Hemiparetik Serebral Palsi'li Çocuklarda Ayak-Ayak Bileği Karakteristiklerinin Denge ve Fonksiyon Üzerindeki Etkisi

Abstract

This study was conducted to investigate the effects of foot and ankle characteristics on balance and function in children with Cerebral Palsy. A total of 24 children; 12 healthy subjects with a mean age 9,00 ± 1,81 years and 12 children who were at level 1 – 11 according to GMFCS with a mean age of 8,58 ±1,93 years were included in the study. All of the childrens' foot postures were determined with the foot posture index, navicular drop test, navicular height and arc height ratio calculation. In addition to these procedures, static and dynamic pedobarographic analysis was performed. Postural sway was measured on the stabilometric platform. Balance and functional performance was measured by using; the pediatric balance scale, pediatric reach test and timed performance tests such as the tind up and go test, time up-down stair test, ten meter walking test were performed. The differences of these parameters between two groups and the relationship between foot posture parameters, balance and functional tests were investigated. Foot posture of children with hemiparetic CP was found to be in pronation compared to their healthy peers (p<0.05). Statistically significant differences were found between unaffected and affected sides of hemiparetic group when pedobarographic results were compared (p<0.05). Statistically significant differences could be seen in all of the foot posture assessments (p<0.05). Children with hemiparetic CP were found to show more postural sway when compared to their healthy peers (p<0.05). Foot posture, static and dynamic plantar pressure distribution were effective on balance and performance of functional activity. As a result of this study the importance of detailed assessments in all parameters concerning the foot and the importance of increasing balance and functional activity when determining the physiotherapy and rehabilitation program in children with hemiparetic CP was emphasized.