PNF and Movement 2023; 21(2): 265-272
The Correlation between Physical Function and Lower Limb Tactile Sense in Children with Spastic Cerebral Palsy
Hye-Lyeong Yun, P.T., M.S.1,2⋅Na-Yeon YE, P.T., B.S.1⋅Eun-Ju Lee, P.T., Ph.D.1†
1Department of Physical Therapy, Kyungsung University, Republic of Korea
2Department of physical therapy, Pusan National University Yangsan Hospital, Republic of Korea
Correspondence to: Eun-Ju Lee (
Received: July 19, 2023; Accepted: August 13, 2023; Published online: August 31, 2023.
© Korea Proprioceptive Neuromuscular Facilitation Association. All rights reserved.

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Purpose: The purpose of this study was to investigate tactile sense perception of the lower extremities according to physical function in children with spastic cerebral palsy.
Methods: This study was conducted on 15 children diagnosed with spastic cerebral palsy. Physical function measurement items included dynamic balance ability, gross motor function level, and lower extremity ankle spasticity. The lower extremity tactile sensation uses a monofilament to measure the sole of the first metatarsal head, the sole of the fifth metatarsal head, the heel, the anterior part of the shin midway between the patella and the ankle joint, the kneecap, the upper anterior iliac spine, and the knee. A total of six measurements were taken in the mid-femoral region of the bone. Spearman correlation analysis was performed to determine the degree of body function and lower extremity tactile perception.
Results: As the physical function of children with spastic cerebral palsy deteriorated, there was a decrease in tactile sensation in the thigh area corresponding to the proximal lower extremity. (p <.05).
Conclusion: Children with spastic cerebral palsy and poor physical function have sensory loss not only in the distal part but also in the proximal part, so a treatment approach that recognizes and improves it is necessary.
Keywords: Spastic, Cerebral palsy, Physical function, Tactile sense

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