Altered arm posture in children with cerebral palsy is related to instability during walking

European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society
Pieter MeynsJacques Duysens

Abstract

Toddlers learning to walk adopt specific 'guard' arm postures to maintain their balance during forward progression. In Cerebral Palsy (CP), the cause of the altered arm postures during walking has not been studied. To investigate whether the altered arm posture in children with CP is a compensation for instability during walking. Vertical and horizontal hand position, and upper arm elevation angle in the sagittal plane were determined in eleven children with unilateral CP, fifteen children with bilateral CP using 3D gait analysis and compared to twenty-four TD children. A correlation analysis of these measures of arm posture to step width was made to examine the relationship between arm posture and instability. The hand position of children with CP was more elevated and anterior, and their upper arm was rotated more posterior than TD children. Children with unilateral CP held their most affected hand higher than their least affected. Increasing the speed accentuated the differences between groups for hand elevation. Step width correlated positively with horizontal hand position of the least affected arm in children with CP. Children with CP appear to rely on 'guard' arm postures as a compensation strategy to maintain balance wh...Continue Reading

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Citations

Mar 19, 2013·Research in Developmental Disabilities·Sjoerd M BruijnKaat Desloovere
Oct 26, 2013·European Journal of Paediatric Neurology : EJPN : Official Journal of the European Paediatric Neurology Society·Manuela GalliReinald Brunner
Oct 2, 2013·Clinical Neurophysiology : Official Journal of the International Federation of Clinical Neurophysiology·Pieter MeynsJacques Duysens
Jul 20, 2014·Neuroscience Letters·Mitesh PatelAdolfo M Bronstein
Apr 24, 2012·Research in Developmental Disabilities·Pieter MeynsJacques Duysens
Aug 2, 2014·Research in Developmental Disabilities·A Bonnefoy-MazureS Armand
Mar 16, 2013·Gait & Posture·Pieter MeynsJacques Duysens
Apr 1, 2014·Research in Developmental Disabilities·Rannei SaetherTorstein Vik
Nov 9, 2016·Frontiers in Physiology·Germana CappelliniFrancesco Lacquaniti
Jan 23, 2016·Neurorehabilitation and Neural Repair·Pieter MeynsEls Ortibus
Sep 26, 2020·Frontiers in Bioengineering and Biotechnology·Germana CappelliniYury Ivanenko
Jul 18, 2019·Frontiers in Human Neuroscience·Pieter MeynsKaat Desloovere
Feb 19, 2021·PM & R : the Journal of Injury, Function, and Rehabilitation·Raul ReinaAlba Roldan

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