Anticipatory and Compensatory Postural Adjustments in Sitting and Standing Positions During Functional Activities in Children With Cerebral Palsy.

IF 1.5 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2025-01-01 DOI:10.1002/pri.70028

Priyal Vasani, Amitesh Narayan, Akshatha Nayak, Mohammed Alsulaimani, Abdul Rahman Alzahrani

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引用次数: 0

Abstract

Background and purpose: Anticipatory postural adjustments (APA) and compensatory postural adjustments (CPA) have played a vital role in postural control since early childhood, which is critical to accomplishing activities in daily life. However, literature indicated dissimilarities and inconsistencies in APA and CPA analysis in sitting and standing positions in children with Cerebral Palsy (CP). Thus, this study analyzed the changes in postural control (APA and CPA) through the postural muscles [rectus abdominis (RA) and erector spinae (ES)] in both standing and sitting positions during functional activities (grasping a ball) in children with CP.

Methods: Children with CP [N = 21] aged 5-13 years having GMFCS levels I (n = 12) and II (n = 9) participated. Surface electromyography (EMG) was performed for postural muscles (ES and RA) to measure the APA and CPA with two types of loads (heavy and light) in both sitting and standing positions.

Results: Children with CP showed increased EMG amplitude for APA and CPA with a heavier load than light load in sitting and standing positions. The EMG amplitude of CPA in sitting and standing for both load conditions was significantly higher than that of APA.

Discussion: The findings suggest rehabilitation programs should enhance APA and CPA through targeted exercises and load management strategies. These insights have the potential to inform clinical practices, improve postural stability, and ultimately strengthen the ability of children with CP to perform daily activities with greater ease and confidence, thereby significantly impacting the quality of life.

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脑性麻痹儿童功能性活动中坐位和站位的预期性和代偿性体位调整。

背景与目的：预期体位调节（APA）和代偿性体位调节（CPA）自幼儿时期起就在体位控制中起着至关重要的作用，这对完成日常生活中的活动至关重要。然而，文献显示脑瘫患儿坐位和站位的APA和CPA分析存在差异和不一致。因此，本研究通过体位肌[腹直肌（RA）和竖脊肌（ES）]分析了CP患儿在站立和坐姿的功能活动（抓球）中体位控制（APA和CPA）的变化。方法：5-13岁的CP患儿[N = 21]， GMFCS水平为I （N = 12）和II （N = 9）。采用体位肌（ES）和体位肌（RA）表面肌电图（EMG）测量坐位和站立两种负荷（重、轻）下的APA和CPA。结果：CP患儿在坐位和站位时，负荷较轻时APA和CPA的肌电波幅增高。两种负荷条件下，坐位和站立时CPA的肌电波幅均显著高于APA。讨论：研究结果表明，康复计划应该通过有针对性的锻炼和负荷管理策略来提高APA和CPA。这些见解有可能为临床实践提供信息，改善姿势稳定性，并最终增强CP患儿更轻松、更自信地进行日常活动的能力，从而显著影响生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.