The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegia

Background: Attention and concentration disorders, alongside tone disorders and imbalance, are among the significant challenges faced by children with cerebral palsy (CP). This study investigated the relationship between attention and balance in children with CP. Methods: This cross-sectional study...

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Main Authors: mahrokh ghahari, Aliyeh Daryabor, mino kalantari, ashkan irani, zahra Shafiee
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2025-06-01
Series:Journal of Rehabilitation Sciences and Research
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Online Access:https://jrsr.sums.ac.ir/article_50090_605f5b0c48f0f832a18df4844f5481f5.pdf
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author mahrokh ghahari
Aliyeh Daryabor
mino kalantari
ashkan irani
zahra Shafiee
author_facet mahrokh ghahari
Aliyeh Daryabor
mino kalantari
ashkan irani
zahra Shafiee
author_sort mahrokh ghahari
collection DOAJ
description Background: Attention and concentration disorders, alongside tone disorders and imbalance, are among the significant challenges faced by children with cerebral palsy (CP). This study investigated the relationship between attention and balance in children with CP. Methods: This cross-sectional study included 15 children with hemiplegia (mean age: 8.8 ± 2 years) and 10 children with diplegia (mean age: 8.5 ± 1.43 years) recruited from occupational therapy clinics in Tehran, Iran. All participants were classified as level II on both the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS). Attention and balance were assessed using the Continuous Performance Test (CPT) and the Pediatric Balance Scale (PBS). Spearman's correlation coefficient was calculated to determine the relationship between attention and balance, with a significance threshold of α=0.05. Results: The results showed no significant correlation between dynamic and static balance with attention (P > 0.05) in children with hemiplegia. However, in children with diplegia, there were significant correlations between dynamic balance and attention (P = 0.04), static balance and attention (P = 0.01), and total balance and attention (P = 0.02). Conclusion: This study found a significant correlation between attention and balance in children with diplegic CP but not those with hemiplegic CP. Given that children with diplegia exhibited weaker dynamic and static balance compared to those with hemiplegia, their balance deficits appear to demand more significant attentional resources. Due to the small sample size, further research is necessary to validate these findings.
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spelling doaj-art-dc79ea44cff74b4a8868c945a180ab892025-08-20T03:51:18ZengShiraz University of Medical SciencesJournal of Rehabilitation Sciences and Research2345-61672345-61592025-06-01122667210.30476/jrsr.2024.98966.137650090The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegiamahrokh ghahari0Aliyeh Daryabor1mino kalantari2ashkan irani3zahra Shafiee4Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Physiotherapy Research Center, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, IranDepartment of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Department of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran,Background: Attention and concentration disorders, alongside tone disorders and imbalance, are among the significant challenges faced by children with cerebral palsy (CP). This study investigated the relationship between attention and balance in children with CP. Methods: This cross-sectional study included 15 children with hemiplegia (mean age: 8.8 ± 2 years) and 10 children with diplegia (mean age: 8.5 ± 1.43 years) recruited from occupational therapy clinics in Tehran, Iran. All participants were classified as level II on both the Gross Motor Function Classification System (GMFCS) and the Manual Ability Classification System (MACS). Attention and balance were assessed using the Continuous Performance Test (CPT) and the Pediatric Balance Scale (PBS). Spearman's correlation coefficient was calculated to determine the relationship between attention and balance, with a significance threshold of α=0.05. Results: The results showed no significant correlation between dynamic and static balance with attention (P > 0.05) in children with hemiplegia. However, in children with diplegia, there were significant correlations between dynamic balance and attention (P = 0.04), static balance and attention (P = 0.01), and total balance and attention (P = 0.02). Conclusion: This study found a significant correlation between attention and balance in children with diplegic CP but not those with hemiplegic CP. Given that children with diplegia exhibited weaker dynamic and static balance compared to those with hemiplegia, their balance deficits appear to demand more significant attentional resources. Due to the small sample size, further research is necessary to validate these findings.https://jrsr.sums.ac.ir/article_50090_605f5b0c48f0f832a18df4844f5481f5.pdfattentioncerebral palsy (cp)dynamic balancestatic balance
spellingShingle mahrokh ghahari
Aliyeh Daryabor
mino kalantari
ashkan irani
zahra Shafiee
The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegia
Journal of Rehabilitation Sciences and Research
attention
cerebral palsy (cp)
dynamic balance
static balance
title The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegia
title_full The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegia
title_fullStr The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegia
title_full_unstemmed The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegia
title_short The Relationship between Attention and Balance in Children with Cerebral Palsy: A Comparative Preliminary Study in Diplegia and Hemiplegia
title_sort relationship between attention and balance in children with cerebral palsy a comparative preliminary study in diplegia and hemiplegia
topic attention
cerebral palsy (cp)
dynamic balance
static balance
url https://jrsr.sums.ac.ir/article_50090_605f5b0c48f0f832a18df4844f5481f5.pdf
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