Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia

Abstract Background Over the past 10 years, the prevalence of obesity in the cerebral palsy population has increased in the USA, ranging from 7.7 to 16.5%. Obesity is linked to health problems as well as challenges with walking and balance. The current study investigated the correlation between BMI,...

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Main Authors: Lamis Neyazy Elrakhawy, Khaled Ahmed Mamdouh, Hoda Abdel Azim Eltalawy, Radwa S. Abdulrahman
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:Bulletin of Faculty of Physical Therapy
Subjects:
Online Access:https://doi.org/10.1186/s43161-025-00266-2
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author Lamis Neyazy Elrakhawy
Khaled Ahmed Mamdouh
Hoda Abdel Azim Eltalawy
Radwa S. Abdulrahman
author_facet Lamis Neyazy Elrakhawy
Khaled Ahmed Mamdouh
Hoda Abdel Azim Eltalawy
Radwa S. Abdulrahman
author_sort Lamis Neyazy Elrakhawy
collection DOAJ
description Abstract Background Over the past 10 years, the prevalence of obesity in the cerebral palsy population has increased in the USA, ranging from 7.7 to 16.5%. Obesity is linked to health problems as well as challenges with walking and balance. The current study investigated the correlation between BMI, balance, and gross motor abnormalities in children with diplegia. Methods This cross-sectional-correlation study was done at the Outpatient Clinic at the Faculty of Physical Therapy, Cairo University. The study included 104 diplegic children aged from 5 to 10 years, 53 in the normal weight group and 51 in the overweight group. Dynamic balance was evaluated by the overall stability index (OSI) in the Biodex Balance System and gross motor capacities (GMC) were evaluated by standing and walking dimensions in GMFM. Results On comparing outcome variables, there were significant differences among groups in BMI, GMC, and OSI (P < 0.001). Moreover, there was a significant negative strong correlation between GMC and OSI (r = − 0.792 and P < 0.001). Conclusion Overweight and obese diplegic cerebral palsy children have decreased balance and GMC significantly when compared to normal-weight children. There was also a significant correlation between GMC and OSI (r = − 0.792). Trial registration The study registered in ClinicalTrial.gov in October 2024 (NCT06642922).
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issn 2536-9660
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spelling doaj-art-78366ea0ae4748f489a2e8c0a11777d62025-01-19T12:11:14ZengSpringerOpenBulletin of Faculty of Physical Therapy2536-96602025-01-013011610.1186/s43161-025-00266-2Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegiaLamis Neyazy Elrakhawy0Khaled Ahmed Mamdouh1Hoda Abdel Azim Eltalawy2Radwa S. Abdulrahman3Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo UniversityDepartment of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo UniversityDepartment of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo UniversityDepartment of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo UniversityAbstract Background Over the past 10 years, the prevalence of obesity in the cerebral palsy population has increased in the USA, ranging from 7.7 to 16.5%. Obesity is linked to health problems as well as challenges with walking and balance. The current study investigated the correlation between BMI, balance, and gross motor abnormalities in children with diplegia. Methods This cross-sectional-correlation study was done at the Outpatient Clinic at the Faculty of Physical Therapy, Cairo University. The study included 104 diplegic children aged from 5 to 10 years, 53 in the normal weight group and 51 in the overweight group. Dynamic balance was evaluated by the overall stability index (OSI) in the Biodex Balance System and gross motor capacities (GMC) were evaluated by standing and walking dimensions in GMFM. Results On comparing outcome variables, there were significant differences among groups in BMI, GMC, and OSI (P < 0.001). Moreover, there was a significant negative strong correlation between GMC and OSI (r = − 0.792 and P < 0.001). Conclusion Overweight and obese diplegic cerebral palsy children have decreased balance and GMC significantly when compared to normal-weight children. There was also a significant correlation between GMC and OSI (r = − 0.792). Trial registration The study registered in ClinicalTrial.gov in October 2024 (NCT06642922).https://doi.org/10.1186/s43161-025-00266-2ObesityDynamic balanceGross motor capacitiesDiplegia
spellingShingle Lamis Neyazy Elrakhawy
Khaled Ahmed Mamdouh
Hoda Abdel Azim Eltalawy
Radwa S. Abdulrahman
Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia
Bulletin of Faculty of Physical Therapy
Obesity
Dynamic balance
Gross motor capacities
Diplegia
title Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia
title_full Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia
title_fullStr Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia
title_full_unstemmed Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia
title_short Gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia
title_sort gross motor abnormalities in relation to balance and weight indicators in children with spastic diplegia
topic Obesity
Dynamic balance
Gross motor capacities
Diplegia
url https://doi.org/10.1186/s43161-025-00266-2
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AT hodaabdelazimeltalawy grossmotorabnormalitiesinrelationtobalanceandweightindicatorsinchildrenwithspasticdiplegia
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