3-meter Walk Back Test, Proprioception, Trunk Control and Muscle Strength in Children With Cerebral Palsy
Condition: Cerebral Palsy
MeSH terms: Paralysis; Cerebral Palsy
Study type: Interventional

Summary: 
      The gait problems of the child with CP should be examined in detail. At this point, by
      assigning a different task to the child with the backward walking assessment, body
      perception, trunk stability provided by anterior-posterior cocontraction, balance, correction
      and protective reactions are observed. This observation ensures the exact determination of
      the problem that will guide the treatment.

      Back walking is a more difficult activity as it involves neuromuscular control and depends on
      proprioceptive sense and protective reflexes. In activities of daily living, backward walking
      is needed to perform tasks such as leaning on a chair and opening the door.

      The only test that can be applied to evaluate the ability to walk backwards is the 3 meter
      back walk test. This test was found to be valid and reliable both in the elderly population
      and in patients with total knee arthroplasty. In the literature, no study has been found on
      the factors affecting the three-meter backward walking skills in children with CP. The aim of
      this study is to examine the relationship between 3 meter back walk test and proprioception,
      trunk control and muscle strength.
    

Detailed description: 
      Cerebral palsy is a non-progressive neurodevelopmental disorder that occurs in the immature
      brain during pregnancy, birth or postpartum. It is the picture of childhood that most
      frequently causes functional disability. Motor development retardation, balance and posture
      problems are among the most important problems that cause disability in CP. This picture is
      often accompanied by cognitive, sensory, perceptual deficiencies, orthopedic disorders and
      other medical problems. In children with spastic CP, selective movement deficiencies, lack of
      muscle strength, lack of postural control, lack of proprioception sense, loss of balance and
      coordination, muscle tone disorders, and motor development delays are seen. Disorders due to
      muscle tone problems, secondary joint deformations and alignment problems, especially in
      walking function, are common problems in activities performed against gravity.

      Deficiencies in trunk strength and control, lack of strength in antigravity muscles, severity
      of spasticity, loss of balance and coordination, combined with time-distance problems of
      walking, cause excessive energy consumption, insufficient for daily living activities and
      social participation, negatively affecting quality of life, causing muscle and joint problems
      over time. gait pattern.

      The main purpose of the study is to examine the relationship of the 3-meter back walk test
      with proprioception, trunk control and muscle strength in children with cerebral palsy.
    

Intervention name(s): Clinical Tests
Intervention type(s): Diagnostic Test
Intervention description(s): Clinical Tests
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Other
Keywords: cerebral palsy; back walk; proprioception; trunk control