Selective motor control correlates with gross motor ability, functional balance and gait performance in ambulant children with bilateral spastic cerebral palsy

Yun, Guojun; Huang, Meihuan; Hu, Xianming

doi:10.1016/j.gaitpost.2022.10.009

Cited by 13 publications

(6 citation statements)

References 20 publications

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“…Thus, SVMC is an important factor that affects motor function in children with CP. In this study, there was a negative strong correlation between SCALE scores and levels of gross motor function which is similar to findings of previous studies of SVMC in children with CP which reported that SCALE is strongly and significantly correlated with GMFM scale in children with bilateral CP [44,45].…”

Section: Discussionsupporting

confidence: 91%

Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

AL-Nemr

2023

Iranian Rehabilitation Journal

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This study aimed to detect the relationship between body mass index (BMI), selective voluntary motor control (SVMC), and functional independence in children with spastic diplegic cerebral palsy (CP) with levels II and III of gross motor function classification system.Methods: A total of eighty-four children with spastic diplegic CP, aged 6-9 years with a mean age of 7.09±0.68 participated in this correlational study. BMI, selective control assessment of the lower extremity (SCALE), and pediatric functional independence measure (WEE FIM) were used for the assessment of BMI, SVMC, and functional independence, respectively. Results:The results demonstrated the presence of a positive strong significant correlation between SCALE and WEE FIM, a negative strong significant correlation between WEE FIM and BMI, and a negative moderate significant correlation between BMI and SCALE.Discussion: Functional independence is significantly correlated with BMI and SVMC in children with spastic diplegic CP. This study provides original evidence that BMI and SVMC are major factors that influence functional independence in these children. So, they are highly recommended to be part of the evaluation of their functional independence in clinical settings and research.

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Section: Discussionsupporting

confidence: 91%

Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

AL-Nemr

2023

Iranian Rehabilitation Journal

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“…Brain damage in the fetal and infant brain in children with CP results in the disconnection of descending inhibitory and excitatory signals, causing deficits in the development of neurological mechanisms of postural control, balance, and movement, which are disorganized and delayed. Loss of descending excitatory input may also cause diminished muscle growth and weakness, affecting selective motor control and balance, as we observed (Yun et al, 2023; Zhou et al, 2017).…”

Section: Discussionsupporting

confidence: 66%

Correlations between Trunk Control and Balance in Children with Bilateral Spastic Cerebral Palsy

Tiwari,

Rao,

Karthikbabu

2024

Percept Mot Skills

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Impairments of postural responses are a salient feature of children with cerebral palsy (CP). While the systems approach describes balance in seven components, the relationship between trunk control and balance in children with CP has not been previously examined with all seven of these components. In this study, we aimed to identify correlations between trunk control and all seven systems approach balance components in children with bilateral spastic CP. Our participants were 30 children ( M age = 11.83, SD = 2.32 years) with CP having a Gross Motor Function Classification System level ranging from I to III. We assessed trunk control with the Trunk Control Measurement Scale, including static and dynamic balance (selective voluntary control and reaching). Balance in standing was assessed using Kids-Mini-BESTest involving four domains: anticipatory, reactive, sensory orientation and stability in gait. We used Spearman’s rank correlations to correlate trunk control and balance, and we obtained a moderate correlation between the trunk control measurement scale and the Kids-Mini-BESTest in children with both bilateral spastic CP (rs = .618, p < .001) and spastic diplegic CP (rs = .52, p = .02). Analysis of the correlations between separate domains of the Kids-Mini-BESTest and the trunk control measurement scale subscales revealed moderate correlations between the static sitting balance subscale and all four domains of the Kids-Mini-BESTest. The dynamic selective motor control subscale of the trunk control measurement scale moderately correlated with the anticipatory domain of the Kids-Mini-BESTest. The dynamic reaching subscale also correlated moderately with anticipatory and stability in gait domains. This correlation was statistically significant in the 13 to 17-year-old age group and was strong among females, whereas the correlation was moderate in males. Trunk control was moderately associated with balance considering all the systems theory components of balance in children with bilateral spastic cerebral palsy.

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“…However, these measurements did not show a significant correlation with balance or gross motor function. This outcome suggests that while body composition is an important health parameter, it may not directly influence motor abilities or balance in children with spastic diplegic cerebral palsy (26). This finding could guide clinicians in prioritizing intervention strategies that focus more on enhancing motor control and balance rather than solely on modifying body composition.…”

Section: Discussionmentioning

confidence: 88%

Correlation of Skin Folds Measurements and Selective Motor Control of Lower Extremity in Children with Diplegic Cerebral Palsy

Shameen,

Tariq,

Azam

et al. 2023

JHRR

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Background: Cerebral palsy (CP) is a significant neurological disorder affecting movement and coordination. Spastic diplegic CP, a common subtype, presents unique challenges in motor control and balance. Understanding the interplay between selective motor control, body composition, and motor functions is crucial for effective therapeutic approaches. Objective: The study aimed to explore the correlations between selective motor control, skinfold measurements, and their impact on balance and gross motor function in children with spastic diplegic CP. Methods: Employing a cross-sectional survey design, this study involved 31 children with spastic diplegic CP. Selective motor control was assessed using the SCALE tool, while skinfold measurements were taken at the iliac crest, mid-thigh, and mid-calf. The Pediatric Balance Scale and GMFM-66 were used for evaluating balance and gross motor function, respectively. Statistical analysis involved Pearson Correlation and chi-square tests. Results: Significant positive correlations were found between balance and selective motor control of the right limb (Pearson Correlation .738, p<.001) and left limb (Pearson Correlation .621, p<.001). Gender-based differences in selective motor control were non-significant. Skinfold measurements varied, with the mid-thigh region showing the maximum fat accumulation, but they demonstrated no significant correlation with balance (Pearson Correlation range -.043 to .191, p>.05) or gross motor function (Pearson Correlation range -.366 to .143, p>.05). The correlation between selective motor control and gross motor function was also non-significant (Pearson Correlation range -.162 to .046, p>.05). Conclusion: This study underscores the significance of balance and motor control in managing spastic diplegic CP. The absence of a significant correlation between skinfold measurements and motor functions suggests that physical body composition may not directly influence motor abilities in CP. These findings call for further research, potentially with a more diverse sample, to develop nuanced, effective therapies for CP.

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Selective motor control correlates with gross motor ability, functional balance and gait performance in ambulant children with bilateral spastic cerebral palsy

Cited by 13 publications

References 20 publications

Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

Correlation Between Body Mass Index, Selectivity, and Functional Independence in Children With Cerebral Palsy

Correlations between Trunk Control and Balance in Children with Bilateral Spastic Cerebral Palsy

Correlation of Skin Folds Measurements and Selective Motor Control of Lower Extremity in Children with Diplegic Cerebral Palsy

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