Quiet standing and anteroposterior limits of stability in adolescents and young adults with bilateral spastic cerebral palsy

IF 1.6 3区心理学 Q4 NEUROSCIENCES Human Movement Science Pub Date : 2024-03-28 DOI:10.1016/j.humov.2024.103215

Hidehito Tomita , Daisuke Kawaguchi , Shuhei Takahashi , Hitoshi Asai

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Abstract

Stance stability in individuals with bilateral spastic cerebral palsy (BSCP) in various standing postures including the quiet standing (QS) and limits of stability (LoS) has been widely studied. However, the relationships between the QS and LoS remain unclear. This study aimed to determine the relationships between the positions and postural sway in the QS and anteroposterior LoS in individuals with BSCP. It included 27 adolescents and young adults with BSCP (BSCP group) and 27 adolescents and young adults without disability (control group). The position of center of pressure in the anteroposterior direction (CoPy position) and the path length of center of pressure (CoP path length) during the QS and the anterior and posterior LoS (A-LoS and P-LoS, respectively) were measured using a force platform. The CoPy positions in the A-LoS and P-LoS in the BSCP group were limited compared with those in the control group. In the BSCP group, the more anterior the CoPy position in the QS, the more anterior (i.e., limited) it was in the P-LoS. Although the CoP path length in the QS was larger in the BSCP group, those in the A-LoS and P-LoS were larger in the control group. The BSCP group also showed that the more anterior the CoPy position or the longer the CoP path length in the QS, the more decreased the anteroposterior LoS range was. Therefore, assessing various standing postures, including QS and anteroposterior LoS, is important to manage balance impairments in individuals with BSCP.

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患有双侧痉挛性脑瘫的青少年的安静站立和前胸稳定性极限

人们对双侧痉挛性脑瘫（BSCP）患者在各种站立姿势（包括安静站立（QS）和极限稳定（LoS））下的姿态稳定性进行了广泛的研究。然而，QS 和 LoS 之间的关系仍不清楚。本研究旨在确定 BSCP 患者在 QS 和前胸 LoS 中的位置和姿势摇摆之间的关系。研究对象包括 27 名患有 BSCP 的青少年（BSCP 组）和 27 名无残疾的青少年（对照组）。研究人员使用测力平台测量了 QS 和前后 LoS（分别为 A-LoS 和 P-LoS）过程中前后方向的压力中心位置（CoPy 位置）和压力中心路径长度（CoP 路径长度）。与对照组相比，BSCP 组 A-LoS 和 P-LoS 的 CoPy 位置受到限制。在 BSCP 组中，CoPy 在 QS 中的位置越靠前，其在 P-LoS 中的位置就越靠前（即受限）。虽然 BSCP 组在 QS 中的 CoP 路径长度更大，但对照组在 A-LoS 和 P-LoS 中的 CoP 路径长度更大。BSCP 组还显示，CoPy 位置越靠前或 QS 中 CoP 路径长度越长，前胸 LoS 范围就越小。因此，评估各种站立姿势（包括 QS 和前胸 LoS）对于控制 BSCP 患者的平衡障碍非常重要。

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来源期刊

Human Movement Science 医学-神经科学

CiteScore

3.80

自引率

4.80%

发文量

审稿时长

42 days

期刊介绍： Human Movement Science provides a medium for publishing disciplinary and multidisciplinary studies on human movement. It brings together psychological, biomechanical and neurophysiological research on the control, organization and learning of human movement, including the perceptual support of movement. The overarching goal of the journal is to publish articles that help advance theoretical understanding of the control and organization of human movement, as well as changes therein as a function of development, learning and rehabilitation. The nature of the research reported may vary from fundamental theoretical or empirical studies to more applied studies in the fields of, for example, sport, dance and rehabilitation with the proviso that all studies have a distinct theoretical bearing. Also, reviews and meta-studies advancing the understanding of human movement are welcome. These aims and scope imply that purely descriptive studies are not acceptable, while methodological articles are only acceptable if the methodology in question opens up new vistas in understanding the control and organization of human movement. The same holds for articles on exercise physiology, which in general are not supported, unless they speak to the control and organization of human movement. In general, it is required that the theoretical message of articles published in Human Movement Science is, to a certain extent, innovative and not dismissible as just "more of the same."