Postural pattern recognition in children with unilateral cerebral palsy

Several different strategies for maintaining upright standing posture in children with cerebral palsy (CP) were observed. 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...

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Bibliographic Details
Published in:Therapeutics and clinical risk management 2014-01, Vol.10 (default), p.113-120
Main Authors: Domagalska-Szopa, Małgorzata, Szopa, Andrzej
Format: Article
Language:English
Subjects:
Asymmetry
Bone surgery
Care and treatment
Cerebral palsy
Children
Children & youth
cluster analysis
Deformities
deviation of body posture
Diseases
Gait
Health aspects
moiré topography examinations
Original Research
Posture
Rehabilitation
Scoliosis
strategy of compensation
Topography
Vertebrae
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Summary:Several different strategies for maintaining upright standing posture in children with cerebral palsy (CP) were observed. 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. 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. 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%). 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.
ISSN:1176-6336
1178-203X
1178-203X
DOI:10.2147/TCRM.S58186