Postural control in children with cerebral palsy and typically developing children

Authors

  • Leonardo George Victorio Vitor Fisioterapeuta, Doutorando, Universidade Estadual de Londrina, Londrina- -PR, Brasil.
  • Rubens Alexandre da Silva Junior Fisioterapeuta, Pós Doutor, Universidade Norte do Paraná, Londrina-PR, Brasil.
  • Lilian Gerdi Kittel Ries Fisioterapeuta, Doutora, Universidade do Estado de Santa Catarina, Florianópolis- SC, Brasil.
  • Dirce Shizuko Fujisawa Fisioterapeuta, Doutora, Universidade Estadual de Londrina, Londrina-PR, Brasil.

DOI:

https://doi.org/10.34024/rnc.2015.v23.8056

Keywords:

Children, Cerebral Palsy, Postural Balance

Abstract

Objective. To assess the impairment of postural control in children with cerebral palsy. Method. 64 children were evaluated and divided into four groups G1: five to six; G2: seven to eight; G3: nine to ten years, with typical development and; G4: five to 12 years, with cere­bral palsy. Postural control was evaluated by the Pediatric Balance Scale, Reach Test and Force Platform. Results. The deficit in postural control was identified in the G4, the pediatric balance scale G4 got 52 points, compared the children of the G2 (55.5) and G3 (56) resulted difference; in the above range test G4 (19 cm) and G2 (25.5cm) were different; on the force platform, the bipedal posture, the area of G2 center of pressure (1.62cm²) and G3 (1.36cm²) were lower than the G4 (4.24cm²). Conclusion. Children with cerebral palsy have im­pairment in postural control during functional activities, mobility and pressure center area, and its performance approached the typically de­veloping children aged between five and six years.

Metrics

Metrics Loading ...

References

Manoel EJ. Motor development: changing patterns, increasing complexity. Rev Paul Educ Fis 2000;3:35-54.

Fetters L. Perspective on variability in the development of human action. Phys Ther 2010;90:1860-7. http://dx.doi.org/10.2522/ptj.2010090

Hiratuka E, Matsukura TS, Pfeifer LI. Cross-cultural adaptation of the Gross Motor Function Classification System into Brazilian-Portuguese (GMFCS). Rev Bras Fisioter 2010;14:537-44. http://dx.doi.org/10.1590/S141335552010000600013

Assis-Madeira EA, Carvalho SG. Cerebral palsy and risks factors in motor development: A theoretical review. J Post Dev Disord 2009;9:142-63. http://dx.doi.org/10.1016/j.ridd.2009.01.004

Schwarztman JS. Cerebral palsy. Bras Arch Cer Palsy 2004;1:4-17.

Woollacott M, Shumway-Cook A, Hutchinson S, Ciol M, Price R, Kartin D. Effect of balance training on muscle activity used in recovery of stability in children with cerebral palsy: a pilot study. Dev Med Child Neurol 2005; 47:455-61. http://dx.doi.org/10.1111/j.1469-8749.2005.tb01171.x

Steindl RMD, Kunz KMD, Schrott-Fischer A, Scholtz AW. Effect of age and sex on maturation of sensory systems and balance control. Dev Med Child Neurol 2006;48:477-82. http://dx.doi.org/10.1111/j.1469-8749.2006. tb01299.x

Franjoine MR, Gunther JS, Taylor MJ. Pediatric Balance Scale: A Modified Version of the Berg Balance Scale for the School-Age Child with Mild to Moderate Motor Impairment. Ped Phys Ther 2003;15:114 28. http://dx.doi.org/10.1097/01.PEP.0000068117.48023.18

Mancine M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. Eur J Rehabil Med 2010;46:239-48.

