Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders In Pediatrics

Background: Cerebral palsy is the most common cause of motor disability in children. Cerebral palsy cases show different types of motor disorders which include primary and secondary disorders. Primary disorders are problems that are apparent at the time of diagnosis, and secondary disorders are problems that occur over time. Aims of the study: To highlight the secondary disorders for diplegic and hemiplegic types of cerebral palsy and determine the relation between the type of cerebral palsy and the secondary disorders in children with Cerebral Palsy aged from 2 to 5 years. Subjects and methods: Participants included 121 children with spastic CP (39 hemiplegic and 82 diplegic), Their ages ranged between 2-5 years, data of the primary disorders (muscle tone, postural stability abnormalities) were collected by using modified ashworth Scale, early clinical assessment of balance. and data of the secondary disorders (strength, range of motion, endurance abnormalities) were collected by functional strength assessment, spinal alignment and range of motion measure and early activity scale of endurance. Results: Children with CP present with primary and secondary disorders, significant difference in disorder presence among the hemiplegic and diplegic groups ( P{u2264}0.05): Muscle tone in hemiplegia (1.46±1.12), in diplegia (2.33±2.18), postural stability in hemiplegia (71.06±22.81), in diplegia (45.86±18.33), strength in hemiplegia (26.15±5.41), in diplegia (21.83±5.24), endurance in hemiplegia (13.9±2.73), in diplegia (12.28±2.62), range of motion in hemiplegia (4.85±2.51), in diplegia(7.85±6.62).and the result found an association between spasticity and a postural stability as a primary disorders with range of motion and force production abnormalities respectively as a secondary disorders

Issued also as CD