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

2014 ◽  
Vol 26 (3) ◽  
pp. 331
Author(s):  
Sandra Saavedra ◽  
Danielle Bellows ◽  
Carolina Souza Neves Da Costa
Keyword(s):  
Cerebral Palsy ◽  
Postural Stability ◽  
Typical Development ◽  
Children With Cerebral Palsy

scholarly journals Effects of Task Constraints on Kinematic Characteristics of Body Segments in Children with Cerebral Palsy and Children with Typical Development during Hand-Reaching

2021 ◽  
Vol 11 (23) ◽  
pp. 11140
Author(s):  
Yun-Huei Ju ◽  
Rong-Ju Cherng
Keyword(s):  
Cerebral Palsy ◽  
Postural Control ◽  
Task Demands ◽  
Typical Development ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Cross Sectional ◽  
Postural Alignment ◽  
Reaching Tasks ◽  
Children With Cerebral Palsy

Background: Children with cerebral palsy (CP) have difficulty in managing postural control during functional reaching tasks, although children with different postural control ability are able to come up with different motor solutions to cope with different task demands. This study examined the effect of task constraint on postural control performance in children with cerebral palsy and typical development (TD) in terms of different postural control abilities. Methods: A cross-sectional research design was used. Twelve children with spastic diplegic cerebral palsy (mean age: 107.8 months) and 16 typically developing children (mean age: 110.9 months) participated in this study. Individually, all subjects were seated in a height-adjusted chair and were requested to reach for target(s) located at three different directions (medial, anterior, and lateral). A six-camera Qualisys Motion Capture System was used to capture motion data. Kinematic data in terms of body alignment and angular changes were analyzed. Results: Children with cerebral palsy demonstrated different postural control strategies to complete different reaching tasks compared to typically developing children by preparing postural alignment in advance, coordinating different body orientation movements during reaching after showing difficulty in managing reach medially. Conclusions: Children with cerebral palsy perceive their insufficient ability and prepare their alignment in advance to adapt to the task demanded and decrease the postural challenges of the task. Even though children with cerebral palsy self-generate different motor solutions to reach without falling, these alternative strategies might not be the most efficient adaptation.

scholarly journals Comparison of Patterns of Physical Activity and Sedentary Behavior Between Children With Cerebral Palsy and Children With Typical Development

2015 ◽  
Vol 95 (12) ◽  
pp. 1609-1616 ◽  
Author(s):  
Jennifer M. Ryan ◽  
Cuisle Forde ◽  
Juliette M. Hussey ◽  
John Gormley
Keyword(s):  
Physical Activity ◽  
Cerebral Palsy ◽  
Sedentary Behavior ◽  
Vigorous Physical Activity ◽  
Similar Amount ◽  
Moderate Activity ◽  
Vigorous Activity ◽  
Typical Development ◽  
Preadolescent Children ◽  
Children With Cerebral Palsy

Background Reduced participation in physical activity and increased time spent in sedentary behavior are associated with overweight, chronic disease, and disability. In order to optimize recommendations and interventions to increase physical activity and reduce sedentary behavior in children with cerebral palsy (CP), knowledge of their physical activity and sedentary behavior is needed. Objectives The aim of this study was to describe light, moderate, and vigorous physical activity and sedentary behavior in preadolescent children with and without CP and compare physical activity and sedentary behavior between the 2 groups. Design This was a cross-sectional study of 33 children, aged 6 to 10 years, with CP (Gross Motor Function Classification System [GMFCS] levels I–III) and 33 age- and sex-matched children with typical development. Methods Physical activity was measured using the RT3 accelerometer over 7 days. Results Children with CP spent more time in sedentary behavior and accumulated less total activity, moderate activity, vigorous activity, and sustained bouts of moderate-to-vigorous activity (MVPA). They also accumulated a fewer number of bouts of MVPA and vigorous activity, despite spending a similar amount of time in each bout. Limitations The small number of children in GMFCS levels II and III did not allow for adjustment for GMFCS level when comparing physical activity between children with and without CP. Conclusions Preadolescent children with CP spent less time in moderate and vigorous activity and more time in sedentary behavior than children with typical development. Children with CP also accumulated less continuous MVPA and vigorous activity as a result of achieving fewer sustained bouts of MVPA and vigorous activity throughout the day.

