Metwaly, M. M., E. E. Salem, and M. E. Abbass, "Correlation between scapular alignment and upper extremity function in children with hemiparetic cerebral palsy.", Physiotherapy theory and practice, vol. 39, issue 10, pp. 2163–2170, 2023. Abstract

OBJECTIVES: To investigate the relationship between scapular alignment and upper extremity function.

METHODS: Eighty-five children (63 boys and 22 girls) with spastic hemiplegic cerebral palsy aged 3 to 6 years were included in the study. Scapular upward rotation was assessed using Postural Zone software, and upper extremity function was assessed using the Pediatric Arm Function Test.

RESULTS: There was a significant difference (p = .0001) in the degree of upward scapular rotation between less affected and affected sides (-41.78 ± 4.87 and -26.42 ± 6.34, respectively). There was a significant difference (p = .0001) between the function of the upper extremity of the affected side and the less affected sides (48.15 ± 14.37, 62.1 ± 6.62, respectively). Pearson Correlation Coefficient (r) was calculated, and there was a strong negative significant correlation between the degree of scapular upward rotation of the affected side, a unilateral score of the affected side, and the total score of the Pediatric Arm Function Test (r = -0.976, p = .0001 and r = -0.973, p = .0001, respectively). The correlation between symmetry index and total score of the Pediatric Arm Function Test was a strong positive significant correlation (r = 0.946, p = .0001).

CONCLUSION: The degree of upward scapular rotation was less on the affected side. Scapular alignment and symmetry may contribute to upper extremity function in children with hemiplegic cerebral palsy. Clinically, correction of scapular deviations may be considered in the rehabilitation program for children with hemiplegic cerebral palsy. This study suggests further experimental studies to find the cause and effect.

El-Moatasem, A. M., and M. E. Abbass, "Effect of intrathoracic oscillations on pulmonary functions in children with cerebral palsy", Journal of Taibah University Medical Sciences , vol. 18, issue 6, pp. 1254–1260, 2023.
Ibrahim, N. M., and M. E. Abbass, "Effect of weight around ankle on decreasing hip flexion excursion during gait in children with diplegia", Physiotherapy Quarterly, vol. 32, issue 2, pp. 48–53, 2024.
Albadry, E. S., A. M. Abd-Elmonem, A. A. Othman, and M. E. Abbass, "Autistic features in relation to motor function and quality of life in children with autism spectrum disorder", Physical Activity Review , vol. 11, issue 1, pp. 123-130, 2023.
Ibrahim, N. M., and M. E. Abbass, "Weight distribution asymmetry in relation to walking speed in children with spastic cerebral palsy.", African Health Sciences, vol. 22, issue 2, pp. 565-572, 2022.
Elsayed, A. M., E. E. Salem, S. M. N. E. din, and M. E. Abbass, Effect of using adaptive seating equipment on grasping and visual motor integration in children with hemiparetic cerebral palsy: a randomized controlled trial, , vol. 26, issue 1, pp. 25, 2021. AbstractWebsite

Adaptive seating is commonly used as an intervention method to enhance postural control. The aim of this study is to investigate the effect of using therapy ball as a seat alternative to using typical chair on grasping and visual motor integration in the children with hemiparetic cerebral palsy. For this aim, thirty children with hemiparetic cerebral palsy from both sexes were included in this study. The children ages ranged from 3 to 6 years old. The degree of spasticity was 1 to 1+ according to modified Ashworth scale. The children were able to sit independently and follow instructions. Children were randomly assigned into two groups (experimental group and control group). Each child was evaluated before and after 3 successive months of selected occupational therapy exercises program. All the children of both groups received the same selected occupational therapy exercises program, but the children in the experimental group performed the exercises while sitting on therapy ball, and the children in the control group performed the exercises while sitting on typical chair.

Abbass, M. E., and N. M. Ibrahim, "Effectiveness of action observation therapy on upper extremity function in children with cerebral palsy: systematic review and meta-analysis", Physical Therapy ReviewsPhysical Therapy Reviews, vol. 26, issue 6: Taylor & Francis, pp. 428 - 438, 2021. AbstractWebsite
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