Relation between core-stability and functional abilities in children with spastic cerebral palsy / Rehab Hamed Sediek ; Supervised Amira Mohamed Eltohamy , Ibrahim Ali Nassar

Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Dsorders in Pediatrics

Background: Attention has been given recently to gain insight about abnormal movements that are present in spastic cerebral palsy (CP) that related to one{u2019}s level of core stability and how it affects functional abilities. The purposes of the study were to investigate the presence of core stability affection in children with spastic CP, also to determine the relationship between core stability and functional abilities in those children. Subject: Seventy five children participated in this study aged from six to ten years. They were divided into three groups; Group A consisted of twenty five normal healthy children; Group B consisted of twenty five children with spastic hemiplegic CP while Group C consisted of twenty five children with spastic diplegic. Fifty children of spastic CP with level I&II of Gross Motor Function Classification System (GMFCS) and spasticity of grade 1 to1+ according to Modified Ashwarth Scale (MAS). Methods: Each child in three groups was evaluated by using Gross Motor Function Measure Scale (GMFM) to asses function abilities and Biodex Isokinetic Dynamometer to test trunk flexors and extensors peak torques. The results: revealed significant differences in the trunk flexors and extensors peak torques at angular velocity 90, 120,180{u00B0}/sec as well as GMFM among three groups in favor of Group A. The peak torques and GMFM was significantly higher in Group B when compared to group C. The correlation between trunk flexors and extensors peak torque and GMFM of all participants was significance. Conclusion: Core stability was affected in children with spastic CP and there is positive relation between the core stability and motor function in those children

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