Pavão Sílvia Leticia, Visicato Livia Pessarelli, da Costa Carolina Souza Neves, de Campos Ana Carolina, Rocha Nelci Adriana C F
Department of Physiotherapy, Neuropediatrics Section, Federal University of São Carlos, Sao Carlos, SP, Brazil.
Pediatr Phys Ther. 2018 Jul;30(3):231-237. doi: 10.1097/PEP.0000000000000519.
To investigate suit-orthosis effects on postural sway during anticipatory and compensatory postural adjustments (APA and CPA, respectively) in a seated reaching task performed by children with cerebral palsy (CP).
Twenty-nine children were divided according to Manual Ability Classification System (MACS) I and II-III. Participants were instructed to reach forward toward an object both in a no-suit condition and in a suit-orthosis condition.
Using the suit-orthosis, children at MACS II-III decreased velocity of center-of-pressure (CoP) sway during APA, whereas children at MACS I increased the anterior-posterior CoP displacement during CPA.
Suit-orthosis improved postural stability in children at MACS II-III during APA. The suit may assist with arm function control during postural sway when preparing to reach for objects.
Suit-orthoses in therapy should be individually prescribed considering the intended activity and person's motor impairment.
研究适配矫形器对脑瘫（CP）儿童在坐位伸手任务中预期姿势调整（APA）和代偿性姿势调整（CPA）期间姿势摆动的影响。
根据手动能力分类系统（MACS）I和II - III将29名儿童进行分组。参与者被要求在不穿适配矫形器和穿着适配矫形器的两种情况下向前伸手去够一个物体。
使用适配矫形器时，MACS II - III组的儿童在APA期间压力中心（CoP）摆动速度降低，而MACS I组的儿童在CPA期间前后CoP位移增加。
适配矫形器改善了MACS II - III组儿童在APA期间的姿势稳定性。在准备伸手够物体时，该适配矫形器可能有助于在姿势摆动期间控制手臂功能。
在治疗中，应根据预期活动和个体运动障碍情况为适配矫形器制定个性化处方。
