Effect of Disturbed Attention on Balance in Children With Spastic Cerebral Palsy

Effect of Disturbed Attention on Balance in Children With Spastic Cerebral Palsy

The purpose of the current study is to determine if there is a correlation between disturbed attention and balance in children with spastic diplegia.

The neuromuscular impairments in children with cerebral palsy (CP) are manifested in abnormal posture and loss of selective motor control, poor trunk control and balance which contributes to poor postural control with significant limitations in their activities of daily living. Balance and upright postural control are fundamental components of movement which plays a major role in maintaining the body in equilibrium in a given sensory environment, with anticipatory and automatic postural adjustments. So, improving balance abilities in such children is fundamental.

In general, attention involves processes that allow individuals to focus on particular aspects of the environment and to mobilize sufficient effort for learning and problem solving.

Children with diplegic CP encounter difficulties in sensory processing and integration which influence the achievement of mature postural control.

There is reviews that didn't cover the relation between attention and balance. This study is to improve evidence regarding this area.

Inclusion Criteria:

• Cerebral palsy children with spastic diplegia.
• Age ranges from 8 -12 years.
• Level Ι - II according to Gross Motor Functional Classification System (GMFCS).
• Grade 1, 1+ of the Modified Ashworth Scale.

Exclusion Criteria:

• Children that suffer from epilepsy.
• Severe visual and auditory problems.
• Structural or fixed soft tissue deformities of Lower extremities.
• Severe mental retardation.
• Botox injection in the lower extremity in the past 6 months.