Dynamic monitoring of sitting posture for children with spastic cerebral palsy

Sochaniwskyj, Alex; Koheil, Ruth; Bablich, Kazik; Milner, Marc; Lotto, W.

doi:10.1016/0268-0033(91)90028-o

Cited by 20 publications

(28 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although we could not make statistical inferences regarding the effect of the interventions on these indicators, this upper limit is large enough to merit further study. It is reasonable to expect improvements in letter form if specialty seating improved postural control for children with ambulatory cerebral palsy as reported in other studies (Reid et al, 1991;Sochaniwskyj et al, 1991). However, it is unclear why we did not detect larger effects in other handwriting quality categories also.…”

Section: Discussionmentioning

confidence: 45%

“…Rehabilitation researchers initially explored the application of Mandal-type seating in children with ambulatory cerebral palsy about 20 years ago. Studies showed that children with cerebral palsy had significant samesession increases in spinal extension (Reid, Sochaniwskyj & Milner, 1991), better postural control (Reid et al;Sochaniwskyj, Koheil, Bablich, Milner & Lotto, 1991) and better overall sitting posture in some cases (McClenaghan, Thombs & Milner, 1992) when using a seat with a 5°-15°forward incline compared with using one with a horizontal surface.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Randomised controlled trial comparing two school furniture configurations in the printing performance of young children with cerebral palsy

Ryan¹,

Rigby²,

Campbell³

2010

Aus Occup Therapy J

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 45%

Section: Introductionmentioning

confidence: 99%

Randomised controlled trial comparing two school furniture configurations in the printing performance of young children with cerebral palsy

Ryan¹,

Rigby²,

Campbell³

2010

Aus Occup Therapy J

View full text Add to dashboard Cite

show abstract

“…Building on this work, we have investigated the possible advantages of an anteriorly-inclined seat base for children with spastic cerebral palsy. Our preliminary research (21,22) suggests that for many of these children an improvement in sitting stability, and a reduction in kyphotic posturing with subsequent straightening of the spine can be achieved. Further, it was clinically observed that children sitting with a more upright posture often exhibited better quality of manual work.…”

Section: Introductionmentioning

confidence: 94%

Instrumentation and a Protocol for Quantification of Upper-Limb Movement of Children With and Without Cerebral Palsy in Two Sitting Positions

Reid¹,

Sochaniwskyj²,

Milner³

1992

Neurorehabilitation and Neural Repair

Self Cite

View full text Add to dashboard Cite

Rehabilitation Engineering Department, Hugh MacMillan Rehabilitation Centre, 350 Rumsey Road&dquo; Toronto, Ontario, M4G 1 R8.The object of this paper is to present a preliminary report on an attempt to quantitatively analyze the effects of altered sitting positions on characteristics of an upperextremity reaching movement seen in children. A pilot study was conducted at the Hugh MacMillan Rehabilitation Centre, where the short-term effects of a horizontal (0°) and anteriorly-inclined (100) seat base on reaching skills of nondisabled children and children with spastic cerebral palsy were studied, using a tracking system that can accurately and precisely measure path length and average velocity of the hand as it moves toward a target in three-dimensional (3-D) space. Seven subjects, four with cerebral palsy and three nondisabled, participated in the study. Findings demonstrated that the disabled subject's hand movement toward a target was significantly slower than that of normal subjects, regardless of sitting position. A significant difference was also found between groups of subjects for path length in response to a 0° position, where the distance traversed in 3-D space was longer for disabled subjects. In comparing seat positions on movement parameters for each group separately, no significant results were found. However, the trends identified through individual subject data inspection are encouraging and reflect that the tracking system is a viable rehabilitation research tool for the objective measurement of qualitative aspects of upper-limb movements. Further research is required in which the system could be used to gather normative data from larger samples of nondisabled children. In addition, future studies involving larger subgroups of neurologically disabled children across a wider age range are needed. In these studies, the short-and long-term effects of various interventions on upperlimb movement can be monitored.

show abstract

“…These angles, however, are often difficult to maintain when performing functional tasks and not all therapists agree about the importance of promoting a 90-90-90 position during sitting. For example, a forward inclination (approximately five to ten degrees) of the seating surface shown in Figure 6 promotes a more upright and stable sitting posture, which can potentially improve upper limb function and head position (Sochaniwskyj, Koheil, Bablich, Milner, & Lotto, 1991). Figure 2 shows a child sitting on an inclined surface.…”

Section: Components Of Chair Sitting Posturesmentioning

confidence: 99%