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Journals / Journal of Basic and Clinical Health Sciences / 2026 / Volume: 10 Issue: 3

Plantar Pressure, Balance, And Sensory Deficits in Right Hemiplegic Cerebral Palsy: A Comparative Pediatric Study

Nezehat Özgül Ünlüer(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ; GÜLHANE FİZYOTERAPİ VE REHABİLİTASYON FAKÜLTESİ; NÖROLOJİK FİZYOTERAPİ VE REHABİLİTASYON ABD)0000-0003-2314-0738
Oğuzhan Akbaşlı(ANTALYA BİLİM ÜNİVERSİTESİ)0000-0002-0097-7829
Banu Ünver(LOKMAN HEKİM ÜNİVERSİTESİ)0000-0001-9758-6607
Pages
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Publication Date
2026-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition to plantar pressure assessments, incorporating sensory evaluations is valuable for designing effective rehabilitation programs for children with HCP.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose: The study aimed to compare plantar pressure distribution, balance, and plantar sensation between children with right hemiplegic cerebral palsy (rHCP) and typical developing children (TDC).
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Key Findings & Data:Material and Methods: The study included 19 children with rHCP (Gross Motor Function Classification System Level I) and 24 TDC aged 4-15 years.
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Conclusion & Impact:In addition to plantar pressure assessments, incorporating sensory evaluations is valuable for designing effective rehabilitation programs for children with HCP.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Cerebral Palsy · Balance · Plantar Pressure

Abstract

Purpose: The study aimed to compare plantar pressure distribution, balance, and plantar sensation between children with right hemiplegic cerebral palsy (rHCP) and typical developing children (TDC). Material and Methods: The study included 19 children with rHCP (Gross Motor Function Classification System Level I) and 24 TDC aged 4-15 years. Plantar pressure distribution and balance were assessed using the Analysis System Foot Scanner, and plantar sensation was evaluated with the Semmes-Weinstein Monofilament Test. Results: It was observed that the load exerted on the left feet of the rHCP was significantly higher compared to TDC (p=0.002). Conversely, the load on their right feet was significantly lower compared to TDC (p=0.002). The Center of Pressure (CoP) sway area was found to be significantly higher in the rHCP (p=0.007). The plantar sensation of the rHCP was notably lower (p<0.05). Conclusion: We observed notable differences between rHCP and TDC regarding static balance and the load applied to the right and left feet in plantar pressure distribution. In addition to plantar pressure assessments, incorporating sensory evaluations is valuable for designing effective rehabilitation programs for children with HCP.

Özet

Amaç: Çalışma, sağ hemiplejik serebral palsili (sHSP) çocuklar ile tipik gelişim gösteren çocuklar (TGÇ) arasında plantar basınç dağılımını, dengeyi ve plantar duyuyu karşılaştırmayı amaçlamıştır. Materyal ve Metotlar: Çalışmaya 4-15 yaş aralığında, Kaba Motor Fonksiyon Sınıflama Sistemi Düzeyi I'de olan 19 sHSP'li çocuk ve 24 TGÇ dahil edilmiştir. Plantar basınç dağılımı ve denge, Analiz Sistemi Ayak Tarayıcısı (Analysis System Foot Scanner) kullanılarak, plantar duyu ise Semmes-Weinstein Monofilament Testi ile değerlendirilmiştir. Bulgular: sHSP'li çocukların sol ayaklarına uygulanan yükün TGC'ye kıyasla anlamlı derecede yüksek olduğu (p=0.002) gözlenmiştir. Aksine, sağ ayaklarına uygulanan yükün ise TGC'ye kıyasla anlamlı derecede düşük olduğu (p=0.002) görülmüştür. Basınç Merkezi (CoP) salınım alanının sHCP'li çocuklarda anlamlı derecede yüksek olduğu (p=0.007) bulunmuştur. sHCP'li çocukların plantar duyusunun kayda değer ölçüde düşük olduğu (p<0.05) tespit edilmiştir. Sonuç: sHSP ve TGÇ arasında statik denge ve plantar basınç dağılımında sağ ve sol ayaklara uygulanan yük açısından dikkate değer farklılıklar gözlemledik. Plantar basınç değerlendirmelerine ek olarak, duyusal değerlendirmelerin dahil edilmesi, HCP'li çocuklar için etkili rehabilitasyon programları tasarlamak açısından değerlidir.

