Hussein Hisham Mohamed, Alshammari Amsha Alhumaidi, Alshammari Hand Zamel M, Aldhahi Monira I, Suwaidi Yahya Ali Hamad, Ibrahim Ahmed Abdelmoniem
Department of Physical Therapy, College of Applied Medical Sciences, University of Ha'il, Ha'il, Saudi Arabia.
Department of Basic Sciences for Physical Therapy, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
Int J Gen Med. 2024 Sep 14;17:4037-4044. doi: 10.2147/IJGM.S479557. eCollection 2024.
Children diagnosed with spastic diplegic Cerebral Palsy (CP) usually demonstrate hypertonicity of the lower limb muscles which affects the normal alignments and weight reception by the feet. These impairments could be correlated to the limitations in gross motor function such as standing and walking abilities. Understanding these relationships can contribute to developing more effective rehabilitation strategies and improving overall motor outcomes for affected children.
The current study was designed to explore the relationship between plantar surface area, weight distribution on the plantar surface, and gross motor function (namely, standing and walking abilities) in spastic diplegic CP children.
Seventy-one spastic diplegic CP children aged 8-14 years joined this cross-sectional study. The Person's correlation coefficient and regression tests were used to assess the correlation between variables, namely, Gross Motor Function (GMFM), Calf Muscle Tone, Plantar surface area (PSA), and Peak pressure on mid and hind feet (PPMF, PPHF, respectively). These variables were assessed using the GMFM-88 scale, Modified Ashworth scale, and foot scan plantar pressure detection system, respectively.
The correlation analysis demonstrated a strong to moderate positive correlation between PSA, PPMF, PPHF, and GMFM-D and GMFM-E. Additionally, regression model showed prediction levels equal to 0.791 for the GMFM-D and 0.720 for the GMFM-E categories, respectively.
Standing and walking abilities were positively correlated (r ≥.6) with the increased plantar surface area and higher peak pressure on mid and hind feet in spastic diplegic CP. Future longitudinal studies should investigate changes in gross motor function in relation to improvement in plantar surface area and peak pressure values.
被诊断为痉挛性双瘫型脑瘫（CP）的儿童通常表现出下肢肌肉张力亢进，这会影响足部的正常对线和负重。这些损伤可能与诸如站立和行走能力等粗大运动功能的限制相关。了解这些关系有助于制定更有效的康复策略，并改善受影响儿童的整体运动结果。
本研究旨在探讨痉挛性双瘫型脑瘫儿童的足底表面积、足底表面的重量分布与粗大运动功能（即站立和行走能力）之间的关系。
71名年龄在8至14岁的痉挛性双瘫型脑瘫儿童参与了这项横断面研究。使用皮尔逊相关系数和回归测试来评估变量之间的相关性，这些变量分别是粗大运动功能（GMFM）、小腿肌张力、足底表面积（PSA）以及中足和后足的峰值压力（分别为PPMF、PPHF）。这些变量分别使用GMFM - 88量表、改良Ashworth量表和足部扫描足底压力检测系统进行评估。
相关性分析表明，PSA、PPMF、PPHF与GMFM - D和GMFM - E之间存在强至中度正相关。此外，回归模型显示GMFM - D类别的预测水平为0.791，GMFM - E类别的预测水平为0.720。
在痉挛性双瘫型脑瘫中，站立和行走能力与足底表面积增加以及中足和后足更高的峰值压力呈正相关（r≥0.6）。未来的纵向研究应调查粗大运动功能相对于足底表面积和峰值压力值改善的变化情况。
