Farklı Fonksiyonel Seviyedeki Serebral Palsili Çocuklarda Omurga Düzgünlüğü ve Kas İskelet Sistemi Etkileniminin Değerlendirilmesi

Abstract

This study was designed to evaluate the spinal alignment and musculoskeletal system impairment in children with Cerebral Palsy (CP) with different functional levels. Originally “The Spinal Alignment and Range of Motion Measure (SAROMM)” was used after translated to Turkish language and used for assessing the spinal alignment and range of motion in children with CP. A total of 125 children with CP, aged 6 between 18 years, with 25 children for each GMFCS level were included in the study. Children’s motor functional level was assessed by Gross Motor Function Classification System (GMFCS), spinal alignment impairments and contractures were assessed by SAROMM and postural alignment and upper extremity functions were assessed by Seated Postural Control Measurement (SPCM ). Due to GMFCS level of children, we found significant differences between scores of SAROMM (p<0.001). As the GMFCS level increased all the scores increased too (p<0.001). Spinal alignment and range of motion correlated negatively moderate with postural alignment and upper extremity functions. In children with higher functional level we found less problems due to contracture in spinal alignment, despite that in children with lower functional level in addition to spinal alignment impairment the severity of joint limitation was found to be increased. As a result, pediatric physical therapists besides the development of function and movement, should focus on the musculoskeletal system deformities and contractures increased by age.