Cerebral Palsy
Conditions
Keywords
cerebral palsy, spasticity
Brief summary
In spastic cerebral palsy, there are interrelated neuromuscular deficits that can affect ankle joint control, including impaired selective voluntary motor control, muscle weakness, spasticity, and shortened muscle-tendon units. As a result, it is important to assess ankle joint control in children with spastic cerebral palsy. Clinicians need valid, reliable, and practical methods to assess ankle joint control. The aim of this study is to evaluate the validity and reliability of the Foot-taping Test in children with spastic cerebral palsy.
Detailed description
Cerebral palsy is an umbrella term that refers to a permanent group of movement, posture, and/or motor function disorders caused by a non-progressive lesion or abnormality in the developing immature brain. In spastic cerebral palsy, there are interrelated neuromuscular deficits that can affect ankle joint control, impaired selective voluntary motor control, muscle weakness, spasticity, and shortened muscle-tendon units. As a result, it is important to assess ankle joint control in children with spastic cerebral palsy. Clinicians need valid, reliable, and practical methods to assess ankle joint control. The aim of this study is to evaluate the validity and reliability of the Foot-taping Test in children with spastic cerebral palsy. This study will conduct Department of Orthopedic Prosthesis-Orthosis at Afyonkarahisar Health Sciences University Atatürk Health Services Vocational School. Children aged 6-18 with spastic cerebral palsy (diparetic and hemiparetic) from two different special education institutions in the Aegean Region will be included in the study.
Interventions
None listed
Sponsors
Afyonkarahisar Health Sciences University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
6 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* ≤3 diagnosed with spastic cerebral palsy according to the Gross Motor Function and Classification System * Be between 6 and 18 years of age * Be diagnosed with spastic diplegic or spastic hemiplegic cerebral palsy * Have a GMFCS score ≤3 * Have a Communication Function Classification System (CFCS) score ≤2 * Have a Modified Ashworth Scale (MASH) score ≤3 for lower limb muscles * Be able to walk 10 metres independently * Be able to follow verbal commands
Exclusion criteria
* The presence of serious hearing, vision or cognitive problems, * The presence of nerve block injections or orthopaedic surgery within the last 6 months (such as Botox injections or muscle lengthening surgery)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Foot-Taping Test | Two assessors will administer the SAVT to the participants on the first day, two hours apart (first test). The duration of the test is 5 minutes. The retest will be administered 7-10 days after the first test. | For this test, the participant will be asked to strike the floor as quickly as possible for 10 seconds with each bare foot. The number of times the participant taps their foot on the ground within 10 seconds is recorded. The higher the number of times the participant taps their foot, the better their ankle control. |
| Active Ankle Range of Motion | Two assessors will administer the SAVT to the participants on the first day, two hours apart (first test). The duration of the test is 10 minutes. | The participant will be placed supine, and the head of the fibula, lateral malleolus, head of the fifth metatarsal, and base of the fifth metatarsal will be marked. A digital camera will be used to photograph the range of motion of active dorsiflexion and plantar flexion. ImageJ, a software, will be used to measure the ROMs from the images. |
Countries
Turkey (Türkiye)
Outcome results
None listed