Clinical characteristics of impaired trunk control in children with spastic cerebral palsy

Heyrman, Lieve; Desloovere, Kaat; Molenaers, Guy; Verheyden, Geert; Klingels, Katrijn; Monbaliu, Elegast; Feys, Hilde

doi:10.1016/j.ridd.2012.08.015

Cited by 103 publications

(130 citation statements)

References 29 publications

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“…They would most likely have experienced deficiencies if we had provided an external support at, or below, the level of the hips, as has been previously described for sitting and standing positions. 24,25 The stabilization of their trunk while sitting did not modify reaching proficiency in spite of the fact that they were classified as GMFCS-III and were restricted to the sitting position during most of their daily-life activities. 26 This is a critical aspect that should be taken into consideration during assessment and treatment in children with mild trunk dysfunctions.…”

Section: Discussionmentioning

confidence: 92%

Effect of Segmental Trunk Support on Posture and Reaching in Children With Cerebral Palsy

Santamaria

Rachwani

Saavedra

et al. 2016

Pediatric Physical Therapy

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Purpose To test the effects of segmental trunk support on seated postural and reaching control in children with cerebral palsy (CP). Methods Seventeen children (age range 2–15y, GMFCS levels III–V) were classified with the Segmental Assessment of Trunk Control into: mild (complete trunk control/lower-lumbar deficits), moderate (thoracic/upper lumbar deficits) and severe (cervical/upper thoracic deficits). Postural and arm kinematics were measured while reaching with trunk support at axillae, mid-ribs or pelvis. Results Children in the mild group did not display changes in posture or reaching across conditions. The moderately involved group showed decrements in postural and reaching performance with pelvic compared to higher supports (P < 0.01). Children in the severe group were unable to maintain posture with pelvic support and showed postural deficiencies with mid-ribs compared to axillae support (P < 0.01). Conclusion Children with CP and trunk dysfunction demonstrate improved motor performance when the external assistance matches their intrinsic level of trunk control.

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Section: Discussionmentioning

confidence: 92%

Effect of Segmental Trunk Support on Posture and Reaching in Children With Cerebral Palsy

Santamaria

Rachwani

Saavedra

et al. 2016

Pediatric Physical Therapy

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“…Therefore, diplegic CP, rather than hemiplegic CP, involves relatively more severe impairment of motor ability associated with respiratory function. Many prior studies have revealed that diplegic CP subjects show poorer performance in a variety of motor activities than hemiplegic CP subjects19,20,21 ) . Therefore, diplegic CP subjects show significantly decreased respiratory functions in terms of waist expansion, respiratory muscle strength, and pulmonary function, compared to hemiplegic CP.…”

Section: Discussionmentioning

confidence: 99%

Differences of the Truncal Expansion and Respiratory Function between Children with Spastic Diplegic and Hemiplegic Cerebral Palsy

Kwon¹,

Lee

2013

J Phys Ther Sci

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[Purpose] We attempted to determine whether differences of respiratory function could be found in terms of truncal expansion, respiratory muscle strength, and pulmonary function test (PFT) between children with spastic diplegic and hemiplegic cerebral palsy. [Subjects and Methods] We recruited 19 children with spastic diplegic CP (diplegic-CP group) and 10 children with spastic hemiplegic CP (hemiplegic-CP group). For all the children, clinical factors associated with respiratory functions were assessed in terms of truncal expansion (chest and waist expansion), respiratory muscle strength (maximal inspiration and expiration pressures: MIP and MEP), and pulmonary function test (FVC, FEV1, and FEV1/FVC). [Results] Overall, the diplegic-CP group showed lower truncal circumference, respiratory muscle strength, and pulmonary function values than the hemiplegic-CP group. However, in the comparison of the two groups significant differences were only found in waist expansion, MIP, MEP, FVC, and FEV1. [Conclusion] The results of this study indicate that children with diplegic CP have much poorer waist expansion, weaker respiratory muscle, and lower pulmonary function values. These findings will provide valuable information for use in the clinical assessment and treatment of children with spastic CP.

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“…These findings might be attributed to differences in functional level, such as physical activity, including trunk mobility. Prior studies have suggested that the majority of children with spastic diplegic CP had a lower level of gross motor function and trunk control ability according to the gross motor function classification system and the trunk control measurement scale as compared to children with spastic hemiplegic CP [14][15][16][17]. Therefore, it is possible that a low level of physical activity and trunk control is accompanied by a decrease of respiratory func-tion, which leads to deterioration of lung expansion by restriction of chest mobility.…”

Section: Discussionmentioning

confidence: 99%

Differences of respiratory function in children with spastic diplegic and hemiplegic cerebral palsy, compared with normally developed children

Kwon¹,

Lee

2013

Journal of Pediatric Rehabilitation Medicine

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PURPOSE: The purpose of this study was to investigate differences between respiratory function in children with spastic cerebral palsy (CP) and children with normal development, and to compare respiratory function between children with spastic diplegic and those with hemiplegic CP. METHOD: Fourteen children with spastic diplegic CP, 14 children with spastic hemiplegic CP, and 14 normal children were enrolled, whose age, gender, height, weight, and body surface area were matched. All participants performed respiratory function tests by inhaling a breath and then blowing the entire volume through a spirometer, as deeply and rapidly as possible. RESULTS: In general, children with spastic diplegic CP and those with hemiplegic CP showed lower respiratory function compared to children with normal development. In comparison between children with spastic CP and those with hemiplegic CP, statistical significance was observed only in FVC, FEV1, and PEF. CONCLUSION: Findings revealed significantly weaker respiratory function in children with CP as compared to normal children. In addition, children with spastic diplegic CP showed significantly lower forced expiratory function than those with spastic hemiplegic CP. Therefore, clinical assessment and therapeutic intervention for respiratory function should be carefully considered for children with spastic diplegic and hemiplegic CP.

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Clinical characteristics of impaired trunk control in children with spastic cerebral palsy

Cited by 103 publications

References 29 publications

Effect of Segmental Trunk Support on Posture and Reaching in Children With Cerebral Palsy

Effect of Segmental Trunk Support on Posture and Reaching in Children With Cerebral Palsy

Differences of the Truncal Expansion and Respiratory Function between Children with Spastic Diplegic and Hemiplegic Cerebral Palsy

Differences of respiratory function in children with spastic diplegic and hemiplegic cerebral palsy, compared with normally developed children

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