Body Posture Asymmetry Differences between Children with Mild Scoliosis and Children with Unilateral Cerebral Palsy

Domagalska-Szopa, Małgorzata; Szopa, Andrzej

doi:10.1155/2013/462094

Cited by 19 publications

(21 citation statements)

References 17 publications

(23 reference statements)

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“…In the anteroposterior view, the head inclination, elevation, inclination and protrusion of the shoulders, abduction of the shoulder blades, pelvic obliquity and pronated feet were also frequent. Studies show abnormal patterns of posture or by reducing the range of motion in relevant joints in cases of diparesis, triparesia and quadriparesia or compensation due to weakness in the case of monoparesis and hemiparesis (5,6,17) according to our findings. The CP spastic hemiparetic, usually shows a pattern of upper limb flexion, lateral flexion of head and trunk to the affected side, along with lower limb hyperextension, (18) this pattern was observed in children with hemiparesis in this study.…”

Section: Discussionsupporting

confidence: 75%

“…Such findings justify the chain of postural compensations, with contralateral lower limb overload. For Domagalska-Szopa and Szopa, (6) hemiparetic children with asymmetrical body discharge tend to present a scapular rotation and a pelvic obliquity. On the other hand, when they present symmetrical discharge of weight the compensation appears as scoliosis.…”

Section: Discussionmentioning

confidence: 99%

“…However, postural deficit in CP, which involves tone and abnormal reflex activity, increasing of co-contraction of agonists and antagonists, decrease of trunk muscle activation and incoordination, may affect the ability to maintain standing posture and, consequently, the symmetry in the distribution of weight in the sole of the feet. (6,7) Recent studies have shown that children with hemiparetic CP may or may not burden the lower limb affected in bipedalism and that the changes in body posture are also related to this behavior. (5)(6)(7) Regarding to these aspects, the objective of this study was to investigate the distribution of plantar pressures and body posture of children with spastic CP treated at the Pediatric Neurofunctional Ambulatory Rehabilitation Sector of the Physiotherapy Service of the University Hospital of the Federal University of Santa Maria.…”

Section: Introductionmentioning

confidence: 99%

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Distribution of plantar pressure and body posture in spastic cerebral palsy

Trevisan¹,

Oliveira²,

Souza³

et al. 2020

mtprehabjournal

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Introduction: Cerebral palsy (CP) describes a group of permanent disorders of movement and posture due to a non-progressive disorder that occurs during the fetal or infant brain, may contribute to limitations in the functionality. Objective: To investigate the distribution of plantar pressures and the body posture in spastic CP. Methods: A descriptive case series study conducted at the Sector Outpatient Pediatric Rehabilitation Neurofunctional the University Hospital of Santa Maria -RS. Seven children with spastic CP, level I and II were included in the Gross Motor Function Classification System. Plantar pressures were analyzed using a baropodometry system -Footwork -and the type of the foot was calculated by index-ChipauxSmirak. Postural alignment was assessed subjectively in anteroposterior and lateral views. Data were analyzed using descriptive statistics. Results: The asymmetric distribution of plantar pressures were evidenced in hemiparetic, diparetic and quadriparetics CP evaluated and the prevalence of flat foot occurred. The most frequent postural changes were the forward and head tilt, elevation, tilt and protrusion of shoulder, cervical and lumbar lordosis, thoracic kyphosis, the anterversion and unevenness of the hip and pronation of the feet. Conclusions: In this group of children plantar pressures and posture proved to be altered. These findings may influence the prognosis of deformities and functional rehabilitation outcomes. The use of photometry and baropodometry may assist in a more efficient therapeutic intervention.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Distribution of plantar pressure and body posture in spastic cerebral palsy

Trevisan¹,

Oliveira²,

Souza³

et al. 2020

mtprehabjournal

View full text Add to dashboard Cite

show abstract

“…A cluster analysis revealed 3 different gait patterns (SGP, PGP, and AGP) defined by nonoverlapping kinematics (pelvic obliquity of both stance and swing, stance hip and knee flexion/extension, stance ankle plantar/dorsiflexion and stance hip ab/adduction), which are associated with the postural patterns defined in our previous study [16].…”

