Effect of Seat Surface Inclination on Postural Control During Reaching in Preterm Children With Cerebral Palsy

Because it is debatable whether seat surface inclination improves motor function in children with cerebral palsy (CP), the effect of seat surface tilting on postural control and quality of reaching was studied. The subjects were 58 children with CP aged 2 to 11 years (34 with unilateral spastic CP,...

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Veröffentlicht in:Physical therapy 2007-07, Vol.87 (7), p.861-871
Hauptverfasser: Hadders-Algra, Mijna, van der Heide, Jolanda C, Fock, Johanna M, Stremmelaar, Elisabeth, van Eykern, Leo A, Otten, Bert
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container_end_page 871
container_issue 7
container_start_page 861
container_title Physical therapy
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creator Hadders-Algra, Mijna
van der Heide, Jolanda C
Fock, Johanna M
Stremmelaar, Elisabeth
van Eykern, Leo A
Otten, Bert
description Because it is debatable whether seat surface inclination improves motor function in children with cerebral palsy (CP), the effect of seat surface tilting on postural control and quality of reaching was studied. The subjects were 58 children with CP aged 2 to 11 years (34 with unilateral spastic CP, 24 with bilateral spastic CP). During the task of reaching movements, surface electromyographic and kinematic data were recorded for posture and reaching with the dominant arm in 3 sitting conditions: horizontal seat surface, seat surface tilted forward 15 degrees, and seat surface tilted backward 15 degrees. In the children with unilateral spastic CP, forward tilting improved postural efficiency and quality of reaching. In the children with bilateral spastic CP, both forward and backward tilting of the seat surface was associated with more postural instability and did not affect the quality of reaching. The results suggest that, in terms of postural control and quality of reaching, children with unilateral spastic CP benefit from a forward-tilted position and children with bilateral spastic CP benefit from a horizontal sitting position.
doi_str_mv 10.2522/ptj.20060330
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The subjects were 58 children with CP aged 2 to 11 years (34 with unilateral spastic CP, 24 with bilateral spastic CP). During the task of reaching movements, surface electromyographic and kinematic data were recorded for posture and reaching with the dominant arm in 3 sitting conditions: horizontal seat surface, seat surface tilted forward 15 degrees, and seat surface tilted backward 15 degrees. In the children with unilateral spastic CP, forward tilting improved postural efficiency and quality of reaching. In the children with bilateral spastic CP, both forward and backward tilting of the seat surface was associated with more postural instability and did not affect the quality of reaching. The results suggest that, in terms of postural control and quality of reaching, children with unilateral spastic CP benefit from a forward-tilted position and children with bilateral spastic CP benefit from a horizontal sitting position.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.2522/ptj.20060330</identifier><identifier>PMID: 17472949</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Biomechanical Phenomena ; Care and treatment ; Cerebral palsied children ; Cerebral palsy ; Cerebral Palsy - classification ; Child ; Child, Preschool ; Data analysis ; Data collection ; Electromyography ; Female ; Humans ; Infant, Newborn ; Infant, Premature ; Male ; Medical ethics ; Motor Activity ; Older people ; Physiological aspects ; Posture ; Severity of Illness Index ; Studies</subject><ispartof>Physical therapy, 2007-07, Vol.87 (7), p.861-871</ispartof><rights>COPYRIGHT 2007 Oxford University Press</rights><rights>COPYRIGHT 2007 Oxford University Press</rights><rights>Copyright American Physical Therapy Association Jul 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c536t-d70c397e9024caa3e170ddb9c38ee2ab5d7f043c9bc6669da6bca67b28db506d3</citedby><cites>FETCH-LOGICAL-c536t-d70c397e9024caa3e170ddb9c38ee2ab5d7f043c9bc6669da6bca67b28db506d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17472949$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hadders-Algra, Mijna</creatorcontrib><creatorcontrib>van der Heide, Jolanda C</creatorcontrib><creatorcontrib>Fock, Johanna M</creatorcontrib><creatorcontrib>Stremmelaar, Elisabeth</creatorcontrib><creatorcontrib>van Eykern, Leo A</creatorcontrib><creatorcontrib>Otten, Bert</creatorcontrib><title>Effect of Seat Surface Inclination on Postural Control During Reaching in Preterm Children With Cerebral Palsy</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>Because it is debatable whether seat surface inclination improves motor function in children with cerebral palsy (CP), the effect of seat surface tilting on postural control and quality of reaching was studied. 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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals
subjects Biomechanical Phenomena
Care and treatment
Cerebral palsied children
Cerebral palsy
Cerebral Palsy - classification
Child
Child, Preschool
Data analysis
Data collection
Electromyography
Female
Humans
Infant, Newborn
Infant, Premature
Male
Medical ethics
Motor Activity
Older people
Physiological aspects
Posture
Severity of Illness Index
Studies
title Effect of Seat Surface Inclination on Postural Control During Reaching in Preterm Children With Cerebral Palsy
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