Clinical trial NCT06583746: Lower Extremity Evaluation in Children With Diparetic Cerebral Palsy According to ICF Perspective
Official title: Lower Extremity Evaluation in Children With Diparetic Cerebral Palsy According to ICF Perspective
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Diparesis
Cerebral Palsy
Diplegic Cerebral Palsy
Lower Extremity Paresis
Keywords: Diparetic Cerebral Palsy
Lower extremity
International Classification of Function
Body structure and function
Activity
Participation
Lead sponsor: Acıbadem Atunizade Hospital
Sponsor class: OTHER
First posted: 2024-09-04
Enrollment: 30
Sex: ALL
Minimum age (years): 3
Maximum age (years): 13
Standard ages: CHILD
Accepts healthy volunteers: no
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: Children diagnosed with diparetic cerebral palsy between the ages of 3 and 13 were included.

Brief summary: Cerebral palsy (CP); is the most common neurodevelopmental disorder seen in childhood, characterized by permanent motor dysfunctions that develop due to brain damage occurring before birth, during birth, or in early childhood.

The most common type is spastic type CP with a prevalence rate of 70-80%. Spastic type CP is divided into three groups as diparetic (38%), hemiparetic (39%) and quadriparetic (23%). In diparetic cerebral palsy (DCP); lower extremity involvement is more pronounced than upper extremity involvement. Typically; weakness in the trunk, postural and antigravity muscles, functional and/or structural asymmetry between both lower extremities are seen and this condition is closely related to impaired static and/or dynamic balance, decreased postural control, decreased functional performance, and low participation rate in activities.

The ICF (International Classification of Functioning, Disability, and Health) was developed by the World Health Organization in 2001 and is a comprehensive model that evaluates health status not only through the presence of diseases and disorders but also through various dimensions such as functionality, environmental, and personal factors. The ICF model includes five main components to evaluate an individual's functionality and disability: body structure and functions, activity, participation, environmental and personal factors. In recent years, functional abilities, including social participation, have increasingly become the focus of research in children with CP.

Detailed description: It's an observational study.

Purpose of the study: The increase in tone seen in the lower extremities in children with diparetic cerebral palsy (DCP) may adversely affect the activity and participation of children. Our study aim is to evaluate lower extremities in children with DCP according to ICF perspective.

A total of 30 cases, 15 females (50%) and 15 males (50%), aged between 3 and 13 years (mean: 5.8), who were admitted to the Pediatric Rehabilitation Department of Acıbadem Altunizade Hospital with the diagnosis of DCP between 2019 and 2022, were included in this cross-sectional study.

* What should the rehabilitation program for children with DCP include?
* What should we consider when evaluating children with DCP?

The lower extremity evaluations of these cases were made according to ICF. Modified Ashworth Scale (MAS) was used for body structure and functions, Gillette Functional Assessment Questionnaire (FAQ) was used for activity, and Pediatric Functional Independence Measure (WeeFIM) was used for participation

Eligibility criteria: Inclusion Criteria:

* Between 3-13 years old,
* Diagnosis of diparetic cerebral palsy,
* Participants and/or parents willing to participate in the study voluntarily.

Exclusion Criteria:

* Having different types of CP such as dyskinetic, mixed, ataxic types other than spastic type,
* Having spastic quadriparetic or hemiparetic type CP,
* Having received Botulinum Toxin injections to the lower extremities within the last 6 months.

Primary outcomes:
measure: Modified Ashworth Scale (MAS)
timeFrame: baseline
measure: Gillette Functional Walking Assessment Questionnaire (FAQ)
timeFrame: baseline
measure: Pediatric Functional Independence Scale (WeeFIM)
timeFrame: baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Acıbadem Altunizade Hospital
Study officials:
References: