Department of Rehabilitation, Kitasato University School of Allied Health Sciences, Minami-ku, Sagamihara, Japan.
Disabil Rehabil. 2011;33(25-26):2529-34. doi: 10.3109/09638288.2011.579221. Epub 2011 May 19.
The effects of gravity and immobilisation are regarded as factors in the development of spinal deformity in cerebral palsy (CP). This study was to assess the body positions in daily life of children with CP using a wearable device.
Four institutionalised children with severe quadriplegic CP participated in this study. Four age-matched children without disability also participated as healthy controls. The participants wore a body position recorder throughout their normal daily activities for a period of 24 h. After the body position data were recorded, the amount of time spent by each subject in upright, supine, prone, and left and right lateral lying positions and the frequency of positional change were computed.
The pattern of body position change in daily life was clearly different among children with CP and between children with CP and healthy controls. Children with CP spent less time in the upright position and remained in one position for longer periods of time than the control children.
Twenty-four-hour monitoring could provide quantitative information about body position, the frequency of body position changes and the period of time spent in a preferred body position, with possible implications for preventing spinal deformity.
重力和固定不动被认为是脑瘫（CP）患者脊柱畸形发展的因素。本研究使用可穿戴设备评估 CP 儿童日常生活中的身体姿势。
四名机构内重度四肢瘫痪 CP 儿童参与了这项研究。四名年龄匹配的无残疾儿童作为健康对照组也参与了研究。参与者在正常日常活动期间全天佩戴身体位置记录器 24 小时。记录完身体位置数据后，计算每个受试者处于直立、仰卧、俯卧和左侧、右侧卧位的时间以及位置变化的频率。
CP 儿童的日常生活中身体姿势变化模式明显不同于 CP 儿童和健康对照组儿童之间的模式。CP 儿童在直立位置的时间较少，并且比对照组儿童保持一个姿势的时间更长。
24 小时监测可以提供关于身体姿势、身体位置变化频率和偏好身体姿势持续时间的定量信息，这可能对预防脊柱畸形有意义。