Measuring Postural Stability in Young Children With Cerebral Palsy

2014 ◽  
Vol 26 (3) ◽  
pp. 332-337 ◽  
Author(s):  
Katharine Elizabeth Randall ◽  
Doreen J. Bartlett ◽  
Sarah Westcott McCoy
Keyword(s):  
Cerebral Palsy ◽  
Young Children ◽  
Postural Stability ◽  
Children With Cerebral Palsy

scholarly journals Functional Task Constraints Foster Enhanced Postural Control in Children With Cerebral Palsy

2016 ◽  
Vol 96 (3) ◽  
pp. 348-354 ◽  
Author(s):  
Jennifer M. Schmit ◽  
Michael Riley ◽  
Sarah Cummins-Sebree ◽  
Laura Schmitt ◽  
Kevin Shockley
Keyword(s):  
Cerebral Palsy ◽  
Postural Control ◽  
Postural Stability ◽  
Postural Sway ◽  
Postural Instability ◽  
Apparent Difference ◽  
Typical Development ◽  
Postural Control System ◽  
Study Objective ◽  
Functional Play

BackgroundPostural instability is a classical characteristic of cerebral palsy (CP), but it has not been examined during functional play activity. Recent work has demonstrated that when motor tasks are made functionally more relevant, performance improves, even in children with movement pathology. It is possible that in a disease state, the underlying control mechanisms that are associated with healthy physiology must be elicited.ObjectiveThe study objective was to explore the utility of the functional play task methodology as a more rich and interpretable approach to the quantification of postural instability in children with CP.DesignPostural stability measures obtained from a cross-sectional cohort of children with CP (n=30) were compared with stability measures taken from children with typical development (n=30) during a single measurement period.MethodsPostural stability data were obtained with a portable force platform system. Postural sway was quantified during a precision manual functional play task. A baseline condition (no task) also was included. Postural sway variability and postural sway regularity were analyzed with analyses of variance.ResultsThere was an apparent difference in postural control (greater irregularity, greater sway variability) during quiet stance between children with CP and peers with typical development; this difference was mitigated during the performance of the precision functional play task.LimitationsA small and nonprobability sample of convenience may limit the findings of this study.ConclusionsThe findings illustrate flexibility and adaptability in the postural control system despite the pathological features associated with CP.

scholarly journals Influence of functional mobility and manual function on play in preschool children with cerebral palsy

2018 ◽  
Vol 31 (1) ◽  
pp. 46-53 ◽  
Author(s):  
Anaisa C Angelin ◽  
Amanda MP Sposito ◽  
Luzia I Pfeifer
Keyword(s):  
Cerebral Palsy ◽  
Preschool Children ◽  
Social Interaction ◽  
Pretend Play ◽  
Manual Dexterity ◽  
Functional Mobility ◽  
Typical Development ◽  
Factors Influencing ◽  
Children With Cerebral Palsy ◽  
Development Group

Introduction This study analysed the differences in play performance between preschool children with cerebral palsy and those with typical development and investigated the factors influencing functional mobility and manual dexterity on play in children with cerebral palsy. Method Sixty preschool children (30 with cerebral palsy; 30 with typical development), were assessed by the revised Knox Preschool Play Scale, being that children with cerebral palsy were also classified according to their functional mobility and manual dexterity. Results On average, all measures were significantly smaller in the cerebral palsy group than the typical development group (p≤ .002). Manual function and functional mobility were negatively correlated with material ( r = −.456, p = .011; r = −.487, p = .006) and space ( r = −.494, p = .006; r = −.784, p = .000). Also the results pointed out a significant correlation with topography and manual function ( r = .404, p = .027) and functional mobility ( r = .718, p = .000). Pretend play and participation showed no correlation with topography (r = −.051, p = .788; r = −.312, p = .093), manual function (r = −.019, p = .921; r = −.322, p = .083) and functional mobility (r = −.085, p = .657; r = −.308, p = .097). Conclusion Play performance of children with typical development was superior to those with cerebral palsy. The degree of impairment of functional mobility and manual function negatively was negatively associated with play exploration but did not relate to pretend play or social interaction in play.

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