Photographic Posture Analysis in Children With Cerebral Palsy
Condition: Posture Disorders in Children; Cerebral Palsy
MeSH terms: Paralysis; Cerebral Palsy
Study type: Interventional

Summary: 
      Cerebral palsy (CP), which is the largest group of patients among pediatric neuromuscular
      diseases, is a non-progressive permanent disorder that affects muscle control, movement,
      posture and balance. The purpose of this study; to evaluate the reliability of photographic
      posture analysis in the sitting position in children with CP and to examine the relationship
      between the results of photographic posture analysis with the motor performances and trunk
      control of children with CP.Children with CP were included in the study according to the
      following criteria; aged 5-12 years, diagnosed as spastic diplegia or hemiplegia , having a
      level of "I, II, III" according to GMFCS. Postural evaluation was done using the photographic
      method. Trunk control was evaluated with Trunk Control Measurement Scale,Motor performance of
      children was evaluated with Gross Motor Function Measure-88. ICC values for photographic
      posture analysis was found to be highly reliable.
    

Detailed description: 
      Sitting position is of great importance in the development of upper extremity functions,
      orthogonal functional skills, personal care, cognitive, perceptual and social skills in
      children with cerebral palsy and these kids spend most of their time in a sitting
      position.There are goniometer, inclinometer, flexicurve, spinal mouse, and modified head
      posture spinal curvature ınstrument tools for posture analysis in the sitting
      position.However, none of these measurement tools have been validated for validity and
      reliability studies of head and trunk posture measurement in the sitting position in children
      with CP. Methods such as magnetic resonance (MR) and x-ray used in posture evaluation provide
      clear images of reference points and are the gold standard in the literature. However, they
      are not preferred much because they are expensive and contain radiation.Photographic posture
      analysis can be considered as a measurement method such as posture analysis methods using the
      gravity line. It is a digital, more objective measurement method that measures linear
      distances and angles using anatomical reference points using specially designed software.
      Clinical use of photographic posture analysis is recommended in the literature, as it is an
      accurate and objective method, preventing radiation exposure.The purpose of this study; to
      evaluate the reliability of photographic posture analysis in the sitting position in children
      with CP and to examine the relationship between the results of photographic posture analysis
      with the motor performances and trunk control of children with CP.
    

Intervention name(s): Photographic Posture Analysis
Intervention type(s): Other
Intervention description(s): Postural evaluation was done using the photographic method. All measurements were made by two researchers experienced in postural analysis evaluation. Canon camera and national geographic tripod with double spirit level were used for evaluation. The camera was placed on a 115 cm high tripod, 1.5 m away from the subjects. Spirit levels have been adjusted so that the tripod is completely flat on the ground. The tripod was taped to the floor to maintain the same distance between the camera and the participants. Six photographs of each child whose feet on the ground, in a free-sitting position, 3 from the front and 3 sides were taken by the researchers.
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Screening
Keywords: trunk; posture analysis; cerebral palsy; performance