Postural pattern recognition in children with unilateral cerebral palsy

Background Several different strategies for maintaining upright standing posture in children with cerebral palsy (CP) were observed. Purpose The purpose of the present study was to define two different postural patterns in children with unilateral CP, using moiré topography (MT) parameters. Additionally, another focus of this article was to outline some implications for managing physiotherapy in children with hemiplegia. Patients and methods The study included 45 outpatients with unilateral CP. MT examinations were performed using a CQ Elektronik System device. In addition, a weight distribution analysis on the base of support between unaffected and affected body sides was performed simultaneously. A force plate pressure distribution measurement system (PDM-S) with Foot Print software was used for these measurements. Results The cluster analysis revealed four groups: cluster 1 (n=19; 42.22%); cluster 2 (n=7; 15.56%); cluster 3 (n=9; 20.00%); and cluster 4 (n=10; 22.22%). Conclusion Based on the MT parameters (extracted using a data reduction technique), two postural patterns were described: 1) the pro-gravitational postural pattern; and 2) the anti-gravitational pattern.

[1]  Zbigniew Sliwinski,et al.  School screening for scoliosis: can surface topography replace examination with scoliometer? , 2012, Scoliosis.

[2]  L. Mochizuki,et al.  Anticipatory and compensatory postural adjustments in sitting in children with cerebral palsy. , 2011, Human movement science.

[3]  L. Döderlein,et al.  Gait asymmetries in children with cerebral palsy: do they deteriorate with running? , 2012, Gait & posture.

[4]  Kenneth V. Jackman,et al.  Moiré Fringe Topography and Spinal Deformity , 1982 .

[5]  M. Hadders‐Algra,et al.  Postural Muscle Dyscoordination in Children With Cerebral Palsy , 2005, Neural plasticity.

[6]  Wen-Yu Liu,et al.  Anticipatory Postural Adjustments in Children with Cerebral Palsy and Children with Typical Development , 2007, Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association.

[7]  M. Hadders‐Algra,et al.  Postural Control: A Key Issue in Developmental Disorders , 2008 .

[8]  Daniel A Bloch,et al.  Postural balance in children with cerebral palsy. , 2002, Developmental medicine and child neurology.

[9]  C. Richards,et al.  Preparatory adjustments during gait initiation in 4-6-year-old children. , 2000, Gait & posture.

[10]  I. Davidson.  Understanding K-Means Non-hierarchical Clustering , 2002 .

[11]  H. Forssberg,et al.  Ontogeny of postural adjustments during sitting in infancy: variation, selection and modulation. , 1996, The Journal of physiology.

[12]  Blandine Bril,et al.  Development of postural control of gravity forces in children during the first 5 years of walking , 1998, Experimental Brain Research.

[13]  H. Forssberg,et al.  Postural Control in Sitting Children with Cerebral Palsy , 1998, Neuroscience & Biobehavioral Reviews.

[14]  Anne Shumway-Cook,et al.  Postural Dysfunction During Standing and Walking in Children With Cerebral Palsy: What are the Underlying Problems and What New Therapies Might Improve Balance? , 2005, Neural plasticity.

[15]  F. Chotel,et al.  [Pelvic obliquity and scoliosis in non-ambulatory patients with cerebral palsy: a descriptive study of 234 patients over 15 years of age]. , 2002, Revue de chirurgie orthopedique et reparatrice de l'appareil moteur.

[16]  M. H. Pope,et al.  Moire fringe topography and spinal deformity : proceedings of an international symposium , 1981 .

[17]  S. Negrini,et al.  SOSORT consensus paper: school screening for scoliosis. Where are we today? , 2007, Scoliosis.

[18]  H Takasaki,et al.  Moiré Topography , 1970, Applied optics.

[19]  C. Assaiante,et al.  Development of Postural Adjustment During Gait Initiation: Kinematic and EMG Analysis , 2000, Journal of motor behavior.

[20]  J. Austin,et al.  Moiré topography in scoliosis. Correlations with vertebral lateral curvature as determined by radiography. , 1986, Physical therapy.

[21]  M. Hadders‐Algra,et al.  Postural Dysfunction in Children With Cerebral Palsy: Some Implications for Therapeutic Guidance , 2005, Neural plasticity.

[22]  R. Palisano,et al.  Development and reliability of a system to classify gross motor function in children with cerebral palsy , 1997, Developmental medicine and child neurology.

[23]  B. Dan,et al.  Proposed definition and classification of cerebral palsy, April 2005. , 2005, Developmental medicine and child neurology.

[24]  Body Posture Asymmetry Differences between Children with Mild Scoliosis and Children with Unilateral Cerebral Palsy , 2013, BioMed research international.

[25]  E. Bleck,et al.  Management of the Motor Disorders of Children With Cerebral Palsy , 1991 .

[26]  A. Szopa,et al.  A descriptive analysis of abnormal postural patterns in children with hemiplegic cerebral palsy , 2011, Medical science monitor : international medical journal of experimental and clinical research.

[27]  P. Wellings.  Where are we today? , 1991, The British journal of theatre nursing : NATNews : the official journal of the National Association of Theatre Nurses.

[28]  Mohammed Ferdjallah,et al.  Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. , 2002, Clinical biomechanics.

[29]  M. Woollacott,et al.  Effect of balance training on recovery of stability in children with cerebral palsy. , 2003, Developmental medicine and child neurology.

[30]  Qualls,et al.  Muscle activation characteristics of stance balance control in children with spastic cerebral palsy. , 1998, Gait & posture.

[31]  Roncesvalles Mn,et al.  Neural factors underlying reduced postural adaptability in children with cerebral palsy. , 2002 .

[32]  Robert W Armstrong,et al.  Definition and classification of cerebral palsy , 2007, Developmental medicine and child neurology.