An investigation of the effect of the lower extremity sensation on gait in children with cerebral palsy

Akkaya, Kamile Uzun; Elbasan, Bülent

doi:10.1016/j.gaitpost.2020.12.026

Cited by 13 publications

(8 citation statements)

References 29 publications

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“…The values of SEM were between (23 to24.73)indicated reliable result,as low SEM indicates more of the reliable result (13) . The values of MD varies between (65.97to68.27) it was indicated for genuine differences (3) . The values of Cohen's kappa coefficient for inter rater reliability lies in between (0.048 to 0.188) accordingto values of kappa coefficient slight agreement was noted between two observers (4) .…”

Section: Discussionmentioning

confidence: 97%

“…So there is a need for a standardized and reliable tool for the assessment of sensory issues in CP children. A comprehensive assessment of sensory abnormalities in CP children will eventually result in an appropriate course of treatment, which will further enhance motor function as well (3) . Various reliability studies were also conducted earlier in the search of a reliable outcome measure for CP children but most of them solely focused on one domain like the Upper Extremity function (4) , assessment of balance-related tests (5) , motor power (6) , gross motor function assessment, and gait assessment (7) .…”

Section: Introductionmentioning

confidence: 99%

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Reliability Assessment of Sensory Outcome Measure a New Developed Tool for Children with Cerebral Palsy

Singh¹,

Esht²,

Agarwal³

et al. 2023

IJST

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Objective: To investigate the reliability of a recently developed Tool, designed for Hypoxic Cerebral Palsy Children (HCPC) to assess sensory deficits. Method: Internal consistency and all three types of reliability (intra-rater, test-retest, and inter-rater) were investigated. Twenty caregivers of HCPC were addressed. Principal rater took two readings for the intra-rater with a brief break, then another reading for test-retest after a seven-day interval. In the meantime, the observer took the readings for inter-rater reliability testing. The relative and absolute dependability of all three types of responses were evaluated after the recording. Findings : Spearman rank correlation and intraclass correlation values ranged from (0.934 to 1), demonstrating a very strong correlation. While the internal consistency was higher than desired, as indicated by Cronbach's alpha values, which ranged from (0.966 to 1). Cohen's kappa coefficient values for inter-rater reliability range from (0.048 to 0.188), and exhibited a small amount of agreement between the two observers. Standard Error of Measurement ranges from (1.026 to 3.810) and indicated credible results. All participant discrepancies on reliability testing were greater than the Minimal Detectable Change, indicating actual differences. Novelty: The uniqueness of this study lies not only in the selection of a recently developed tool for the assessment of sensory issues in HCPC, but also in its extensive analysis of all three types of reliability with both measures along with the assessment of internal consistency . It will be very helpful to researchers who want to create a new instrument or assess the precision of an existing outcome measure. It is the only study that offers a comprehensive analysis of each dependability approach together with the necessary statistical analysis. The Sensory Outcome Measure for Hypoxic Cerebral Palsy children is a reliable tool that has been developed for sensory testing in HCPC.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Reliability Assessment of Sensory Outcome Measure a New Developed Tool for Children with Cerebral Palsy

Singh¹,

Esht²,

Agarwal³

et al. 2023

IJST

View full text Add to dashboard Cite

show abstract

“…Although very few investigations have examined lower extremity somatosensory function in CP, 28–30 these studies have reported that the somatosensory deficits also persist in the lower extremities, specifically deficits in position awareness of the knee 29 and hip 30 . Furthermore, these lower extremity sensory deficits were found to influence postural control, gait, and the motor performance of youth with CP 28,31,32 …”

Section: Introductionmentioning

confidence: 99%

“…30 Furthermore, these lower extremity sensory deficits were found to influence postural control, gait, and the motor performance of youth with CP. 28,31,32 MEG and electroencephalography (EEG) brain imaging studies have identified that the neurophysiological underpinnings of the altered somatosensory processing noted in youth with CP are partly due to weaker somatosensory cortical oscillations in theta-alpha (4-14 Hz) and beta (18-34 Hz) activity. [33][34][35][36] These attenuated frequencyspecific neuronal oscillations appear to be related to deficits in the ankle plantar flexor strength and walking performance of youth with CP.…”

Section: Introductionmentioning

confidence: 99%

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Power training alters somatosensory cortical activity of youth with cerebral palsy

Bergwell

Trevarrow

Corr

et al. 2022

Ann Clin Transl Neurol

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Objective Our prior magnetoencephalographic (MEG) investigations demonstrate that persons with cerebral palsy (CP) have weaker somatosensory cortical activity than neurotypical (NT) controls, which is associated with reduced muscular strength and mobility. Power training can improve lower extremity isokinetic strength, muscular power, and walking performance of youth with CP. Potentially, these clinically relevant improvements are partially driven by changes in somatosensory processing. The objective of this investigation was to determine if power training has complementary changes in muscular function and somatosensory cortical activity in youth with CP. Methods A cohort of youth with CP (N = 11; age = 15.90 ± 1.1 years) and NT controls (N = 10; Age = 15.93 ± 2.48 years) participated in this investigation. Youth with CP underwent 24 power training sessions. Pre‐post bilateral leg press 1‐repetition maximum (1RM), peak power production, 10‐m walking speed, and distance walked 1‐min were used as outcome measures. MEG neuroimaging assessed the changes in somatosensory cortical activity while at rest. NT controls only underwent a baseline MEG assessment. Results Youth with CP had a 56% increase in 1RM (p < 0.001), a 33% increase in peak power production (p = 0.019), and a 4% improvement in 1‐min walk (p = 0.029). Notably, there was a 46% increase in somatosensory cortical activity (p = 0.02). Interpretation These results are the first to show that power training is associated with improvements in muscular function, walking performance, and the resting somatosensory cortical activity in individuals with CP. This treatment approach might be advantageous due to the potential to promote cortical and muscular plasticity, which appear to have carryover effects for improved walking performance.

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Feasibility, Validity, and Reliability of Lower Limb Tactile and Body Awareness Assessments in Children With Upper Motor Neuron Lesions

Marsico¹,

Meier²,

Linden³

et al. 2023

Archives of Physical Medicine and Rehabilitation

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An investigation of the effect of the lower extremity sensation on gait in children with cerebral palsy

Cited by 13 publications

References 29 publications

Reliability Assessment of Sensory Outcome Measure a New Developed Tool for Children with Cerebral Palsy

Reliability Assessment of Sensory Outcome Measure a New Developed Tool for Children with Cerebral Palsy

Power training alters somatosensory cortical activity of youth with cerebral palsy

Feasibility, Validity, and Reliability of Lower Limb Tactile and Body Awareness Assessments in Children With Upper Motor Neuron Lesions

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