Effect of Core-Stability on Motor Function Participation in Children with Spastic Cerebral Palsy

Background and Aim: Recently, attention has been given to gain insight about abnormal movements that are present in spastic Cerebral Palsy (CP) that related to one s level of core stability and how it affects functional abilities. The purposes of this study were to investigate if core stability and motor function were affected in children with spastic cerebral palsy.Material and Methods: The core stability was investigated in seventy five children aged from six to ten years. They were divided into three groups. Group A consisted of twenty five normal healthy children as normal referred data. Group B consisted of twenty five children with spastic hemiplegic while Group C consisted of twenty five children with spastic diplegic. Fifty children of spastic CP with level I II of Gross Motor Function Classification System (GMFCS), spasticity Grade 1 1+. Core stability was evaluated by using biodex isokinetic dynamometer to test trunk flexors and extensors peak torques at angular velocity 90º/sec and Gross Motor Function Measure Scale (GMFM) to asses function abilities.Results: Revealed a significance differences in the trunk flexors, extensors peak torques at angular velocity 90º/sec and (GMFM) between three groups in favour of Group A. while the peak torques and (GMFM) was higher in Group B when compared to Group C.Conclusion: poor core stability in children with spastic CP deteriorates motor function when compared to normal group. The hemiplegic group was less affected than diplegic.