Relationship Between Postural Asymmetry, Balance, and Pain in Children With Spastic Cerebral Palsy

Zahra Shekari1, Razieh Sadeghian Afarani2, Saeid Fatorehchy3

  • 1Masters Degree, Faculty of Rehabilitation Sciences, Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Pediatric Neurology
|April 12, 2024
PubMed

Insights

Postural asymmetry in children with cerebral palsy (CP) significantly worsens balance and increases pain. Interventions targeting postural issues can improve pain and balance in CP management.

Area of Science:

  • Pediatric rehabilitation
  • Movement science
  • Clinical neurology

Background:

  • Cerebral palsy (CP) presents primary symptoms like spasm and weakness.
  • These primary symptoms can lead to secondary musculoskeletal issues.
  • Understanding secondary symptoms is crucial for effective CP management.

Purpose of the Study:

  • To investigate the relationship between postural asymmetry, balance, pain, and gross motor function in children with CP.
  • To determine the impact of postural asymmetry on key functional outcomes in pediatric CP.
  • To provide insights for targeted interventions in CP care.

Main Methods:

  • 56 children (8-12 years) with GMFCS levels I-III participated.
  • Evaluated balance using The Pediatric Balance Scale.
  • Assessed pain with the Wong-Baker Faces Scale and posture with the Posture and Postural Ability Scale.
  • Statistical analyses included Kruskal-Wallis, Tukey, and ANOVA.

Main Results:

  • Significant correlation found between balance and postural asymmetry (P < 0.001).
  • Postural asymmetry significantly correlated with pain intensity (P < 0.001) and gross motor function (P = 0.002).
  • No significant relationship was found between pain and gross motor function (P = 0.072).

Conclusions:

  • Postural asymmetry negatively impacts balance in children with CP.
  • Addressing postural asymmetry is linked to improved pain management and balance.
  • This highlights the importance of postural assessment and intervention in pediatric CP.
Abstract

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