• PNF and Movement
• /
• v.21 no.2
• /
• pp.265-272
• /
• 2023

Purpose: The purpose of this study was to investigate tactile sense perception of the lower extremities according to physical function in children with spastic cerebral palsy. Methods: This study was conducted on 15 children diagnosed with spastic cerebral palsy. Physical function measurement items included dynamic balance ability, gross motor function level, and lower extremity ankle spasticity. The lower extremity tactile sensation uses a monofilament to measure the sole of the first metatarsal head, the sole of the fifth metatarsal head, the heel, the anterior part of the shin midway between the patella and the ankle joint, the kneecap, the upper anterior iliac spine, and the knee. A total of six measurements were taken in the mid-femoral region of the bone. Spearman correlation analysis was performed to determine the degree of body function and lower extremity tactile perception. Results: As the physical function of children with spastic cerebral palsy deteriorated, there was a decrease in tactile sensation in the thigh area corresponding to the proximal lower extremity. (p <.05). Conclusion: Children with spastic cerebral palsy and poor physical function have sensory loss not only in the distal part but also in the proximal part, so a treatment approach that recognizes and improves it is necessary.

• The Journal of Korean Physical Therapy
• /
• v.36 no.3
• /
• pp.92-97
• /
• 2024

Purpose: To determine if there are differences in lower extremity tactile and trunk position sense processing abilities between children with spastic cerebral palsy and typically developing children. Methods: A total of 30 subjects, 15 children with spastic cerebral palsy and 15 typically developing children, aged 5-10 years, were studied. Tactile sense was measured using monofilament on the non-dominant side of a typically developing children and on the hypertonic side of a child with spastic cerebral palsy. Position sense was measured using dual digital inclinometers on the trunk. Each measurement was performed three times and the average tactile value was calculated. Data were analyzed using independent samples t-test to determine group differences. Results: Children with spastic cerebral palsy perceived larger diameter filaments in the lower extremity tactile test than typically developing children and trunk position sense tests showed larger postural reproduction errors, confirming that children with spastic cerebral palsy have deficits in somatosensory processing (p<0.05). Conclusion: We suggest that to improve the physical functioning of children with spastic cerebral palsy, intervention programs should not only consider motor but also sensory processing abilities.

• International Journal of Contents
• /
• v.9 no.3
• /
• pp.62-66
• /
• 2013

Insulin resistance is a risk factor for stroke or recurrent stroke. Sedentary behavior increases insulin resistance. This study aimed to identify the relationship between physical impairments and functions and insulin resistance, examining which physical impairments specifically influence insulin resistance the most. The subjects of this study were 63 stroke patients. The subject's insulin resistance and physical impairments and functions were measured using the Chedoke-McMaster Stroke Assessment (CMSA) and Stroke Impairment Assessment Set (SIAS). The study results exhibited that insulin resistance is statistically significantly related to the variable of foot according to the CMSA(r=.95, p<.05) and to the variable of lower extremity sensory function (touch) in relation to the SIAS(r=.91, p<.05). This study also revealed close correlations between insulin resistance and the variables of ankle control(${\beta}=-1.05$, p<.05) and low extremity tactile sensations(${\beta}=-1.82$, p<.05).