Dynamical structure of center-of-pressure trajectories with and without functional taping in children with cerebral palsy level I and II of GMFCS |
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| Affiliation: | 1. Department of Physiotherapy, Neuropediatrics Section, Federal University of São Carlos, Brazil;2. MOVE Research Institute Amsterdam, Department of Human Movement Sciences, Vrije Universiteit Amsterdam, The Netherlands;1. Department of Rehabilitation Science, The Graduate School, Inje University, Republic of Korea;2. Department of Physical Therapy, College of Biomedical Science and Engineering, Inje University, 607 Obang-dong, Gimhae, 621-749 Gyeongsangnam-do, Republic of Korea;1. Medical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy;2. Department of Physics, Università Degli Studi di Milano, and INFN, Milan, Italy;3. Radiotherapy 2 Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy;4. Centre for Medical Radiation Physics, University of Wollongong, Wollongong, NSW, Australia;5. St George Cancer Care Centre, Kogarah, NSW, Australia;1. Department of Audiology, Karabuk University Training and Research Hospital, Karabuk, Turkey;2. Department of Otorhinolaryngology, Karabuk University, Faculty of Medicine, Karabuk, Turkey;3. Department of Pediatrics, Karabuk University, Faculty of Medicine, Karabuk, Turkey |
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| Abstract: | Postural control during quiet standing was examined in typical children (TD) and children with cerebral palsy (CP) level I and II of GMFCS. The immediate effect on postural control of functional taping on the thighs was analyzed. We evaluated 43 TD, 17 CP children level I, and 10 CP children level II. Participants were evaluated in two conditions (with and without taping). The trajectories of the center of pressure (COP) were analyzed by means of conventional posturography (sway amplitude, sway-path-length) and dynamic posturography (degree of twisting-and-turning, sway regularity). Both CP groups showed larger sway amplitude than the TD while only the CP level II showed more regular COP trajectories with less twisting-and-turning. Functional taping didn’t affect sway amplitude or sway-path-length. TD children exhibited more twisting-and-turning with functional taping, whereas no effects on postural sway dynamics were observed in CP children. Functional taping doesn’t result in immediate changes in quiet stance in CP children, whereas in TD it resulted in faster sway corrections. Children level II invest more attention in postural control than level I, and TD. While quiet standing was more automatized in children level I than in level II, both CP groups showed a less stable balance than TD. |
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| Keywords: | Cerebral palsy Functional taping Postural control Sensory-motor integration |
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