Analysis of Postural Stability in Children With Cerebral Palsy and Children With Typical Development

Saxena, Shikha; Rao, Bhamini Krishna; Kumaran, Senthil

doi:10.1097/pep.0000000000000060

Cited by 33 publications

(19 citation statements)

References 23 publications

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“…However, the data on hemiplegic CP are scarce. There is one other study that compared a mixed group of children with hemiplegic and diplegic CP with typically developing children and showed similar results 15 ) . Therefore, this study is important in that it emphasizes that visual inputs are also critical in hemiplegic CP.…”

Section: Discussionmentioning

confidence: 78%

Evaluation of postural stability in children with hemiplegic cerebral palsy

et al. 2016

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[Purpose] Postural stability is the ability of to maintain the position of the body within the support area. This function is affected in cerebral palsy. The aim of the present study was to compare static and dynamic postural stability between children with hemiplegic cerebral palsy and healthy controls. [Subjects and Methods] Thirty-seven children between the ages of 5 and 14 diagnosed with hemiplegic cerebral palsy (19 right, 18 left) and 23 healthy gender- and age-matched controls were included in the study. Postural stability was evaluated in both of the groups using a Neurocom Balance. Sway velocity was measured both with the eyes open and closed. Sit to stand and turning abilities were also assessed. [Results] The sway velocities with the eyes open and closed were significantly different between the groups. The weight transfer time in the Sit to Stand test was also significantly slower in children with cerebral palsy. Children with cerebral palsy also showed slower turning times and greater sway velocities during the Step and Quick Turn test on a force plate compared with their healthy counterparts. [Conclusion] Both static and dynamic postural stability parameters are affected in hemiplegic cerebral palsy. Further research is needed to define rehabilitation interventions to improve these parameters in patients.

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Section: Discussionmentioning

confidence: 78%

Evaluation of postural stability in children with hemiplegic cerebral palsy

et al. 2016

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“…A probable cause is loading of the foot with the toes first, as it occurs in patients with cerebral palsy due to either equinus foot position or knee flexion posture and lack of foot protection by orthotics. The strategies used, equinus foot or knee flexion posture, may also be seen as an attempt to compensate for poor stability of posture, which is common in CP (Saxena et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…19;Galli et al, 2007;Galli, Cimolin, Rigoldi, Tenore, & Albertini, 2010;Piccinini et al, 2007;Rojas et al, 2013;Saxena, Rao, & Kumaran, 2014;Sutherland & Davids, 1993), quantitative studies of the characterization of foot morphology and functionality in these patients are scarce.…”

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confidence: 96%

Foot pressure distribution in children with cerebral palsy while standing

Galli

Cimolin

Pau

et al. 2015

Research in Developmental Disabilities

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Foot deformity is a major component of impaired functioning in cerebral palsy (CP). While gait and balance issues related to CP have been studied extensively, there is little information to date on foot-ground interaction (i.e. contact area and plantar pressure distribution). This study aimed to characterize quantitatively the foot-ground contact parameters during static upright standing in hemiplegia and diplegia. We studied 64 children with hemiplegia (mean age 8.2 years; SD 2.8 years) and 43 with diplegia (mean age 8.8 years; SD 2.3 years) while standing on both legs statically on a pressure sensitive mat. We calculated pressure data for the whole foot and sub-regions (i.e. rearfoot, midfoot and forefoot) and average contact pressure. The Arch Index (AI) served for classifying the feet as flat, normal or cavus feet. The data were compared with those from a sample of age- and gender-matched participants (control group, 68 children). Most of the feet showed very high AI values, thus indicating a flat foot. This deformity was more common in diplegia (74.4%) than in hemiplegia (54.7%). In both diplegic and hemiplegic children, average plantar pressure was significantly increased in the forefoot and midfoot and decreased in the rearfoot (p<0.001). The present data indicate an increased load on the front parts of the foot, which may be due to plantarflexor overactivity or knee flexion, combined with an increased incidence of low foot arches. As a low foot arch does not necessarily increase forefoot load, this deformity can be regarded as secondary.

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“…A postura do pé equino ou flexão do joelho é uma das estratégias utilizadas pelas crianças com PC para compensar diminuição da estabilidade do equilíbrio na marcha [29]. A utilização das OTP articuladas têm indicação relevante para a marcha de crianças com PC, visto que, ao inibir a plantiflexão excessiva de tornozelo e dar assistência para a dorsiflexão, proporciona mudanças nos parâmetros lineares da marcha desses indivíduos [30], promovendo o aumento do comprimento da passada e da velocidade e a diminuição do gasto de energia durante a marcha, aproximando os parâmetros de marcha com o uso da órtese com os parâmetros da normalidade [6].…”

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