Correlation of Segmental of Trunk Control and Functional Balance in Children with Inadequate Trunk Control
Article Sidebar
Main Article Content
Abstract
Background: Children with inadequate trunk control were limited to functional movement. As a result, children delayed postural control in a vertical line. This limitation might be affected by delayed balance control. Therefore, the correlation between segmental of trunk control and functional balance should be studied.
Objective: The aim of this study was to investigate the relationship between trunk control across multiple levels assessed by Segmental Assessment of Trunk Control (SATCo) and functional balance assessed by Pediatrics Balance Scale (PBS). In 21 children who inadequate trunk control in Phayao and Lampang special education centers.
Methods: Twenty-one children with inadequate trunk control (15 males and 6 females) were recruited in this study. The SATCo was used to identify the level of trunk control at segmental subunit, and the PBS was used to measure a functional balance. Spearman's rank correlation coefficient statistic was used to determine the relationship between these variables. The significant level was set at p < 0.05.
Results: There was a significantly fair negative relationship between the total SATCo score and the reaching forward with outstretched arm score (r=-0.440, P = 0.046). Furthermore, static SATCo was fair positive relationship with PBS; standing unsupported (r=0.578, p=0.006), and fair negative to standing with one foot in front (r=-0.433, p=0.050). Finally, total static and active SATCo was fair positive relationship with standing with eyes closed (r=0.595, p=0.004; r=0.665, p=0.001; r = 0.537, p = 0.006) respectively.
Conclusion: Segmental trunk control relates to functional balance in children with inadequate trunk control.
Article Details
References
2. Naiyanan Jitpraphan. Prevention and care of children with Down syndrome. J Sc Net. 2014 Dec 29; 1(3): 73-87.
3. Molloy CA, Dietrich KN, Bhattacharya A. Postural stability in children with autism spectrum disorder. J Autism Dev Disord. 2003; 33(6): 643-52.
4. Jones MW, Morgan E, Shelton JE, et al. Cerebral palsy: introduction and diagnosis (part I). J Pediatr Health Care. 2007; 21(3): 146-52.
5. Downs J, Edwards A, McCormick D, et al. Effect of intervention on development of hip posture in very preterm babies. Arch Dis Child. 1991; 66(7 Spec No): 797-801.
6. Kott K, Held S. Refinement, Reliability, and Validity of the Segmental Assessment of Trunk Control. Pediatr Phys Ther. 2010; 22(3): 258.
7. Butler P, Saavedra MS, Sofranac MM, et al. Refinement, reliability and validity of the segmental assessment of trunk control (SATCo). Pediatr Phys Ther. 2010; 22(3): 246-57.
8. Rachwani J, Santamaria V, Saavedra SL, et al. The development of trunk control and its relation to reaching in infancy: a longitudinal study. Front Hum Neurosci. 2015; 9: 94.
9. Saavedra S, Woollacott M, van Donkelaar P. Head stability during quiet sitting in children with cerebral palsy: effect of vision and trunk support. Exp. Brain Res. 2010; 201(1): 13-23.
10. Ulrich BD. Opportunities for early intervention based on theory, basic neuroscience, and clinical science. Phys Ther. 2010; 90(12): 1868-80.
11. Karatas M, Çetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients. Am J Phys Med Rehabil. 2004; 83(2): 81-7.
12. Temcharoensuk P, Lekskulchai R, Akamanon C, et al. Effect of horseback riding versus a dynamic and static horse riding simulator on sitting ability of children with cerebral palsy: a randomized controlled trial. J Phys Ther Sci. 2015; 27(1): 273-7.
13. Rakkha S, Lekskuchai R, Akamanon C. Effect of hippotherapy and dynamic saddle seat training on gross motor ability in children with cerebral palsy. Thai J of Phys Ther. 2014; 36(2): 51-9.
14. Franjoine MR, Gunther JS, Taylor MJ. Pediatric balance scale: a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment. Pediatr Phys Ther. 2003; 15(2): 114-28.
15. Kubo M, Ulrich B. Coordination of pelvis-HAT (head, arms and trunk) in anterior–posterior and medio-lateral directions during treadmill gait in preadolescents with/without Down syndrome. Gait Posture. 2006; 23(4): 512-8.
16. Memari AH, Ghanouni P, Shayestehfar M, et al. Postural control impairments in individuals with autism spectrum disorder: a critical review of current literature. Asian J Sports Med. 2014; 5(3): e22963.
17. Kubilay NS, Yildirim Y, Kara B, et al. Effect of balance training and posture exercises on functional level in mental retardation. Turk J Ph Med Rehab. 2011; 22(2): 55-64.
18. Pavao SL, Barbosa KAF, de Oliveira Sato T, et al. Functional balance and gross motor function in children with cerebral palsy. Res Dev Disabil. 2014; 35(10): 2278-83.
19. Palisano RJ, Cameron D, Rosenbaum PL, et al. Stability of the gross motor function classification system. Dev Med Child Neurol. 2006; 48(06): 424-8.
20. Pavão SL, dos Santos AN, Woollacott MH, et al. Assessment of postural control in children with cerebral palsy: a review. Res Dev Disabil. 2013; 34(5): 1367-75.
21. Docherty CL, Arnold BL, Zinder SM, et al. Relationship between two proprioceptive measures and stiffness at the ankle. J Electromyogr Kinesiol. 2004; 14(3): 317-24.
22. Sim Y-j, Yang Y-j, Yi C-h. Immediate effect of Fabric Ankle Foot Orthosis on balance in children with unilateral cerebral palsy. J Kor Phys Ther. 2015; 22(2): 52-8.
