Nezehat Özgül ÜNLÜER, Oğuzhan AKBAŞLI, Banu ÜNVER
Journal of Basic and Clinical Health Sciences - 2026;10(3):331-341
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. Importantly, the detection of sensory deficits in the clinically "less-involved" foot of children with rHCP represents a novel finding, challenging the conventional assumption that the contralateral limb is functionally intact. In addition to plantar pressure assessments, incorporating sensory evaluations is valuable for designing effective rehabilitation programs for children with rHCP.
