Upper Extremity Motor Performance among Spastic Quadriplegic Cerebral Palsy Patients with and without Head Control
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Abstract
Background: Cerebral Palsy refers to chronic abnormalities of movement and posture resulting from non-progressive disruptions in the developing fetus or immature brain. A key component of overcoming activity restriction is head control, which is essential for locomotor abilities and motor activities including grasping and sitting.
Objective: To determine upper extremity motor performance among spastic quadriplegic cerebral palsy patients, with and without head control.
Methods: A comparative cross-sectional study with 35 participants was conducted to investigate the interplay between head control and upper extremity function in children with spastic quadriplegic cerebral palsy. Two groups were formed based on the presence or absence of head control. Inclusion criteria comprised of both genders aged 1.09-10.02 with spastic quadriplegic CP, excluding those with contractures, botulin toxin injections, orthopedic surgery, or serious medical problem/seizures. Data entry and descriptive statistical analysis were conducted using Statistical Package for Social Sciences (SPSS) version 26.
Results:There was a statistically significant difference between the groups, one including participants with control and other without it as the P value is <0.017. The group A, with head control, showed higher values of QUEST; therefore, showed significant correspondence.
Conclusion: The study found a significant positive relationship between head control and upper extremity function in children with spastic quadriplegic cerebral palsy.
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