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[脑瘫患者与正常发育儿童的站立平衡差异]

[Differences in standing balance in patients with cerebral palsy and typically developing children].

作者信息

Gatica Valeska Fabiola, Irene Velásquez Sofía, Méndez Guillermo Andrés, Guzmán Eduardo Enrique, Manterola Carlos Guillermo

机构信息

Laboratorio de Control Motor Humano, Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad de Talca, Talca, Chile.

Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad de Talca, Talca, Chile.

出版信息

Biomedica. 2014 Jan-Mar;34(1):102-9. doi: 10.1590/S0120-41572014000100013.

Abstract

INTRODUCTION

Physical disability is the most common disability (10.3 %) in the central area of Chile. The cerebral palsy is one of the diseases that generates motor deficits and loss of balance. Balance is crucial for maintaining postural stability.

OBJECTIVE

To establish the differences in area and average velocity of the center of pressure between typically developing children and cerebral palsy patients, and to determine the degree of use of different sensory systems.

MATERIALS AND METHODS

This was a cross-sectional study. A convenience sample was divided into two groups: typically developing children (n=7) and cerebral palsy patients (n=7). The parameters measured by a force plate were the area and average velocity of excursion of the center of pressure, as well as the frequency bands ( 0.0625, 0.125, 0.25, 0.5, 1, 2 and 4 Hz) .

RESULTS

During the eyes open condition, the cerebral palsy subject had an average velocity of the center of pressure significantly higher than the typically developing children group (p=0.043). The frequency bands 0.25 Hz and 0.5 Hz related to the vestibular system showed significant differences between groups (p=0.021 y p=0.036). In the eyes closed phase a significant increase in the area of the center of pressure and a higher use of the otolithic vestibular system were observed in the cerebral palsy group.

CONCLUSIONS

Cerebral palsy patients showed a lower standing balance in addition to using the vestibular system significantly more both in eyes open and eyes closed phases.

摘要

引言

身体残疾是智利中部地区最常见的残疾类型(占10.3%)。脑瘫是导致运动功能障碍和平衡能力丧失的疾病之一。平衡对于维持姿势稳定性至关重要。

目的

确定正常发育儿童与脑瘫患者在压力中心面积和平均速度方面的差异,并确定不同感觉系统的使用程度。

材料与方法

这是一项横断面研究。便利样本分为两组:正常发育儿童(n = 7)和脑瘫患者(n = 7)。通过测力板测量的参数包括压力中心偏移的面积和平均速度,以及频段(0.0625、0.125、0.25、0.5、1、2和4Hz)。

结果

在睁眼状态下,脑瘫受试者的压力中心平均速度显著高于正常发育儿童组(p = 0.043)。与前庭系统相关的0.25Hz和0.5Hz频段在两组之间存在显著差异(p = 0.021和p = 0.036)。在闭眼阶段,脑瘫组的压力中心面积显著增加,且耳石前庭系统的使用频率更高。

结论

脑瘫患者不仅在睁眼和闭眼阶段对前庭系统的使用明显更多,而且站立平衡能力较低。

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