Plantar Pressure, Balance, And Sensory Deficits in Right Hemiplegic Cerebral Palsy: A Comparative Pediatric Study

Abstract

Purpose: The study aimed to compare plantar pressure distribution, balance, and plantar sensation between children with right hemiplegic cerebral palsy (rHCP) and typical developing children (TDC). Material and Methods: The study included 19 children with rHCP (Gross Motor Function Classification System Level I) and 24 TDC aged 4-15 years. Plantar pressure distribution and balance were assessed using the Analysis System Foot Scanner, and plantar sensation was evaluated with the Semmes-Weinstein Monofilament Test. Results: It was observed that the load exerted on the left feet of the rHCP was significantly higher compared to TDC (p=0.002). Conversely, the load on their right feet was significantly lower compared to TDC (p=0.002). The Center of Pressure (CoP) sway area was found to be significantly higher in the rHCP (p=0.007). The plantar sensation of the rHCP was notably lower (p<0.05). Conclusion: We observed notable differences between rHCP and TDC regarding static balance and the load applied to the right and left feet in plantar pressure distribution. In addition to plantar pressure assessments, incorporating sensory evaluations is valuable for designing effective rehabilitation programs for children with HCP.

Keywords

• Cerebral Palsy
• Balance
• Plantar Pressure
• Plantar Sensation
• Pedobarography

Supporting Institution

Ankara Yıldırım Beyazıt University

Project Number

2022-1360

Ethical Statement

The project has been found ethically appropriate."

Thanks

Thanks to cerebral palsy children for particiapting study

Plantar Pressure, Balance, And Sensory Deficits in Right Hemiplegic Cerebral Palsy: A Comparative Pediatric Study

Abstract

Amaç: Çalışma, sağ hemiplejik serebral palsili (sHSP) çocuklar ile tipik gelişim gösteren çocuklar (TGÇ) arasında plantar basınç dağılımını, dengeyi ve plantar duyuyu karşılaştırmayı amaçlamıştır. Materyal ve Metotlar: Çalışmaya 4-15 yaş aralığında, Kaba Motor Fonksiyon Sınıflama Sistemi Düzeyi I'de olan 19 sHSP'li çocuk ve 24 TGÇ dahil edilmiştir. Plantar basınç dağılımı ve denge, Analiz Sistemi Ayak Tarayıcısı (Analysis System Foot Scanner) kullanılarak, plantar duyu ise Semmes-Weinstein Monofilament Testi ile değerlendirilmiştir. Bulgular: sHSP'li çocukların sol ayaklarına uygulanan yükün TGC'ye kıyasla anlamlı derecede yüksek olduğu (p=0.002) gözlenmiştir. Aksine, sağ ayaklarına uygulanan yükün ise TGC'ye kıyasla anlamlı derecede düşük olduğu (p=0.002) görülmüştür. Basınç Merkezi (CoP) salınım alanının sHCP'li çocuklarda anlamlı derecede yüksek olduğu (p=0.007) bulunmuştur. sHCP'li çocukların plantar duyusunun kayda değer ölçüde düşük olduğu (p<0.05) tespit edilmiştir. Sonuç: sHSP ve TGÇ arasında statik denge ve plantar basınç dağılımında sağ ve sol ayaklara uygulanan yük açısından dikkate değer farklılıklar gözlemledik. Plantar basınç değerlendirmelerine ek olarak, duyusal değerlendirmelerin dahil edilmesi, HCP'li çocuklar için etkili rehabilitasyon programları tasarlamak açısından değerlidir.

Keywords

• serebral palsy
• denge
• plantar basınç
• plantar duyu
• pedobarografi

Supporting Institution

Ankara Yıldırım Beyazıt Universitesi

Project Number

2022-1360

Ethical Statement

Çalıma etik açısından uygun bulunmuştur.

Thanks

Çalışmaya katılan serebral palsili çoçuklara teşekkürler

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