Ries LGK, Michaelsen SM, Soares PSA, Monteiro VC, Allegretti KMG. Cross-cultural adaptation and reliability analysis of the Brazilian version ofPediatric Balance Scale (PBS). Rev Bras Fisioter 2012;16:14. http://dx.doi.org/10.1590/S1413-35552012005000026

Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol 1990;45:192-7. http://dx.doi.org/10.1093/geronj/45.6.M192

Bartlett D, Birmingham T. Validity and Reliability of a Pediatric Reach Test. Pediatr Phys Ther 2003;15:84-92. http://dx.doi.org/10.1097/01.PEP.0000067885.63909.5C

da Silva RA, Bilodeau M, Parreira RB, Teixeira DC, Amorin CF. Age- -related differences in time-limit performance and force platform-based balance measure during one-leg stance. J Electromyogr Kinesiol 2013;23:634-9. http://dx.doi.org/10.1016/j.jelekin.2013.01.008

Bauer C, Groger I, Rupprecht R, Gassman KG. Intrasession reliability of force platform parameters in community-dwelling older adults. Arch Phys Med Rehabil 2008;89:1977-82. http://dx.doi.org/10.1016/j.apmr.2008.02.033

Majnemer A, Shevell M, Hall N, Poulin C, Law M. Developmental and functional abilities in children with cerebral palsy as related to pattern and level of motor function. J Child Neurol 2010;25:1236-41. http://dx.doi.org/10.1177/0883073810363175

Coluccini M, Maini ES, Martelloni C, Sgandurra G, Cioni G. Kinematic characterization of functional reach to grasp in normal and in motor disabled children. Gait Posture 2007;25:493-501. http://dx.doi.org/10.1016/j.gaitpost.2006.12.015

Zaino CA, McCoy SW. Reliability and comparison of electromyographic and kinetic measurements during a standing reach task in children with and without cerebral palsy. Gait Posture 2008;27:128-37. http://dx.doi.org/10.1016/j.gaitpost.2007.03.003

Burtner PA, Woollacott MH, Craft GL, Roncsvalles NM. The capacity to adapt to changing balance threats: A comparison of children with cerebral palsy and typically developing children. Dev Neurorehabil 2007;10:249-60. http://dx.doi.org/10.1080/17518420701303066

Papavasiliou AS. Management of motor problems in cerebral palsy: A critical update for the clinician. Eur J Pediatr Neuro 2009;13:387-96. http://dx.doi.org/10.1016/j.ejpn.2008.07.009

Nakaya L, Mazzitelli C, Sá CSC. Comparação do Equilíbrio de Crianças com Paralisia Cerebral e Crianças com Desenvolvimento Motor Normal. Rev Neurocienc 2013;21:510-9. http://dx.doi.org/10.4181/RNC.2013.21.822.10p

Ferdjallah M, Harris GR, Smith P,Wertsch JJ. Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. Clin Biomech 2002;17:203-10. http://dx.doi.org/10.1016/S02680033(01)00121-8

Silva FPP, Gomes CNM, Gil KVC, Da Matta DSP. Comparação do Desempenho Funcional de Crianças com Paralisia Cerebral Diparéticas e Hemiparéticas. Rev Neurocienc 2012;20:511-6. http://dx.doi.org/10.4181/RNC.2012.20.725.6p

Bruggink JL, Cioni G, Einspieler C, Maathuis CG, Pascale R, Bos AF. Early motor repertoire is related to level of self-mobility in children with cerebral palsy at school age. Dev Med Child Neurol 2009;51:878-85. http://dx.doi.org/10.1111/j.1469-8749.2009.03294.x

Franjoine MR, Darr N, Held SL, Kott K, Young BL. The performance of children developing tipically on the pediatric balance scale. Pediatr Phys Ther 2010;22:350-9. http://dx.doi.org/10.1097/PEP.0b013e3181f9d5eb.

Mickle KJ, Munro BJ, Steele JR. Gender and age affect balance performance in primary school-aged children. J Sci Med Sport 2011;14:243-8. http://dx.doi.org/10.1016/j.jsams.2010.11.002

Published

2015-03-31

Issue

Section

Artigos Originais

How to Cite

1.
Vitor LGV, Silva Junior RA da, Ries LGK, Fujisawa DS. Postural control in children with cerebral palsy and typically developing children. Rev Neurocienc [Internet]. 2015 Mar. 31 [cited 2025 Dec. 14];23(1):41-7. Available from: https://periodicos.unifesp.br/index.php/neurociencias/article/view/8056