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脑瘫儿童和发育正常儿童的预期姿势调整

Anticipatory postural adjustments in children with cerebral palsy and children with typical development.

作者信息

Liu Wen-Yu, Zaino Christopher Alan, McCoy Sarah Westcott

机构信息

Department of Physical Therapy, Graduate Institute of Rehabilitation Science, Chang-Gung University, Taiwan.

出版信息

Pediatr Phys Ther. 2007 Fall;19(3):188-95. doi: 10.1097/PEP.0b013e31812574a9.

Abstract

PURPOSE

We sought to examine whether children with cerebral palsy (CP) demonstrate anticipatory postural adjustments (APAs) similar to those observed in children with typical development (TD).

METHODS

A sample of convenience of 14 children, seven with CP and seven with TD, participated in this study. The center of pressure (COP) was calculated from ground reaction force data collected from the AMTI (OR-6) force platform as the child reached forward while standing.

RESULTS

Posterior COP shift frequently was observed in both groups of children before arm movement. However, the children with CP showed greater variability and significantly shorter amplitude of the APA COP excursion as compared with those with TD.

CONCLUSIONS

The control of APAs is problematic for some children with CP and, therefore, intervention designed to facilitate APAs may be beneficial for those children.

摘要

目的

我们试图研究脑瘫(CP)儿童是否表现出与典型发育(TD)儿童相似的预期姿势调整(APA)。

方法

14名儿童组成的便利样本参与了本研究,其中7名患有CP,7名发育正常(TD)。当儿童站立时向前伸手时,通过从AMTI(OR-6)力平台收集的地面反作用力数据计算压力中心(COP)。

结果

两组儿童在手臂运动前均经常观察到COP向后移位。然而,与TD儿童相比,CP儿童表现出更大的变异性,且APA COP偏移的幅度明显更短。

结论

对于一些CP儿童来说,APA的控制存在问题,因此,旨在促进APA的干预措施可能对这些儿童有益。

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