Spastik serebral palsili çocuklarda femoral anteversiyonun gövde kontrolü ve fonksiyonel mobilite üzerine etkisi

This study aimed to examine the effect of femoral anteversion on trunk control and functional mobility in children with spastic cerebral palsy (CP). Thirty spastic CP children aged between 5-12 at the level I and II according to the Gross Motor Function Classification System (GMFCS) was included in the study. Modified Ashworth Scale (MAS) was used for the evaluation of spasticity of lower extremities. Children were separated into Group 1( FA≥30◦) and Group 2 (FA<30◦) as 15 children for each group according to femoral anteversion angles using Craig's Test. Demographic features and clinical information of the children were collected with a questionnaire which was applied to children's parents face to face. Trunk Impairment Scale (TIS) was used for trunk control evaluation; Pediatric Functional Reach Test (PFRT) and Modified Timed Up and Go (mTUG) test were used for the evaluation of the functional mobility of children. SPSS version 22.0 was used for statistical analysis. According to the results of the study; children in group 1 have statistically lower values of total scores and all subscales of TIS than children in group 2 (p<0.05). There were also statistically significant differences in PFRT and mTUG scores between the groups (p<0.05). For children with IFA; a strong negative correlation was found between the FA angle and TIS coordination (p<0.05). In the present study for all children; between the FA angle, PFRT and mTUG findings statistically significant correlations were found, however; for the children with IFA, there was no significant correlation between their FA angle, mTUG, PFRT scores (p>0.05). In conclusion; children with IFA; have more impaired trunk control and functional movement ability than children who have lower FA. IFA has a strong relationship with trunk coordination this might be as a result of pelvic rotation movements in children with spastic CP. Between the IFA and functional mobility; the relationship was not found in this study.