The role of the scapulo-thoracic and gleno-humeral joints in upper-limb motion in children with hemiplegic cerebral palsy

Clinical Biomechanics
S BrochardO Remy-Neris

Abstract

The pathophysiology of abnormal shoulder motion in children with hemiplegic cerebral palsy is not yet well understood. The aim of this study was to compare the motion of the two principle shoulder joints in children with hemiplegic cerebral palsy and typically developing children. 10 children in each group carried out 6 tasks recorded by an optoelectronic system. The analysis protocol was based on an acromion marker cluster, a functional method to determine the gleno-humeral rotation center and different Euler sequences thus providing three dimensional thoraco-humeral, scapulo-thoracic and gleno-humeral kinematics during upper-limb motion. In the children with hemiplegic cerebral palsy, the scapulo-thoracic joint was more protracted (P<0.05) and tended to be more laterally rotated depending on the tasks and the degree of humeral elevation. The gleno-humeral joint was limited in elevation (P<0.09), internal rotation (P<0.05) and plane of elevation (P<0.05) depending on the task. At rest, the orientation of the arm was more related to the scapular posture than to the gleno-humeral orientation, the latter which appeared to compensate the initial internal arm rotation at the beginning of the motion. The scapulo-thoracic joint plays...Continue Reading

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Citations

May 27, 2014·Journal of Biomechanics·Mathieu LempereurOlivier Rémy-Néris
Jun 14, 2014·Journal of Biomechanics·Hyun Soo ImFrances T Sheehan
Aug 27, 2017·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Christopher J NewmanKamiar Aminian
Jan 10, 2018·Frontiers in Human Neuroscience·Lisa MailleuxHilde Feys
Jun 7, 2018·PloS One·Cristina Simon-MartinezHilde Feys
Oct 23, 2020·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Marine CacioppoIsabelle Bonan
Sep 4, 2019·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Brice BouvierArmel Crétual

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