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    Comparison of functional walking, balance and functional independence in children with diplegic and hemiplegic cerebral palsy
    (Selçuk Üniversitesi, 20.12.2024) Al-Aayedi, Kamal; Özüdoğru, Anıl
    Purpose: Cerebral palsy results in brain damage to specific regions responsible for regulating muscle tone, gross and fine motor skills, balance control, and posture. This condition directly impacts patients' ability to walk, maintain balance, and perform everyday tasks effectively. The objective of this study was to compare the functional walking ability, balance, and functional independence of children with hemiplegic and diplegic cerebral palsy. Methods: A study employing a cross-sectional observational design was done in three hospitals in Wasit province, Iraq, with a sample of 60 children diagnosed with cerebral palsy. The demographic information of 30 patients diagnosed with diplegia and 30 patients diagnosed with hemiplegia, aged between 0 and 18 years, and classified as level I-III in the Gross Motor Classification System (GMFCS), was documented. The patients underwent assessment using the Gillette Functional Gait Assessment Questionnaire (FAQ), the Pediatric Balance Scale (PBS), and the Independence Measure for Children (WeeFIM). Results: The statistical analysis revealed a significant difference between the groups in FAQ and PBS (p<0.05). Considering the WeeFIM scores, except for locomotion and sphincter control parameters, no significant difference was found in other WeeFIM sub-scores between the groups (p > 0.05). Conclusion: Children with hemiplegia have significantly better walking, balance, and lower extremity function than children with diplegia. However, they have worse upper-extremity performance. Based on the results of the study, the researchers suggest developing physiotherapy interventions or modalities adapted to the kind of CP and limitations experienced by people with CP to improve their ability to do functional activities with greater independence.