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Trunk involvement in performing upper extremity activities while seated in neurological patients with a flaccid trunk

Trunk control is essential during seated activities. The trunk
interacts with the upper extremities (UE) and head by being part of a kinematic
chain and by providing a stable basis. When trunk control becomes impaired, it
may have consequences for the execution of UE tasks.
AIM: To review trunk
involvement in body movement and stability when performing seated activities and
its relation with UE and head movements in neurological patients with a flaccid
trunk, with a focus on childhood and development with age. METHODS : A search using PubMed was conducted and 32 out of 188 potentially
eligible articles were included. OUTCOMES AND RESULTS: Patients with a flaccid
trunk (e.g. with spinal cord injury or cerebral palsy) tend to involve the trunk
earlier while reaching than healthy persons. Different balance strategies are
observed in different types of patients, like using the contralateral arm as
counterweight, eliminating degrees of freedom, or reducing movement speed.
CONCLUSIONS : The key role of the trunk in performing activities
should be kept in mind when developing interventions to improve seated task
performance in neurological patients with a flaccid trunk.
CI - Copyright (c) 2018 Elsevier B.V. All rights reserved.

Langue : ANGLAIS

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