3-meter Walk Back Test, Proprioception, Trunk Control and Muscle Strength in Children With Cerebral Palsy

The Relationship of the 3-meter Back Walk Test With Proprioception, Trunk Control and Muscle Strength in Children With Cerebral Palsy

The gait problems of the child with CP should be examined in detail. At this point, by assigning a different task to the child with the backward walking assessment, body perception, trunk stability provided by anterior-posterior cocontraction, balance, correction and protective reactions are observed. This observation ensures the exact determination of the problem that will guide the treatment.

Back walking is a more difficult activity as it involves neuromuscular control and depends on proprioceptive sense and protective reflexes. In activities of daily living, backward walking is needed to perform tasks such as leaning on a chair and opening the door.

The only test that can be applied to evaluate the ability to walk backwards is the 3 meter back walk test. This test was found to be valid and reliable both in the elderly population and in patients with total knee arthroplasty. In the literature, no study has been found on the factors affecting the three-meter backward walking skills in children with CP. The aim of this study is to examine the relationship between 3 meter back walk test and proprioception, trunk control and muscle strength.

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy
• Intervention / Treatment: Diagnostic test: Clinical Tests

Detailed Description

Cerebral palsy is a non-progressive neurodevelopmental disorder that occurs in the immature brain during pregnancy, birth or postpartum. It is the picture of childhood that most frequently causes functional disability. Motor development retardation, balance and posture problems are among the most important problems that cause disability in CP. This picture is often accompanied by cognitive, sensory, perceptual deficiencies, orthopedic disorders and other medical problems. In children with spastic CP, selective movement deficiencies, lack of muscle strength, lack of postural control, lack of proprioception sense, loss of balance and coordination, muscle tone disorders, and motor development delays are seen. Disorders due to muscle tone problems, secondary joint deformations and alignment problems, especially in walking function, are common problems in activities performed against gravity.

Deficiencies in trunk strength and control, lack of strength in antigravity muscles, severity of spasticity, loss of balance and coordination, combined with time-distance problems of walking, cause excessive energy consumption, insufficient for daily living activities and social participation, negatively affecting quality of life, causing muscle and joint problems over time. gait pattern.

The main purpose of the study is to examine the relationship of the 3-meter back walk test with proprioception, trunk control and muscle strength in children with cerebral palsy.

• Study Type: Interventional
• Enrollment (Actual): 30
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Gaziantep, Turkey
    • Zekiye İpek Katırcı Kırmacı

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years to 15 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• The age of onset of maturation of walking, in terms of covering the maturation ages and between 6-15 years old,
• Children with CP with a Communication Function Classification System (CFCS) ≤ 3,
• Children with upper extremity muscles ≤ 2 according to the Modified Ashworth Scale (MASH)
• Children in Level-I-II, which are groups with independent walking ability according to Gross Motor Function Classification System,
• Not having any known vision problems in terms of not affecting the postural control responses,
• Not using any pharmacological agent that may affect muscle tone,
• Able to follow verbal commands without mental retardation at a level that interferes with communication,
• Those who have not had any Boutilinum Toxin injection and/or orthopedic surgery in the lower extremity in the last six months,
• Children without epileptic seizures will be included.

Exclusion Criteria:

• Having contractures in any joint of the hip, knee and ankle in the lower extremity,
• Children with hearing and vision problems with any diagnosis will not be included in the study.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: One group; 3-meter Walk Back Test, Proprioception, Trunk Control and Muscle Strength test	Diagnostic test: Clinical Tests; Clinical Tests

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
3 meter back walk test	A distance of three meters will be measured and marked. When the signal is given, they will be asked to walk backwards safely and stop when they reach the marked point.	At baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Proprioception	Evaluation of proprioception with a goniometer	At baseline
Trunk Control Measurement Scale	It consists of two main parts, static sitting balance and dynamic sitting balance. An increase in the score indicates increased trunk control.	At baseline
Muscle Strength	Muscle strength will be evaluated with a digital manual muscle dynamometer.	At baseline
Gillette Functional Walking Assessment Questionnaire	It is an observational assessment scale that evaluates the functional effectiveness of walking.	At baseline

Collaborators and Investigators

• Sponsor: Sanko University
• Investigators: Study Director: Nevin ERGUN, Prof., Sanko University; Principal Investigator: Enver KATIRCI, pt, Rehabilitation Center; Study Director: Hatice ADIGÜZEL, asst. prof., Kahramanmaraş Sütçü İmam University; Study Director: Zekiye İpek KATIRCI KIRMACI, asst. prof., Kahramanmaraş Sütçü İmam University

Study record dates

Study Major Dates

• Study Start (Actual): November 15, 2021
• Primary Completion (Actual): January 15, 2022
• Study Completion (Actual): February 15, 2022

Study Registration Dates

• First Submitted: October 11, 2021
• First Submitted That Met QC Criteria: October 11, 2021
• First Posted (Actual): October 22, 2021

Study Record Updates

• Last Update Posted (Actual): April 19, 2022
• Last Update Submitted That Met QC Criteria: April 18, 2022
• Last Verified: April 1, 2022

More Information

Terms related to this study

• Keywords: cerebral palsy; proprioception; trunk control; back walk
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Brain Damage, Chronic; Cerebral Palsy; Paralysis
• Other Study ID Numbers: universitysanko

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No