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Effect of supporting 3D-garment on gait postural stability in children with bilateral spastic cerebral palsy

DEGELAEN M; DE BORRE L; BUYL R; KERCKHOFS E; DE MEIRLEIR L; DAN B
NEUROREHABILITATION , 2016, vol. 39, n° 2, p. 175-181
Doc n°: 179181
Localisation : Centre de Réadaptation de Lay St Christophe

D.O.I. : http://dx.doi.org/DOI:10.3233/NRE-161349
Descripteurs : DF11 - POSTURE. STATION DEBOUT, AJ23 - PARALYSIE CEREBRALE

Children with cerebral palsy show dysfunctional postural control
which interferes with their functional performance and daily-life activities.
The aim of the study was to identify the effect of a 3D supporting
garment on trunk postural control and interjoint coordination during gait in
children with bilateral cerebral palsy. METHODS: We analyzed tridimensional trunk
motion, trunk-thigh and interjoint coordination in 15 4-10 year-old children with
bilateral spastic cerebral palsy (GMFCS I or II) and 16 4-10 year-old typically
developing children while walking with or without a supporting garment. RESULTS:
We found significantly changes in the coordination between trunk and lower limbs
in children with cerebral palsy. Step velocity and cadence both increased
significantly in children with cerebral palsy but in controls, the cadence
remained unaltered. Interjoint coordination between hip-knee and knee-ankle was
altered during the stance phase only in the subgroup of children with cerebral
palsy without any limitations in ankle joint passive range of motion. CONCLUSION:
3D supporting garments improve trunk-thigh and lower limb interjoint coordination
in walking in children with bilateral cerebral palsy.

Langue : ANGLAIS

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