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Cite This Article

Ünlüer, N. Ö., Akbaşlı, O., Ünver, B. (2026). Plantar Pressure, Balance, And Sensory Deficits in Right Hemiplegic Cerebral Palsy: A Comparative Pediatric Study. Journal of Basic and Clinical Health Sciences, Volume: 10 Issue: 3. https://doi.org/10.30621/jbachs.1818146

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References (23)

  1. Krigger KW. Cerebral palsy: an overview. Am Fam Physician 2006;73(1):91-100.
  2. Galli M, Cimolin V, Pau M, Leban B, Brunner R, Albertini G. Foot pressure distribution in children with cerebral palsy while standing. Res Dev Disabil 2015;41:52-57.
  3. Leunkeu AN, Lelard T, Shephard RJ, Doutrellot PL, Ahmaidi S. Reproducibility of gait cycle and plantar pressure distribution in children with spastic hemiplegic cerebral palsy. NeuroRehabilitation 2014;35(3):597.
  4. Leunkeu AN, Lelard T, Shephard RJ, Doutrellot PL, Ahmaidi S. Gait cycle and plantar pressure distribution in children with cerebral palsy: Clinically useful outcome measures for a management and rehabilitation. NeuroRehabilitation 2014;35(4):657-663.
  5. Bickley C, Linton J, Sullivan E, Mitchell K, Slota G, Barnes D. Comparison of simultaneous static standing balance data on a pressure mat and force plate in typical children and in children with cerebral palsy. Gait Posture 2019;67:91-98.
  6. Saether R, Helbostad JL, Riphagen II, Vik T. Clinical tools to assess balance in children and adults with cerebral palsy: a systematic review. Dev Med Child Neurol 2013;55(11):988-999.
  7. Donker SF, Ledebt A, Roerdink M, Savelsbergh GJ, Beek PJ. Children with cerebral palsy exhibit greater and more regular postural sway than typically developing children. Exp Brain Res 2008;184(3):363-370.
  8. Shim D, Park D, Yoo B, et al. Evaluation of sitting and standing postural balance in cerebral palsy by center-of-pressure measurement using force plates: Comparison with clinical measurements. Gait Posture 2022;92:110-115.
  9. Zarkou A, Lee SC, Prosser LA, Jeka JJ. Foot and ankle somatosensory deficits affect balance and motor function in children with cerebral palsy. Front Hum Neurosci 2020;14:45.
  10. Soylu Ç, Karatas CS, Açar G. Reliability and validity of Analiz Sistem in plantar pressure assessment for unilateral chronic ankle instability. Istanbul Gelisim University Journal of Health Sciences 2025;(26):464-476.
  11. Chow TH. Traceable features of static plantar pressure characteristics and foot postures in college students with hemiplegic cerebral palsy. J Pers Med 2022;12(3):394.
  12. Pierret J, Beyaert C, Vasa R, Rumilly E, Paysant J, Caudron S. Rehabilitation of postural control and gait in children with cerebral palsy: the beneficial effects of trunk-focused postural activities. Dev Neurorehabil 2023;26(3):180-192.
  13. Pavão SL, Visicato LP, da Costa CSN, de Campos AC, Rocha NAC. Effect of the severity of manual impairment and hand dominance on anticipatory and compensatory postural adjustments during manual reaching in children with cerebral palsy. Res Dev Disabil 2018;83:47-56.
  14. Collins S, Visscher P, De Vet HC, Zuurmond WW, Perez RS. Reliability of the Semmes Weinstein Monofilaments to measure coetaneous sensibility in the feet of healthy subjects. Disabil Rehabil 2010;32(24):2019-2027.
  15. Auld ML, Ware RS, Boyd RN, Moseley GL, Johnston LM. Reproducibility of tactile assessments for children with unilateral cerebral palsy. Phys Occup Ther Pediatr 2012;32(2):151-166.
  16. Brun C, Traverse É, Granger É, Mercier C. Somatosensory deficits and neural correlates in cerebral palsy: a scoping review. Dev Med Child Neurol 2021;63(12):1382-1393.
  17. Lima CRG, Pavao SL, de Campos AC, Rocha NACF. Impact of dual task on postural sway during sit-to-stand movement in children with unilateral cerebral palsy. Clin Biomech (Bristol, Avon) 2020;78:105072.
  18. Akkaya KU, Elbasan B. An investigation of the effect of the lower extremity sensation on gait in children with cerebral palsy. Gait Posture 2021;85:25-30.
  19. Rose J, Wolff DR, Jones VK, Bloch DA, Oehlert JW, Gamble JG. Postural balance in children with cerebral palsy. Dev Med Child Neurol 2002;44(1):58-63.
  20. Crenshaw JR, Petersen DA, Conner BC, et al. Anteroposterior balance reactions in children with spastic cerebral palsy. Dev Med Child Neurol 2020;62(6):700-708.
  21. Shumway Cook A, Woollacott M. Motor Control: Translating Research into Clinical Practice. 4th ed. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2012.
  22. McLaughlin JF, Felix SD, Nowbar S, Ferrel A, Bjornson K, Hays RM. Lower extremity sensory function in children with cerebral palsy. Pediatr Rehabil 2005;8(1):45-52.
  23. Zarkou A, Lee SC, Prosser L, Hwang S, Franklin C, Jeka J. Foot and ankle somatosensory deficits in children with cerebral palsy: A pilot study. J Pediatr Rehabil Med 2021;14(2):247-255.