Abstract
AbstractThe analysis of the movement patterns of children with spastic diplegia (SD) during the process of standing up can contribute to a better understanding of postural control. The purpose of this study was to describe the movement patterns during this task in children with SD and typical development and to analyze the differences according to their age group. Participated 40 children (38-154 months), 20 children with SD and 20 children with typical development. The participants were instructed to lie down in a supine position and quickly stand up (10 trials). Motor task sessions were videotaped and subsequently analyzed. Children with SD had more asymmetrical and less efficient movement patterns in the Upper Limbs (UL), Axial Region (AR) and Lower Limbs (LL). The oldest group of children with SD did not have more mature and efficient movement patterns, and the oldest children with typical development have more mature and efficient movement patterns in the UL and AR.
Highlights
The term cerebral palsy refers to a range of clinical symptoms, with related service requirements, resulting from lesions or abnormalities in the brain that develop early in life (Bax et al, 2005)
This study demonstrated that the movements of toddlers during the process of standing up were accurately described in a study performed by VanSant (1988b), which examined one hundred twenty children aged between 48 and 84 months
The Upper Limbs (UL) patterns more frequently observed in the EG were “push and reach to bilateral push” (52.2%) in youngest age group and “push and reach—asymmetric push” (50.9%) in older group
Summary
The term cerebral palsy refers to a range of clinical symptoms, with related service requirements, resulting from lesions or abnormalities in the brain that develop early in life (Bax et al, 2005). From a motor control perspective, cerebral palsy can be characterized as a group of movement disorders with various types of motor dysfunction (Parker, Carriere, & Habesttuit, 1993; Woollacott & Shumway-Cook, 2005). Movement and posture are affected in cerebral palsy patients (Burtner, Woollacott, Craft, & Roncesvalles, 2007; Ferdjallah, Harris, Smith, & Wertsch, 2002), with a limited ability to adjust. Children with cerebral palsy have smaller and weaker muscles (Elder et al, 2003; Malaiya et al, 2007) with reduced motor control (Bax et al, 2005). Several studies have determined that muscle weakness affects walking ability and other motor functions (Eek, Tranberg, Zügner, Alkema, & Beckung, 2008; Ibrahim, Eid, & Moawd, 2014) and that strength training improved basic motor abilities, functional muscle strength, and walking efficiency in children with cerebral palsy (Liao, Liu, Liu, & Lin, 2007; Scholtes et al, 2012; Thompson, Stebbins, Seniorou, & Newham, 2011)
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