Section: Discussionmentioning

confidence: 55%

Gait Pattern Differences between Children with Mild Scoliosis and Children with Unilateral Cerebral Palsy

Domagalska-Szopa

Szopa

2014

PLoS ONE

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This study was conducted to investigate the effects of asymmetrical body posture alone, i.e., the effects seen in children with mild scoliosis, vs. the effects of body posture control impairment, i.e., those seen in children with unilateral cerebral palsy on gait patterns. Three-dimensional instrumented gait analysis (3DGA) was conducted in 45 children with hemiplegia and 51 children with mild scoliosis. All the children were able to walk without assistance devices. A set of 35 selected spatiotemporal gait and kinematics parameters were evaluated when subjects walked on a treadmill. A cluster analysis revealed 3 different gait patterns: a scoliotic gait pattern and 2 different hemiplegic gait patterns. The results showed that the discrepancy in gait patterns was not simply a lower limb kinematic deviation in the sagittal plane, as expected. Additional altered kinematics, such as pelvic misorientation in the coronal plane in both the stance and swing phases and inadequate stance phase hip ad/abduction, which resulted from postural pattern features, were distinguished between the 3 gait patterns. Our study provides evidence for a strong correlation between postural and gait patterns in children with unilateral cerebral palsy. Information on differences in gait patterns may be used to improve the guidelines for early therapy for children with hemiplegia before abnormal gait patterns are fully established. The gait pathology characteristic of scoliotic children is a potential new direction for treating scoliosis that complements the standard posture and walking control therapy exercises with the use of biofeedback.

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“…The present study is a follow-up to a three-part series on the functional assessment of children with unilateral CP, which included the following: 1) postural pattern analysis, 2) gait analysis, and 3) postural stability [13–16]. …”

Section: Introductionmentioning

confidence: 99%

Dependence of Gait Deviation on Weight-Bearing Asymmetry and Postural Instability in Children with Unilateral Cerebral Palsy

2016

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Postural control deficits have been suggested to be a major component of gait disorders in children with cerebral palsy. The purpose of this study was to investigate the relationship between postural stability and treadmill walking, in children with unilateral cerebral palsy, by defining dependence between the posturographic weight-bearing distribution and center of pressure (CoP) sway during quiet standing with Gillette Gait Index and the 16 distinct gait parameters that composed the Gillette Gait Index. Forty-five children with unilateral cerebral palsy from 7–12 years of age were included in this study. A posturographic procedure and 3-dimensional instrumented gait analysis was developed. In general, across the entire tested group, the significant correlations concerned only the asymmetry of the weight bearing and a few of the distinct gait parameters that compose the Gillette Gait Index; moreover, correlation coefficients were low. The division of subjects into two clinical subgroups: children that exhibited a tendency to overload (1) and to underload (2) the affected body side, modified the results of the explored relationships. Our findings revealed that the difficulties experienced by children with hemiplegia while controlled in a standing position result from tendency to excessively or insufficiently load the affected lower limbs, and thus establishes a direct relationship with inadequate affected peak ankle DF in both stance and swing gait phases. Given the presented relationship between postural instability and deviation of the particular gait parameters in children with unilateral cerebral palsy, a follow-up study will be needed to determine the therapeutic approaches that will be most effective in promoting increased improvement in gait pattern, as well as the static and dynamic balance in standing.

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Body Posture Asymmetry Differences between Children with Mild Scoliosis and Children with Unilateral Cerebral Palsy

Cited by 19 publications

References 17 publications

Distribution of plantar pressure and body posture in spastic cerebral palsy

Distribution of plantar pressure and body posture in spastic cerebral palsy

Gait Pattern Differences between Children with Mild Scoliosis and Children with Unilateral Cerebral Palsy

Dependence of Gait Deviation on Weight-Bearing Asymmetry and Postural Instability in Children with Unilateral Cerebral Palsy

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