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

By Mattana Angsupaisal, Linze-Jaap Dijkstra, Sacha la Bastide-van Gemert, Jessika F. van Hoorn, Karine Burger, Carel G. B. Maathuis and Mijna Hadders-Algra

Abstract

Background: The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated. 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. 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. 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. Implications: A 15 degrees 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

Topics: Cerebral palsy, Seating inclination, Foot-support, Head stability, Reaching movement, Kinematics, POSTURAL CONTROL, PRETERM CHILDREN, SURFACE INCLINATION, YOUNG-CHILDREN, KINEMATIC CHARACTERISTICS, EVERYDAY ACTIVITIES, HEAD STABILIZATION, REACHING MOVEMENTS, INFANTS, ADJUSTMENTS
Year: 2017
DOI identifier: 10.1016/j.ridd.2017.09.016
OAI identifier:
Provided by: NARCIS
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