Postural orientation and standing postural alignment in ambulant children with bilateral cerebral palsy

Domagalska-Szopa, Małgorzata; Szopa, Andrzej

doi:10.1016/j.clinbiomech.2017.08.005

Cited by 15 publications

(19 citation statements)

References 21 publications

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“…The postural and gait patterns of children with CP can differ considerably. However, in our previous studies, several characteristic postural and gait patterns in children with UCP as well as those with BCP were defined, and the relationship between these patterns was demonstrated [13][14][15][16]. Those results suggested that abnormal postural patterns can be a major component of gait disorders in CP.…”

Section: Introductionmentioning

confidence: 89%

“…The present study is a follow-up and extension of a previous four-part series on the functional assessment of children with CP [13][14][15][16]. Our study comprised two interrelated parts: (i) surface topography of body posture; (ii) three-dimensional instrumented gait analyses (3DIGA).…”

Section: Testing Proceduresmentioning

confidence: 97%

“…For examination of posture, we used the same experimental method described in our previous studies for investigating body alignment in a standing position in children with UCP and those with BCP [13,15]. During MT examination, participants stood relaxed with arms alongside their trunk, barefoot, in an uncorrected and quiet stance.…”

Section: Testing Proceduresmentioning

confidence: 99%

“…In the coronal plane, the trunk inclination index in the coronal plane, angle of vertebral lateral curvature, angle of shoulder line inclination, and angle of pelvis obliquity was measured. In the transverse plane, the angle of trunk rotation, angle of shoulder rotation, and angle of pelvic rotation were measured [13,15].…”

Section: Testing Proceduresmentioning

confidence: 99%

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Canonical correlation between body-posture deviations and gait disorders in children with cerebral palsy

Szopa

Domagalska-Szopa

Siwiec³

et al. 2020

PLoS ONE

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Children with Cerebral Palsy (CP) show the postural constraints while standing, and gait disorders, resulting from both primary and secondary impairments of brain injury. In our previous studies, several characteristic postural and gait patterns in children with unilateral as well as with bilateral CP were defined, and the relationship between these patterns was demonstrated. The purpose of present study was to identify which features of body posture deviation during standing were strongly related to gait deviations in independently ambulatory children with CP. For this aim we explored the cross-relationship between features of body posture while standing examined by surface topography and the selected gait parameters from three-dimensional instrumented gait analysis in one hundred twenty children with cerebral palsy, aged between 7 and 13 years, who were able to walk independently. First, our study documented that that sagittal misalignment of the spine curvature was significantly related to kinematic deviations such as deviations of pelvic tilt, inadequate swing phase and knee flexion, and peak dorsiflexion in stance. Second, the study shows that the static asymmetry of pelvis and trunk was significantly associated with kinematic deviations during gait cycle such as pelvic rotation, hip abduction in swing, ROM of knee flexion, peak dorsiflexion in stance. Based on obtained results and referring to our previous findings it can be assumed that the first model of the relationship between postural deviation and gait disturbances, called 'postural and gait complex of disorders in sagittal plane', is related to children with bilateral CP, whereas the second model 'postural and gait complex of disorders in coronal plane' to children with unilateral CP. The clinical applications of this study relate to the early recognition of particular features of postural deviation using surface topography, instead of more difficult and demanding expensive tools 3-D gait analysis.

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Section: Introductionmentioning

confidence: 89%

Section: Testing Proceduresmentioning

confidence: 97%

Section: Testing Proceduresmentioning

confidence: 99%

Section: Testing Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Canonical correlation between body-posture deviations and gait disorders in children with cerebral palsy

Szopa

Domagalska-Szopa

Siwiec³

et al. 2020

PLoS ONE

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“…In this case, the increase in inertia associated with excessive body fat deteriorates stability [12]. Stability is maintained by constant or phase tension of postural muscles, whose activity is controlled by both central and peripheral signals [13]. The resultant of this control is the determined location of the body's centre of gravity [14,15].…”

Section: Introductionmentioning

confidence: 99%

Canonical correlations between somatic features and postural stability in children aged 10–12 years

Wilczyński¹,

Bieniek²

2019

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Introduction: The analysis of somatic features is an important part of health assessment. Body mass, height, and the size of the support surface are determinants of static mechanical stability Aim of the research: To analyse canonical correlations between somatic features and postural stability in children aged 10-12 years. Material and methods: The study included 301 children aged 10-12 years. Body composition was assessed using the method of bioelectrical impedance analysis, which consists of the evaluation of resistance to the flow of an electric current. Postural stability was evaluated using the Biodex Balance System platform. Postural stability testing was performed with both feet positioned on a stable surface, with open eyes. Results and conclusions: Measurements of somatic traits and body composition, which were compared to norms, showed that the majority of subjects had normal somatic features and body composition. All children during the postural stability test were in research Zone A, and most of them tended to lean to the right and left back (Quadrant III, IV). There were significant correlations between somatic variables and postural stability. On the somatic variables side, the largest share was in body height and muscle mass (%), and the highest shares in the postural stability variables were the total stability index, the percentage of time spent in Quadrant III, and the percentage of time spent in Quadrant IV. Body height and muscle mass (%) were most strongly correlated with variable postural stability. Streszczenie Wprowadzenie: Analiza cech somatycznych jest ważnym elementem oceny stanu zdrowia dzieci. Masa ciała, wysokość i wielkość powierzchni podparcia są wyznacznikami statycznej stabilności mechanicznej. Cel pracy: Analiza korelacji kanonicznych między cechami somatycznymi a stabilnością posturalną u dzieci w wieku 10-12 lat. Materiał i metody: Badaniami objęto 301 dzieci w wieku 10-12 lat. Skład ciała oceniono metodą impedancji bioelektrycznej, która polega na ocenie oporności przepływu prądu elektrycznego. Stabilność postawy badano za pomocą platformy Biodex Balance System. Wykonano test stabilności postawy z obiema stopami ustawionymi na stabilnym tle z otwartymi oczami. Wyniki i wnioski: Pomiary cech somatycznych i składu ciała, które porównywano z normami, wykazały, że większość badanych miała prawidłowe cechy somatyczne i skład ciała. Wszystkie dzieci w czasie testu stabilności posturalnej znajdowały się w strefie badawczej A i większość z nich miała tendencję do wychylania ciała w prawy i lewy tył (kwadrat III, IV). Stwierdzono istotne korelacje między zmiennymi somatycznymi a stabilnością posturalną. Po stronie zmiennych somatycznych największy udział miały wysokość ciała i masa mięśni (%), a po stronie zmiennych stabilności posturalnej-całkowity indeks stabilności, procent czasu przebywania w III kwadracie i procent czasu przebywania w IV kwadracie. Wysokość ciała i masa mięśni (%) były najsilniej skorelowane ze zmiennymi stabilności posturalnej.

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Quiet standing and anteroposterior limits of stability in adolescents and young adults with bilateral spastic cerebral palsy

Tomita,

Kawaguchi,

Takahashi

et al. 2024

Human Movement Science

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Postural orientation and standing postural alignment in ambulant children with bilateral cerebral palsy

Cited by 15 publications

References 21 publications

Canonical correlation between body-posture deviations and gait disorders in children with cerebral palsy

Canonical correlation between body-posture deviations and gait disorders in children with cerebral palsy

Canonical correlations between somatic features and postural stability in children aged 10–12 years

Quiet standing and anteroposterior limits of stability in adolescents and young adults with bilateral spastic cerebral palsy

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