Differences in Seated Postural Control in Children with Spastic Cerebral Palsy and Children Who Are Typically Developing

Liao, Su‐Lan; Yang, Tsui-Fen; Hsu, Tao-Chang; Chan, Rai-Chi; Wei, Ta-Sen

doi:10.1097/01.phm.0000073817.51377.51

Cited by 46 publications

(21 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Despite the differences between protocols, we observed there are usually two to Five attempts in most studies 8,14,15,18,21 , but some make only one attemp 7,9,16,19 . The balance parameters that are most used in the studies are the maximum medial-lateral and anterior posterior COP displacements.…”

Section: Discussionmentioning

confidence: 90%

“…Even though we found only two studies analyzing children in the sitting position 8,9 , we recognize the importance to better understand body balance in this position. Due to balance changes and the global motor compromise, most subjects with CP remain sitting for a long time, and this is how they participate in the daily life activities.…”

Section: Discussionmentioning

confidence: 92%

“…The time of evaluation in the force platform does not exceed 20 seconds in 50% of the studies 9,11,14,21 . In the others, the analyses are conducted with the limit of 60 seconds 16,19 , and at least 7 seconds 18 .…”

Section: Discussionmentioning

confidence: 99%

“…This situation happens because they cannot remain standing and, even if they can, they perform better when sitting down, or even because they spend too much energy by standing up. Liao et al 9 emphasize as a priority in the rehabilitation of these subjects that they can get maximum function in the sitting position.…”

Section: Discussionmentioning

confidence: 99%

“…Liao et al 9 used the platform as a supporting base for sitting down. It was observed that COP displacement in the medial-lateral and anterior posterior directions is greater in the group with CP, but there was statistical difference only in the lateral displacement of the dynamic balance.…”

Section: Discussionmentioning

confidence: 99%

See 4 more Smart Citations

Posturografia na análise do equilíbrio em crianças com paralisia cerebral: revisão de literatura

Lopes

David

2013

Fisioter. Pesqui.

View full text Add to dashboard Cite

| Children with cerebral palsy (CP) have reduced postural control given that sensory and motor functions are compromised. There are several functional protocols for balance analysis, but few studies have used the force platform as an instrument of precision in this assessment. The objective of this review was to identify published articles that employed this evaluation of children with CP and to analyze the used protocols and parameters. To this effect, a search was carried out through the BVS in the following databases: LILACS, IBECS, MEDLINE, Cochrane Library, SciELO. A total of 165 articles were found, from which 16 were selected on the basis of the inclusion and exclusion criteria. Studies have shown that the parameters of medial-lateral and anterior-posterior linear displacement of the center of pressure and the sway ratio have been used more frequently, and that the evaluation time of the force platform, in most studies, does not exceed 20 seconds. This review demonstrates that children with typical development present better postural control, and children with CP can increase their balance via specific interventions, including the use of force platform.Keywords | cerebral palsy; postural balance; evaluation.RESUMO | Crianças com paralisia cerebral (PC) apresentam menor equilíbrio postural pelo comprometimento de funções motoras, sensoriais e centrais. Existem diversos protocolos funcionais para análise do equilíbrio, mas poucos estudos têm utilizado a plataforma de força como instrumento de precisão nessa avaliação. O objetivo desta revisão foi identificar artigos publicados que utilizaram essa avaliação em crianças com PC e analisar os protocolos e parâmetros utilizados. Para tanto, foi realizada uma busca nas seguintes bases de dados: LILACS, IBECS, MEDLINE, Biblioteca Cochrane e SciELO, por meio da Biblioteca Virtual em Saúde. Foram encontrados 165 artigos; a partir dos critérios de inclusão e exclusão, foram selecionados 16 artigos. Os estudos mostraram que os parâmetros lineares de deslocamento médio-lateral e anteroposterior do centro de pressão e a razão desses deslocamentos têm sido utilizados com maior frequência, e que o tempo de avaliação na plataforma de força, na maioria dos estudos, não excede os 20 segundos. Foi demonstrado ainda que crianças com desenvolvimento típico apresentam melhor controle postural, e que crianças com PC podem incrementar seu equilíbrio a partir de intervenções específicas, inclusive em plataforma de força.Descritores | paralisia cerebral; equilíbrio postural; avaliação.RESUMEN | Niños con parálisis cerebral (PC) presentan menor equilibrio postural por el compromiso de sus funciones motoras, sensoriales y centrales. Existen diversos protocolos funcionales para el análisis del equilibrio, pero pocos estudios utilizan la plataforma de fuerza como instrumento de precisión en esta evaluación. El objetivo de esta revisión fue identificar artículos publicados que utilizaran esta evaluación en niños con PC y analizar los protocolos y parámetros utilizados. Por lo ta...

