The effect of somatosensory perception and proprioception on upper extremity functional skills in children with hemiparetic and diparetic cerebral palsy

Authors : Büşra Doğan, Hatice Adıgüzel, Arzu Demirgüç

Pages : 285-296

Doi:10.21673/anadoluklin.1395613

View : 125 | Download : 135

Publication Date : 2024-09-23

Article Type : Research Paper

Abstract :Aim: The aim of the current research is to determine the impacts of somatosensory perception and proprioception on upper extremity functional skills in children with hemiparetic and diparetic cerebral palsy (CP). Methods: Children with hemiparetic (n=15) and diparetic (n=15) CP at Gross Motor Function Classification System (GMFCS) I-III and Manual Ability Classification System (MACS) I-III levels and healthy children (n=15) with a mean age of 10.71± 4.09 were enrolled in the research. Somatosensory perception was evaluated with the Ayres’ Southern California Sensory Integration and Praxis Test (SIPT) sub-parameters, kinesthesia (KIN), touch stimulus localization (TSL), double-touch stimulus localization (DTL), finger recognition (FR), and right-left discrimination (RLD) tests. Proprioception measurements were performed with a goniometer on the shoulder, elbow, and hand-wrist. Upper extremity functional skills were evaluated by the Jebsen-Taylor Hand Function Test (JTHFT). Results: Somatosensory perception and proprioception of the control group were determined to be significantly better than those of both groups with CP (p<0.05). The somatosensory perception, proprioception, and JTHFT test results of children with CP were significantly better in the hemiparetics in comparison with the diparetics (p<0.05). Conclusion: The study showed that children with CP had lower somatosensory perception levels in their upper extremities and had proprioceptive losses in their upper extremities in comparison with their healthy peers. It was shown that diparetic children had lower scores than hemiparetic children in somatosensory perception and proprioception tests compared to their healthy peers. It was determined that children with CP had lower hand skills compared to their healthy peers and hemiparetic children were better than diparetic group in hand skills. It was revealed that children with CP had lower manual dexterity than their healthy peers, and hemiparetic children had better skills than the diparetic group.
Keywords : Algı, üst ekstremite, propriyosepsiyon, serebral palsi

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