The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy

[Purpose] The aim of the study was to investigate the relationships between femoral anteversion and functional balance and postural control in children with spastic cerebral palsy. [Subjects and Methods] Twenty children with spastic cerebral palsy (mean age=12.4 ± 4.5) with grosss motor functional c...

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Main Authors:	Karabicak, Gul Oznur, Balcı, Nilay Comuk, Gulsen, Mustafa, Ozturk, Basar, Cetin, Nuri
Format:	Online
Language:	English
Published:	The Society of Physical Therapy Science 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932038/

id	pubmed-4932038
recordtype	oai_dc
spelling	pubmed-49320382016-07-07 The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy Karabicak, Gul Oznur Balcı, Nilay Comuk Gulsen, Mustafa Ozturk, Basar Cetin, Nuri Original Article [Purpose] The aim of the study was to investigate the relationships between femoral anteversion and functional balance and postural control in children with spastic cerebral palsy. [Subjects and Methods] Twenty children with spastic cerebral palsy (mean age=12.4 ± 4.5) with grosss motor functional classification system levels I, II, and III were recruited for this study. Functional balance was evaluated using the Pediatric Balance Scale, postural control was evaluated using the Trunk Control Measurement Scale, and femoral anteversion was assessed with a handheld goniometer using the great trochanter prominence method. [Results] The results indicated that there was significant correlation between femoral anteversion and Trunk Control Measurement Scale dynamic reaching score. There were no significant correlation between femoral anteversion and the Trunk Control Measurement Scale static sitting balance, Trunk Control Measurement Scale selective movement control, total Trunk Control Measurement Scale and Pediatric Balance Scale results. [Conclusion] Increased femoral anteversion has not correlation with functional balance, static sitting, and selective control of the trunk. Femoral anteversion is related to dynamic reaching activities of the trunk, and this may be the result of excessive internal pelvic rotation. It is important for the health professionals to understand that increased femoral anteversion needs to be corrected because in addition to leading to femoral internal rotation during walking, it also effects dynamic reaching activities of spastic children with cerebral palsy. The Society of Physical Therapy Science 2016-06-28 2016-06 /pmc/articles/PMC4932038/ /pubmed/27390397 http://dx.doi.org/10.1589/jpts.28.1696 Text en 2016©by the Society of Physical Therapy Science. Published by IPEC Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Karabicak, Gul Oznur Balcı, Nilay Comuk Gulsen, Mustafa Ozturk, Basar Cetin, Nuri
spellingShingle	Karabicak, Gul Oznur Balcı, Nilay Comuk Gulsen, Mustafa Ozturk, Basar Cetin, Nuri The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy
author_facet	Karabicak, Gul Oznur Balcı, Nilay Comuk Gulsen, Mustafa Ozturk, Basar Cetin, Nuri
author_sort	Karabicak, Gul Oznur
title	The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy
title_short	The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy
title_full	The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy
title_fullStr	The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy
title_full_unstemmed	The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy
title_sort	effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy
description	[Purpose] The aim of the study was to investigate the relationships between femoral anteversion and functional balance and postural control in children with spastic cerebral palsy. [Subjects and Methods] Twenty children with spastic cerebral palsy (mean age=12.4 ± 4.5) with grosss motor functional classification system levels I, II, and III were recruited for this study. Functional balance was evaluated using the Pediatric Balance Scale, postural control was evaluated using the Trunk Control Measurement Scale, and femoral anteversion was assessed with a handheld goniometer using the great trochanter prominence method. [Results] The results indicated that there was significant correlation between femoral anteversion and Trunk Control Measurement Scale dynamic reaching score. There were no significant correlation between femoral anteversion and the Trunk Control Measurement Scale static sitting balance, Trunk Control Measurement Scale selective movement control, total Trunk Control Measurement Scale and Pediatric Balance Scale results. [Conclusion] Increased femoral anteversion has not correlation with functional balance, static sitting, and selective control of the trunk. Femoral anteversion is related to dynamic reaching activities of the trunk, and this may be the result of excessive internal pelvic rotation. It is important for the health professionals to understand that increased femoral anteversion needs to be corrected because in addition to leading to femoral internal rotation during walking, it also effects dynamic reaching activities of spastic children with cerebral palsy.
publisher	The Society of Physical Therapy Science
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4932038/
_version_	1613603940834738176

The effect of postural control and balance on femoral anteversion in children with spastic cerebral palsy

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