Exploring the Relationship Between Lower Limb Spasticity and Postural Control Mechanisms in Children With Spastic Diplegic Cerebral Palsy: A Neurophysiological and Functional Balance Analysis"

Mohammed Aslam; Tripti Pandey; Bhawana Bohra; Shriya Bhatt; Manisha Singh

doi:10.36948/ijfmr.2025.v07i03.46898

Exploring the Relationship Between Lower Limb Spasticity and Postural Control Mechanisms in Children With Spastic Diplegic Cerebral Palsy: A Neurophysiological and Functional Balance Analysis"

Author(s)	Prof(Dr) Mohammed Aslam, Dr Tripti Pandey, Dr Bhawana Bohra, Dr Shriya Bhatt, Dr Manisha Singh
Country	India
Abstract	Abstract : Introduction Spasticity is a common neuromuscular impairment in children with spastic diplegic cerebral palsy, often leading to functional limitations in balance and gross motor performance. Understanding the relationship between spasticity and these functional domains is crucial for guiding effective therapeutic interventions. This study aimed to evaluate the correlation between lower limb spasticity and both balance and gross motor function in children with spastic diplegic cerebral palsy. Methodology A total of 22 children with spastic diplegic cerebral palsy were selected from various cerebral palsy rehabilitation centers in Dehradun. Subjects who met the inclusion criteria were enrolled in this correlation study. Prior to participation, informed consent was obtained from the parents or legal guardians after explaining the purpose and procedures of the study. All participants were assessed for: Spasticity using the Modified Ashworth Scale (MAS) Balance using the Pediatric Balance Scale (PBS) Gross motor function using the Gross Motor Function Measure (GMFM) The data collected were statistically analyzed to determine the relationship between spasticity and balance, as well as between spasticity and gross motor function. Results The results demonstrated that: The mean spasticity of the knee flexors in both lower limbs had a fair negative correlation with the Pediatric Balance Scale (r = -0.433). The mean spasticity of the plantar flexors showed a stronger negative correlation with the Pediatric Balance Scale (r = -0.616), indicating a greater influence on balance. A moderate negative correlation was found between the average MAS scores of both limbs and the GMFM scores, suggesting that higher spasticity is associated with poorer gross motor function. Discussion The findings indicate that increased spasticity, particularly in the plantar flexors, adversely affects balance more significantly than spasticity in the knee flexors. Moreover, the moderate correlation between overall lower limb spasticity and GMFM scores supports the notion that spasticity limits functional mobility. These results align with the hypothesis that neuromuscular impairments such as spasticity can influence postural control and motor performance in a biomechanically predictable manner. Conclusion This study concludes that lower limb spasticity, especially in the plantar flexors, has a negative impact on balance and gross motor function in children with spastic diplegic cerebral palsy. Early assessment and targeted management of spasticity are essential for improving functional outcomes in this population. Keywords Spasticity, Gross Motor Function, Pediatric Balance Scale, Cerebral Palsy, Functional Performance.
Keywords	Spasticity, Gross Motor Function, Pediatric Balance Scale, Cerebral Palsy, Functional Performance.
Field	Medical / Pharmacy
Published In	Volume 7, Issue 3, May-June 2025
Published On	2025-06-04
DOI	https://doi.org/10.36948/ijfmr.2025.v07i03.46898
Short DOI	https://doi.org/g9m7j2

View / Download PDF File

E-ISSN 2582-2160

doi

CrossRef DOI is assigned to each research paper published in our journal.

IJFMR DOI prefix is
10.36948/ijfmr

Downloads

Research Paper Format Copyright Permission Form and Undertaking Form Cover Page Vol 7 Isu 3 Cover Page Vol 7 Isu 2 Cover Page Vol 7 Isu 1

All research papers published on this website are licensed under Creative Commons Attribution-ShareAlike 4.0 International License, and all rights belong to their respective authors/researchers.

CC-BY-SA

About IJFMR Fees & Payment Current Issue Publication Archive	Submit Research Paper Track Submission Status Publication Guidelines Publication Ethics Peer Review & Plagiarism	Join as a Reviewer Editors & Reviewers Reviewer Referral Program Get Reviewer Membership Certi.	Website/Journal Policies Usage Policy Content Policies Privacy Policy

Contact Us		+91-9687-828-838	editor@ijfmr.com

International Journal For Multidisciplinary Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Exploring the Relationship Between Lower Limb Spasticity and Postural Control Mechanisms in Children With Spastic Diplegic Cerebral Palsy: A Neurophysiological and Functional Balance Analysis"

Share this