Spastic Cerebral Palsy
Conditions
Brief summary
The purpose of the current study is to determine if there is a correlation between disturbed attention and balance in children with spastic diplegia.
Detailed description
The neuromuscular impairments in children with cerebral palsy (CP) are manifested in abnormal posture and loss of selective motor control, poor trunk control and balance which contributes to poor postural control with significant limitations in their activities of daily living. Balance and upright postural control are fundamental components of movement which plays a major role in maintaining the body in equilibrium in a given sensory environment, with anticipatory and automatic postural adjustments. So, improving balance abilities in such children is fundamental. In general, attention involves processes that allow individuals to focus on particular aspects of the environment and to mobilize sufficient effort for learning and problem solving. Children with diplegic CP encounter difficulties in sensory processing and integration which influence the achievement of mature postural control. There is reviews that didn't cover the relation between attention and balance. This study is to improve evidence regarding this area.
Interventions
OTHERvisual spatial memory task
The child will be asked to put numbers in an imagined matrices and memorize the position very well then will be asked to remember the position of these numbers.
OTHERnonspatial verbal memory task
The child is presented with a series of sentences that are similar in structure and content, with only slight variations in elements such as the verb, subject, or object. The child's task is to remember and accurately recall these sentences. For example: The dog is running in the park, The cat is running in the park, The dog is playing in the park, The dog is running in the yard.
OTHERvisuomotor tracking task
Then the rest will be introduced in the form of computer screen in front of the child with a dot moving under the control of a computer mouse and asking the child to track the dot while maintaining his balance as much as he can.
Sponsors
Cairo University
Study design
Observational model
CASE_ONLY
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
8 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Cerebral palsy children with spastic diplegia. * Age ranges from 8 -12 years. * Level Ι - II according to Gross Motor Functional Classification System (GMFCS). * Grade 1, 1+ of the Modified Ashworth Scale.
Exclusion criteria
* Children that suffer from epilepsy. * Severe visual and auditory problems. * Structural or fixed soft tissue deformities of Lower extremities. * Severe mental retardation. * Botox injection in the lower extremity in the past 6 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall stability index (OSI) | One hour | Values for the overall stability index (OSI) will be recorded by the Biodex balance system in the beginning with out any disturbance to the child attention, and then recorded during each task performed within their assigned group. Low OSI value indicates good balance and stability, with minimal sway or movement. High OSI value indicates difficulty maintaining balance and stability, with increased sway or movement, potentially suggesting impaired motor control or balance problems. |
Countries
Egypt
Outcome results
None listed