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Best seating condition in children with spastic cerebral palsy: One type does not fit all.

Authors :
Angsupaisal M
Dijkstra LJ
la Bastide-van Gemert S
van Hoorn JF
Burger K
Maathuis CGB
Hadders-Algra M
Source :
Research in developmental disabilities [Res Dev Disabil] 2017 Dec; Vol. 71, pp. 42-52. Date of Electronic Publication: 2017 Oct 05.
Publication Year :
2017

Abstract

Background: The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated.<br />Aim: To assess the effect of forward-tilting of the seat surface and foot-support in children with CP on kinematic head stability and reaching.<br />Methods: Nineteen children functioning at Gross Motor Function Classification System levels I-III participated [range 6-12y; ten unilateral spastic CP (US-CP) and nine bilateral spastic CP (BS-CP)]. Kinematic data were recorded of head sway and reaching with the dominant arm in four sitting conditions: a horizontal and a 15° forward (FW) tilted seat surface, each with and without foot-support.<br />Results: Seating condition did not affect head stability during reaching, but did affect kinematic reaching quality. The major reaching parameters, i.e., the proportion of reaches with one movement unit (MU) and the size of the transport MU, were not affected by foot-support. Forward-tilting had a positive effect on these parameters in children with US-CP, whereas the horizontal condition had this effect in children with BS-CP.<br />Implications: A 15° forward-tilted seating and foot-support do not affect head stability. Reaching in children with US-CP profits from forward-tilting; in children with BS-CP forward-tilting worsens reaching - effects that are independent of foot-support.<br /> (Copyright © 2017 Elsevier Ltd. All rights reserved.)

Details

Language :
English
ISSN :
1873-3379
Volume :
71
Database :
MEDLINE
Journal :
Research in developmental disabilities
Publication Type :
Academic Journal
Accession number :
28987971
Full Text :
https://doi.org/10.1016/j.ridd.2017.09.016