Kenis-Coskun Ozge, Giray Esra, Eren Beyhan, Ozkok Ozlem, Karadag-Saygi Evrim
Physical Medicine and Rehabilitation Department, Kartal Dr. Lutfu Kirdar Training Hospital, Turkey.
Physical Medicine and Rehabilitation Department, School of Medicine, Marmara University, Turkey.
J Phys Ther Sci. 2016 May;28(5):1398-402. doi: 10.1589/jpts.28.1398. Epub 2016 May 31.
[Purpose] Postural stability is the ability of to maintain the position of the body within the support area. This function is affected in cerebral palsy. The aim of the present study was to compare static and dynamic postural stability between children with hemiplegic cerebral palsy and healthy controls. [Subjects and Methods] Thirty-seven children between the ages of 5 and 14 diagnosed with hemiplegic cerebral palsy (19 right, 18 left) and 23 healthy gender- and age-matched controls were included in the study. Postural stability was evaluated in both of the groups using a Neurocom Balance. Sway velocity was measured both with the eyes open and closed. Sit to stand and turning abilities were also assessed. [Results] The sway velocities with the eyes open and closed were significantly different between the groups. The weight transfer time in the Sit to Stand test was also significantly slower in children with cerebral palsy. Children with cerebral palsy also showed slower turning times and greater sway velocities during the Step and Quick Turn test on a force plate compared with their healthy counterparts. [Conclusion] Both static and dynamic postural stability parameters are affected in hemiplegic cerebral palsy. Further research is needed to define rehabilitation interventions to improve these parameters in patients.
[目的]姿势稳定性是指身体在支撑面内保持姿势的能力。这种功能在脑瘫中会受到影响。本研究的目的是比较偏瘫型脑瘫患儿与健康对照组之间的静态和动态姿势稳定性。[对象与方法]本研究纳入了37名年龄在5至14岁之间诊断为偏瘫型脑瘫的儿童(19名右侧偏瘫,18名左侧偏瘫)以及23名年龄和性别匹配的健康对照。两组均使用Neurocom Balance评估姿势稳定性。分别在睁眼和闭眼状态下测量摆动速度。还评估了从坐到站以及转身的能力。[结果]两组之间睁眼和闭眼时的摆动速度存在显著差异。脑瘫患儿在从坐到站测试中的体重转移时间也明显更慢。与健康对照组相比,脑瘫患儿在测力板上进行的迈步和快速转身测试中的转身时间更慢,摆动速度更大。[结论]偏瘫型脑瘫患儿的静态和动态姿势稳定性参数均受到影响。需要进一步研究来确定改善这些参数的康复干预措施。