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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.
Aim:
Cerebral Palsy (CP) is a neurodevelopmental disorder that affects sensory processing, balance, and trunk control. This study aimed to examine in detail the relationship between sensory profiles, balance, and trunk control in children with quadriparetic CP, in order to provide evidence for integrating sensory-targeted strategies into rehabilitation.
Method:
The study included 32 children diagnosed with spastic quadriparesis. Sensory processing was assessed using the Dunn Sensory Profile, balance was evaluated with the Pediatric Balance Scale (PBS), and trunk control was measured using the Trunk Control Measurement Scale (TCMS).
Results:
A total of 32 children were assessed. Sensory processing disorders were identified in 81.5 % of the assessed parameters. Balance scores showed significant positive correlations with vestibular processing (p = 0.014, r = 0.429), proprioception (p = 0.017, r = 0.417), endurance and tone regulation (p = 0.036, r = 0.372), sensitivity to stimuli (p = 0.011, r = 0.444), and sensory seeking (p = 0.039, r = 0.366). Similarly, trunk control was positively correlated with stimuli perception (p = 0.014, r = 0.430), vestibular processing (p = 0.034, r = 0.377), oral sensory processing (p = 0.008, r = 0.463), and sensitivity to stimuli (p = 0.039, r = 0.367).
Conclusion:
Difficulties in sensory processing, particularly in the vestibular, proprioceptive, somatosensory, and oral domains, were associated with impairments in balance and trunk control. These findings highlight the importance of evaluating sensory profiles in children with CP and support the inclusion of sensory-focused assessments and interventions in rehabilitation programs to improve motor and functional outcomes.
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