Saxena Shikha, Rao Bhamini K, Kumaran Senthil
McGill University (Ms Saxena), Montreal, Canada; Manipal University (Dr. Rao, Mr. Kumaran), Manipal, Karnataka, India.
Pediatr Phys Ther. 2014 Fall;26(3):325-30. doi: 10.1097/PEP.0000000000000060.
To analyze and compare postural stability during static upright standing between children with cerebral palsy (CP) and age-matched peers with typical development (TD).
Forty-five children with spastic CP (34 with diplegia and 11 with hemiplegia) and 45 children with TD aged 5 to 12 years were assessed using a posturography device. Postural stability was evaluated under 4 sensory conditions: eyes open and eyes closed on a firm surface; eyes open and eyes closed on a foam surface.
Statistically significant differences were obtained between children with spastic diplegic CP and children with TD under all conditions involving visual and somatosensory conflicts (P < .05), but no significant differences were found between children with hemiplegic CP and children with TD.
Children with spastic diplegic CP have increased postural instability under sensory conditions that involve both visual and somatosensory conflicts.
分析和比较脑瘫（CP）儿童与年龄匹配的发育正常（TD）同龄人在静态直立站立时的姿势稳定性。
使用姿势描记装置对45名痉挛型脑瘫儿童（34名双侧瘫和11名单侧瘫）和45名5至12岁的发育正常儿童进行评估。在4种感觉条件下评估姿势稳定性：在坚实表面上睁眼和闭眼；在泡沫表面上睁眼和闭眼。
在所有涉及视觉和体感冲突的条件下，痉挛型双侧瘫脑瘫儿童与发育正常儿童之间均存在统计学上的显著差异（P <.05），但偏瘫型脑瘫儿童与发育正常儿童之间未发现显著差异。
在涉及视觉和体感冲突的感觉条件下，痉挛型双侧瘫脑瘫儿童的姿势不稳定性增加。
