Is photographic posture analysis and trunk control different in hemiparetic and diparetic children with cerebral palsy?

Abstract

Objective: Photographic posture analysis is a useful, inexpensive, time-efficient, and non-invasive method to assess posture. The primary purpose of this study was to compare PPA and trunk control between children with Diparetic and Hemiparetic Cerebral Palsy (CP). Methods: Fifty-two children with hemiparetic and diparetic CP whose GMFCS levels I and II were compared with PPA in sitting position and also trunk control was measured with Trunk Control Measurement Scale (TCMS). Results: There was no scientific difference in craniovertebral angle, sagittal head tilt, sagittal shoulder-C7 angle, thoracic kyphosis angle, coronal head tilt, coronal shoulder angle, coronal pelvic angle in PPA and TCMS between groups (p>0.05), however, there was a scientific difference in lumbar lordosis angle in PPA between the groups (p<0.05). Conclusion: Lumbar lordosis is more common in children with hemiparetic CP than diparetic CP. It can be thought that this situation requires children to change their body biomechanics to compensate their affected sides more than the children with diparetic CP. The physicians should take care of the postural alignment of the lumbar and pelvic girdle of hemiparetic CP. We think that muscle strength, muscle shortness, and other lower extremity biomechanics that could increase lordosis should be examined in detail in hemiparetic CP regardless of where the origin of lumbar lordosis (pelvis or lumbar region).

Postural assessment of children with spastic cerebral palsy: a cross-sectional study

“…One could argue that children in this condition need to adjust their body mechanics more than children with diparetic CP do in order to compensate for their afflicted sides. 8 For researchers and physicians, having valid and trustworthy assessment methods that are simple to use, affordable, non-invasive, and without side effects is essential. Gold standard for determining seated posture is radiography, thus researchers explore for alternate ways to study posture in recent literature.…”

“…Another neurodevelopmental or congenital illness other than CP was also excluded. 8 We asked a sample of seventeen children (10 boys and 7 girl) who were age-and sexmatched, had TD, and had no known neurological or orthopedic conditions to take part as reference values.…”

“…Using software made exclusively for this purpose, photogrammetry calculates the linear distances and angles (formed between body markers and lines produced by horizontal or vertical lines) in digital pictures to evaluate postural alignment. 8 It is very portable, reasonably inexpensive, and only needs a camera, markers, and sticky tape. It also allows for the simultaneous assessment of multiple posture angles.…”

“…9 Numerous research examined the validity and dependability of photogrammatry in adults and adolescents. 4,8,10 The interobserver agreement between visual and photogrammetry postural evaluation was compared in a study by Lunes et al on 21 individuals, and they came to the conclusion that postural assessment by photograph would be the gold standard. The positioning of the markers was this assessment's distinctive feature.…”