Original Article: JRCRS. 2023; 11(3): 141-145
2-Homonymous Hemianopia in Cerebral Palsy children with Abnormal Head Posture
Hasba Tul Hie1, Asifa Javaid2, Shoaib Waqas3, Muhammad Tariq4, Hafiz Muhammad Asim5, Imran Ghafoor6
1Student, Lahore College of Physical Therapy, LMDC Lahore
2Lecturer, Lahore College of Physical Therapy, LMDC Lahore
3Associate Professor, Lahore College of Physical Therapy, LMDC Lahore
4Assistant Professor, Lahore College of Physical Therapy, LMDC Lahore
5Professor, Lahore College of Physical Therapy, LMDC Lahore
6Physiotherapist, Nawaz Sharif Social Security Hospital, Lahore
Abstract:
Background: Cerebral palsy occurs if brain does not develop normally or due to damage of brain before, during or just after birth caused by any infection in pregnancy, genetic disorders or trauma causing different visual problems (homonymous hemianopia) instead of developmental issues.
Objective: To assess homonymous hemianopia in cerebral palsy children with abnormal head posture.
Methodology: A descriptive cross-sectional study with non-probability purposive Sampling technique conducted in six months from September 2019 to February 2020. The sample size was 60 and data was collected from Ghurki Trust Teaching Hospital, Children Hospital Lahore and Amin Maktab special education center. Spastic hemiplegic Cerebral palsy children with abnormal head posture aged 1.5 to 17 years were included. Children with hearing or visual loss were excluded. The Behavioral visual field screening test (BEFIE) was used to assess homonymous hemianopia.
Results: Out of 60 CP children with postural abnormalities 60% (n=36) presented with homonymous hemianopia while 40% (n=24) were without hemianopia. In accordance with presence of hemianopia in CP, most common postural adaptation was ‘turning away of head’ 26.67% (n=16) while children with ‘head rocking, flapping’ showed lowest results with 6.67% (n=4) when looking at peripheral stimulus.
Conclusion: Vision plays a specific role in controlling head position in CP children. Homonymous hemianopia was present in more than half cerebral palsy children with abnormal head posture.
Key words: Abnormal head posture, Cerebral Palsy, Homonymous Hemianopia