Relati̇onshi̇p between sensory profi̇le, balance, and trunk control i̇n chi̇ldren wi̇th cerebral palsy

Busra Bengi Kemerden1, Dilek Cokar2, Zeynep Kavrik1

  • 1Istinye University, Institute of Graduate Education, Physiotherapy and Rehabilitation, İstinye Üniversitesi Topkapı Kampüsü, Maltepe, Teyyareci Sami Sk. No:3, Zeytinburnu, 34010, İstanbul, Türkiye.

Insights

Sensory processing deficits in children with Cerebral Palsy (CP) significantly impact balance and trunk control. Addressing these sensory issues in rehabilitation is crucial for improving motor function.

Area of Science:

  • Neuroscience
  • Pediatric Rehabilitation
  • Occupational Therapy

Background:

  • Cerebral Palsy (CP) is a neurodevelopmental disorder impacting motor skills, balance, and sensory processing.
  • Quadriparetic CP, a severe form, presents significant challenges in daily functioning.
  • Understanding the interplay between sensory processing, balance, and trunk control is vital for effective intervention.

Purpose of the Study:

  • To investigate the detailed relationship between sensory profiles and motor control in children with spastic quadriparetic CP.
  • To provide evidence supporting the integration of sensory-targeted strategies into CP rehabilitation.
  • To identify specific sensory domains most associated with balance and trunk control deficits.

Main Methods:

  • The study involved 32 children diagnosed with spastic quadriparetic CP.
  • Sensory processing was assessed using the Dunn Sensory Profile.
  • Balance was evaluated using the Pediatric Balance Scale (PBS), and trunk control using the Trunk Control Measurement Scale (TCMS).

Main Results:

  • Sensory processing disorders were prevalent, affecting 81.5% of assessed parameters.
  • Balance scores positively correlated with vestibular processing, proprioception, endurance, tone regulation, and sensory seeking.
  • Trunk control showed positive correlations with stimuli perception, vestibular processing, oral sensory processing, and sensitivity to stimuli.

Conclusions:

  • Impaired sensory processing, particularly in vestibular, proprioceptive, somatosensory, and oral domains, is linked to deficits in balance and trunk control in children with CP.
  • Evaluating sensory profiles is essential for children with CP.
  • Sensory-focused assessments and interventions should be integrated into rehabilitation programs to enhance motor and functional outcomes.
Abstract