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Posturografia na análise do equilíbrio em crianças com paralisia cerebral: revisão de literatura

Lopes

David

2013

Fisioter. Pesqui.

View full text Add to dashboard Cite

show abstract

Immediate effect of horse riding simulator on adductor spasticity in children with cerebral palsy: A randomized controlled trial

Hemachithra

Meena

Ramanathan

et al. 2019

Physiotherapy Res Intl

View full text Add to dashboard Cite

BackgroundSpastic cerebral palsy (CP) is the most common type of CP. Hip adductor spasticity leads to discomfort, stiffness, and difficulties in doing physical activities such as sitting, transfer, and walking. Management of hip adductor spasticity is still a challenge in the field of rehabilitation. Horse riding simulator (HRS) has been reported to have beneficial effects on spasticity, postural control, and motor function in children with spastic CP.ObjectiveThe aim of the study was to determine the immediate effect of HRS on adductor spasticity in children with CP.MethodsTwenty‐four children with CP were selected and were divided into two groups: experimental and control (12 children in each group). Experimental group was exposed to HRS and control group to the corner seat placement. Adductor tone and passive hip abduction range of motion were measured before and after the intervention.ResultsPost intervention scores in the group of HRS show significant reduction in adductor spasticity and improvement in hip abduction range of motion, whereas no difference have been reported in the control group. HRS has positive effects on reducing spasticity and improving range of motion in hip joint in spastic CP.ConclusionIt was concluded that immediate effect of HRS is successful in reducing the adductor spasticity and improving abduction range of motion in hip, which could be incorporated with regular physiotherapy intervention.

show abstract

Head stability during quiet sitting in children with cerebral palsy: effect of vision and trunk support

2009

View full text Add to dashboard Cite

Deficits in postural control are one of the hallmarks of disability in children with cerebral palsy. Yet, much remains unknown regarding the etiology of postural deficits in these children. Here we evaluated postural control at a simplified task level by measuring head stability during quiet sitting while systematically manipulating the level of trunk support and vision in 15 children with CP (6-16 years), 26 typically developing (TD) children (4-14 years), and 11 adults. While TD children did not differ significantly from adults, children with CP had greater head movement than adults in both the sagittal and frontal planes under all conditions except frontal plane movement with Torso Support. Vision did not affect head stability in the sagittal plane for any group while it had differential effects on head stability in the frontal plane. Lack of vision improved head stability in adults and older TD children while destabilizing the head in young children (TD and CP) during the most unstable sitting position. Moreover, vision affected children with CP differently depending on their movement disorder. Children with spastic CP performed worse with eyes closed while those with dyskinetic CP had improved head stability with eyes closed. Our results demonstrate that children with mild to moderate CP have deficits in head stability even during quiet sitting. Keywords posture control; developmentDeficits in postural control are one of the hallmarks of disability in children with cerebral palsy (CP) (Bax, 2005, Rosenbaum et al 2002. One of the primary goals of postural control is to stabilize the head in space (Pozzo et al 1990, Prince et al. 1994, Assaiante & Amblard 1995. The sensory organs for visual and vestibular systems are embedded in the head, making refined head control of critical importance for both orientation and balance. (Liao et al. 2003b). Studies examining sitting control during surface perturbations have shown that children with spastic CP have increased frequency of antagonist activation, increased number of muscles recruited and a tendency for rostral to caudal muscle recruitment (Brogren et al 1996(Brogren et al , 2001). These researchers have suggested that "top down" recruitment of postural muscles may be a strategy used by children with CP to ensure stabilization of the head in space. Taken together these studies indicate that children with CP are unable to adequately stabilize their head in space during dynamic tasks and this may be related to immature or abnormal patterns of trunk muscle activation.It is unknown whether head instability in children with CP is related to coordination for dynamic tasks such as reaching or if there is an underlying deficit of postural control that constrains head stability even during quiet sitting. To our knowledge no studies have examined postural constraints in regards to head stability in children with CP. Therefore we have undertaken an evaluation of the contributions of trunk control and vision to head stability during quiet sitting in children with C...

show abstract

Differences in Seated Postural Control in Children with Spastic Cerebral Palsy and Children Who Are Typically Developing

Cited by 46 publications

References 19 publications

Posturografia na análise do equilíbrio em crianças com paralisia cerebral: revisão de literatura

Posturografia na análise do equilíbrio em crianças com paralisia cerebral: revisão de literatura

Immediate effect of horse riding simulator on adductor spasticity in children with cerebral palsy: A randomized controlled trial

Head stability during quiet sitting in children with cerebral palsy: effect of vision and trunk support

Contact Info

Product

Resources

About