mobility
with significant clinical implications for the treatment of children with CP.
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS