Children with moderate to severe cerebral palsy may not benefit from stochastic vibration when developing independent sitting

Purpose: Determine sitting postural control changes for children with cerebral palsy (CP), using a perceptual-motor intervention and the same intervention plus stochastic vibration through the sitting surface. Methods: Two groups of children with moderate or severe CP participated in the 12 week int...

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Bibliographic Details
Published in:Developmental neurorehabilitation 2018-08, Vol.21 (6), p.362-370
Main Authors: Kyvelidou, Anastasia, Harbourne, Regina T., Haworth, Joshua, Schmid, Kendra K., Stergiou, Nick
Format: Article
Language:English
Subjects:
Biomechanics
Cerebral Palsy - physiopathology
Cerebral Palsy - rehabilitation
Cerebral Palsy - therapy
Child
Child, Preschool
developmental disabilities
Female
Humans
Male
motor development
Motor Skills
Neurological Rehabilitation - methods
Physical Therapy Modalities - adverse effects
Posture
Vibration - adverse effects
Vibration - therapeutic use
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Summary:Purpose: Determine sitting postural control changes for children with cerebral palsy (CP), using a perceptual-motor intervention and the same intervention plus stochastic vibration through the sitting surface. Methods: Two groups of children with moderate or severe CP participated in the 12 week interventions. The primary outcome measure was center of pressure data from which linear and nonlinear variables were extracted and the gross motor function measure (GMFM). Results: There were no significant main effects of intervention or time or an interaction. Both treatment groups increased the Lyapunov exponent values in the medial-lateral direction three months after the start of treatment as well as their GMFM scores in comparison with baseline. Conclusions: The stochastic vibration did not seem to advance the development of sitting postural control in children between the ages of 2 and 6 years. However, perceptual-motor intervention was found beneficial in advancing sitting behavior.
ISSN:1751-8423
1751-8431
DOI:10.1080/17518423.2017.1290705