The Relationship Between Functional Exercise Capacity, Respiratory Muscle Strength, Trunk Control, Balance and Activities of Daily Living in Individuals With Cerebral Palsi
Condition: Cerebral Palsy, Spastic
MeSH terms: Muscle Spasticity; Cerebral Palsy
Study type: Observational [Patient Registry]

Summary: 
      Cerebral palsy (CP) causes problems in posture, movement, breathing, postural control and
      balance in individuals. This work; This study was conducted to examine the relationship
      between functional exercise capacity, respiratory muscle strength, trunk control, balance and
      activities of daily living in individuals with spastic cerebral palsy.
    

Detailed description: 
      Cerebral palsy (CP) causes problems in posture, movement, breathing, postural control and
      balance in individuals. This work; This study was conducted to examine the relationship
      between functional exercise capacity, respiratory muscle strength, trunk control, balance and
      activities of daily living in individuals with spastic cerebral palsy.

      23 children with spastic type CP and 22 typically developing children aged 6-18 years were
      included in the study. After recording the demographic data, the trunk control "Trunk control
      measurement scale" (TCMS), the activities of daily living "Pediatric Disability Assessment
      Inventory" (PDI), the balance "Pediatric Berg Balance Scale" (PBDI), functional exercise
      capacity "2 Minute Walking Test" and respiratory muscle strength was evaluated with maximum
      inspiratory pressure (MIP) and maximum expiratory pressure (MEP) measurements. Compared to
      individuals with typical development, individuals with CP had lower TCMS, PPI, PBRS, 2-minute
      walking test and respiratory muscle strength values (p<0.01). At the same time, it was
      observed that individuals with hemiparetic CP had better TCMS, PPI, PBRS scores, functional
      exercise capacities and respiratory muscle strength compared to individuals with diparetic
      disease and individuals with CP at GMFCS I level compared to individuals with other levels.
      It was found that there was a high correlation between trunk control, balance and functional
      capacity of individuals with CP. It was concluded that the influence on trunk control affects
      balance and functional capacity. There was also a correlation between the scales.
    

Intervention name(s): TCMS, PEDİ, respiration, GMFCS,PBS,functional capacity
Intervention type(s): Other
Intervention description(s): The Trunk Control Measurement Scale evaluates the two main components of trunk control, static sitting balance and dynamic sitting balance. The scale includes a total of 15 items. The Pediatric Disability Assessment Inventory evaluates ADLs in individuals between the ages of 6 months and 7.5 years. It is a detailed clinical assessment scale that evaluates the functional skills and performance of individuals. Items in this section are scored as "0=cannot" and "1=can". The Pediatric Berg Balance Scale is an adapted version of the Berg Balance test for adults, which consists of 14 questions. It is a scale that consists of 14 questions and evaluates balance functionally. For the 2-minute walking test; They were asked to walk at their own pace without running for 2 minutes on a quiet, concrete walkway 15 m long. It was repeated 2 times with a 10-minute rest between each trial. Respiratory muscle strength was measured using a portable, electronic mouth pressure measuring device.
Observational model: Case-Control
Time perspective: Cross-Sectional
Sampling method: Non-Probability Sample
Study population: 
        Individuals aged 6-18 years
      
Keywords: Trunk Control; Respiratory Muscle Strength; Balance