Understanding Postural and Segmental Trunk Control and Their Effect on Sitting in Children with Cerebral Palsy: A Systematic Scoping Review

Doctor, Kaiorisa N.; Karnad, Shreekanth D.; Krishnan, Shyam; Jain, Preyal D.

doi:10.1615/critrevphysrehabilmed.2021039012

Cited by 5 publications

(3 citation statements)

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“…The capacity to accomplish motor actions and skills is inextricably linked to the ability to regulate one's trunk, making trunk control an essential component of motor development [26,27]. As a result, a segmental evaluation of trunk control needs to be the primary focus area, particularly in children with moderate to severe CP.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Impact of Electrosuit Therapy on Cerebral Palsy: A Study on the Users’ Satisfaction and Potential Efficacy

Perpetuini,

Russo,

Cardone

et al. 2023

Brain Sciences

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The aim of this study is to evaluate the effectiveness of electrosuit therapy in the clinical treatment of children with Cerebral Palsy, focusing on the effect of the therapy on spasticity and trunk control. Moreover, the compliance of caregivers with respect to the use of the tool was investigated. During the period ranging from 2019 to 2022, a total of 26 children (18 M and 8 F), clinically stable and affected by CP and attending the Neurorehabilitation Unit of the “Padre Pio Foundation and Rehabilitation Centers”, were enrolled in this study. A subset of 12 patients bought or rented the device; thus, they received the administration of the EMS-based therapy for one month, whereas the others received only one-hour training to evaluate the feasibility (by the caregivers) and short-term effects. The Gross Motor Function Classification System was utilized to evaluate gross motor functions and to classify the study sample, while the MAS and the LSS were employed to assess the outcomes of the EMS-based therapy. Moreover, between 80% and 90% of the study sample were satisfied with the safety, ease of use, comfort, adjustment, and after-sales service. Following a single session of electrical stimulation with EMS, patients exhibited a statistically significant enhancement in trunk control. For those who continued this study, the subscale of the QUEST with the best score was adaptability (0.74 ± 0.85), followed by competence (0.67 ± 0.70) and self-esteem (0.59 ± 0.60). This study investigates the impact of the employment of the EMS on CP children’s ability to maintain trunk control. Specifically, after undergoing a single EMS session, LSS showed a discernible improvement in children’s trunk control. In addition, the QUEST and the PIADS questionnaires demonstrated a good acceptability and satisfaction of the garment by the patients and the caregivers.

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Section: Discussionmentioning

confidence: 99%

Assessing the Impact of Electrosuit Therapy on Cerebral Palsy: A Study on the Users’ Satisfaction and Potential Efficacy

Perpetuini,

Russo,

Cardone

et al. 2023

Brain Sciences

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“…A partial or total loss of trunk control is also common in other neuromuscular conditions such as multiple sclerosis [34] and cerebral palsy [35]. In these cases, the body orientation and movement are disturbed, leading to frequent falls and injuries.…”

Section: Other Applications Of Cmptomentioning

confidence: 99%

Evaluation of a Chair-Mounted Passive Trunk Orthosis: A Pilot Study on Able-Bodied Subjects

Rao

Hasan

2021

Sensors

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Trunk stability is important for adequate arm function due to their kinematic linkage. People with Duchenne muscular dystrophy (DMD) can benefit from trunk-assistive devices for seated daily activities, but existing devices limit trunk movement to forward bending. We developed a new trunk orthosis that has spring and pulley design. This study evaluated orthosis performance with 40 able-bodied subjects under with and without orthosis condition in 20 seated tasks for trunk rotation, forward bending, and side bending movements. Subjects adopted static posture in specific trunk orientation while their muscle activity was recorded. They also rated the subjective scales of perceived exertion and usability. A percent change in muscle activity for each task, due to orthosis use, is reported. Significant muscle activity reductions up to 31% and 65% were observed in lumbar and thoracic erector spinae muscles, respectively. Using three-way ANOVA, we found these reductions to be specific to the task direction and the choice of upper limb that is used to perform the asymmetric tasks. A total of 70% participants reported acceptable usability and ~1-point increase in exertion was found for maximum voluntary reaching with the orthosis. The outcomes of this study are promising, though tested on able-bodied subjects. Hence, orthosis mounted on wheelchairs should be further evaluated on DMD patients.

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“…However, it did not focus on strategies to improve postural and segmental trunk control, and interventional studies were excluded. 24 No scoping review exists that summarizes studies assessing physiotherapy and technology-based interventions for postural control measuring core element of gross motor skill acquisition. Most of the reviews were restricted to geographical locations and selective interventions, and none of the reviews focused on the core component of postural and gross motor control i.e., head and trunk control.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy interventions for head and trunk control in children with developmental disabilities: A scoping review protocol

et al. 2022

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Background: Head and trunk control is prerequisite skill that maximizes engagement and participation in one’s environment by integrating vision, oromotor skill, arm control and respiration. Various physiotherapy and technology-based interventions have been utilized to facilitate head and trunk control in children with developmental disabilities. This scoping review is planned to map and summarize existing studies from the scientific literature on physiotherapy and technology-based interventions for head and trunk control in children with developmental disabilities. Methods: The scoping review will utilize the Joanna Briggs Institute scoping review methodology. The review will cover studies including children and adolescents aged between two years and 17 years 11 months 29 days, with developmental disabilities where in child finds difficulty aligning head and trunk in sitting position, against gravity, for more than a minute. We will include randomized controlled trial (RCT), non-RCT, quasi-experimental trial, and systematic reviews that have employed physiotherapy and technology-based interventions. Database-specific search strategy will be used to search records in Medline (PubMed and Web of Science), Embase, Scopus, CINAHL, PEDro, and Cochrane Library. Additionally, various grey literatures and clinical-trial registries will be searched. Two reviewers, independently, will screen and extract the data. Tables and visual representations will be utilized to present the extracted data. Registration details: The protocol has been registered in Open Science Framework, DOI: 10.17605/OSF.IO/B3RSU (22nd August 2022)

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Understanding Postural and Segmental Trunk Control and Their Effect on Sitting in Children with Cerebral Palsy: A Systematic Scoping Review

Cited by 5 publications

References 0 publications

Assessing the Impact of Electrosuit Therapy on Cerebral Palsy: A Study on the Users’ Satisfaction and Potential Efficacy

Assessing the Impact of Electrosuit Therapy on Cerebral Palsy: A Study on the Users’ Satisfaction and Potential Efficacy

Evaluation of a Chair-Mounted Passive Trunk Orthosis: A Pilot Study on Able-Bodied Subjects

Physiotherapy interventions for head and trunk control in children with developmental disabilities: A scoping review protocol

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