Best seating condition in children with spastic cerebral palsy: One type does not fit all

Mattana Angsupaisal; Linze-Jaap Dijkstra; Sacha la Bastide-van Gemert; Jessika F. van Hoorn; Karine Burger; Carel G. B. Maathuis; Mijna Hadders-Algra

doi:10.1016/j.ridd.2017.09.016

Best seating condition in children with spastic cerebral palsy: One type does not fit all

Mattana Angsupaisal, Linze-Jaap Dijkstra, Sacha la Bastide-van Gemert, Jessika F. van Hoorn, Karine Burger, Carel G. B. Maathuis, Mijna Hadders-Algra^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

3 Citations (Scopus)

116 Downloads (Pure)

Abstract

Background: The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated.

Aim: To assess the effect of forward-tilting of the seat surface and foot-support in children with CP on kinematic head stability and reaching.

Methods: Nineteen children functioning at Gross Motor Function Classification System levels I-III participated [range 6-12y; ten unilateral spastic CP (US-CP) and nine bilateral spastic CP (BS-CP)]. Kinematic data were recorded of head sway and reaching with the dominant arm in four sitting conditions: a horizontal and a 15 forward (FW) tilted seat surface, each with and without foot-support.

Results: Seating condition did not affect head stability during reaching, but did affect kinematic reaching quality. The major reaching parameters, i.e., the proportion of reaches with one movement unit (MU) and the size of the transport MU, were not affected by foot-support. Forward-tilting had a positive effect on these parameters in children with US-CP, whereas the horizontal condition had this effect in children with BS-CP.

Implications: A 15 degrees forward-tilted seating and foot-support do not affect head stability. Reaching in children with US-CP profits from forward-tilting; in children with BS-CP forward-tilting worsens reaching - effects that are independent of foot-support.

Original language	English
Pages (from-to)	42-52
Number of pages	11
Journal	Research in Developmental Disabilities
Volume	71
DOIs	https://doi.org/10.1016/j.ridd.2017.09.016
Publication status	Published - Dec-2017

Keywords

Cerebral palsy
Seating inclination
Foot-support
Head stability
Reaching movement
Kinematics
POSTURAL CONTROL
PRETERM CHILDREN
SURFACE INCLINATION
YOUNG-CHILDREN
KINEMATIC CHARACTERISTICS
EVERYDAY ACTIVITIES
HEAD STABILIZATION
REACHING MOVEMENTS
INFANTS
ADJUSTMENTS

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Best seating condition in children with spastic cerebral palsyFinal publisher's version, 529 KBLicence: Taverne

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@article{13f0db0ce4994f6ab4e2d55ab3706452,

title = "Best seating condition in children with spastic cerebral palsy: One type does not fit all",

abstract = "Background: The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated.Aim: To assess the effect of forward-tilting of the seat surface and foot-support in children with CP on kinematic head stability and reaching.Methods: Nineteen children functioning at Gross Motor Function Classification System levels I-III participated [range 6-12y; ten unilateral spastic CP (US-CP) and nine bilateral spastic CP (BS-CP)]. Kinematic data were recorded of head sway and reaching with the dominant arm in four sitting conditions: a horizontal and a 15 forward (FW) tilted seat surface, each with and without foot-support.Results: Seating condition did not affect head stability during reaching, but did affect kinematic reaching quality. The major reaching parameters, i.e., the proportion of reaches with one movement unit (MU) and the size of the transport MU, were not affected by foot-support. Forward-tilting had a positive effect on these parameters in children with US-CP, whereas the horizontal condition had this effect in children with BS-CP.Implications: A 15 degrees forward-tilted seating and foot-support do not affect head stability. Reaching in children with US-CP profits from forward-tilting; in children with BS-CP forward-tilting worsens reaching - effects that are independent of foot-support.",

keywords = "Cerebral palsy, Seating inclination, Foot-support, Head stability, Reaching movement, Kinematics, POSTURAL CONTROL, PRETERM CHILDREN, SURFACE INCLINATION, YOUNG-CHILDREN, KINEMATIC CHARACTERISTICS, EVERYDAY ACTIVITIES, HEAD STABILIZATION, REACHING MOVEMENTS, INFANTS, ADJUSTMENTS",

author = "Mattana Angsupaisal and Linze-Jaap Dijkstra and {la Bastide-van Gemert}, Sacha and {van Hoorn}, {Jessika F.} and Karine Burger and Maathuis, {Carel G. B.} and Mijna Hadders-Algra",

year = "2017",

month = dec,

doi = "10.1016/j.ridd.2017.09.016",

language = "English",

volume = "71",

pages = "42--52",

journal = "Research in Developmental Disabilities",

issn = "0891-4222",

publisher = "PERGAMON-ELSEVIER SCIENCE LTD",

}

TY - JOUR

T1 - Best seating condition in children with spastic cerebral palsy

T2 - One type does not fit all

AU - Angsupaisal, Mattana

AU - Dijkstra, Linze-Jaap

AU - la Bastide-van Gemert, Sacha

AU - van Hoorn, Jessika F.

AU - Burger, Karine

AU - Maathuis, Carel G. B.

AU - Hadders-Algra, Mijna

PY - 2017/12

Y1 - 2017/12

N2 - Background: The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated.Aim: To assess the effect of forward-tilting of the seat surface and foot-support in children with CP on kinematic head stability and reaching.Methods: Nineteen children functioning at Gross Motor Function Classification System levels I-III participated [range 6-12y; ten unilateral spastic CP (US-CP) and nine bilateral spastic CP (BS-CP)]. Kinematic data were recorded of head sway and reaching with the dominant arm in four sitting conditions: a horizontal and a 15 forward (FW) tilted seat surface, each with and without foot-support.Results: Seating condition did not affect head stability during reaching, but did affect kinematic reaching quality. The major reaching parameters, i.e., the proportion of reaches with one movement unit (MU) and the size of the transport MU, were not affected by foot-support. Forward-tilting had a positive effect on these parameters in children with US-CP, whereas the horizontal condition had this effect in children with BS-CP.Implications: A 15 degrees forward-tilted seating and foot-support do not affect head stability. Reaching in children with US-CP profits from forward-tilting; in children with BS-CP forward-tilting worsens reaching - effects that are independent of foot-support.

AB - Background: The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated.Aim: To assess the effect of forward-tilting of the seat surface and foot-support in children with CP on kinematic head stability and reaching.Methods: Nineteen children functioning at Gross Motor Function Classification System levels I-III participated [range 6-12y; ten unilateral spastic CP (US-CP) and nine bilateral spastic CP (BS-CP)]. Kinematic data were recorded of head sway and reaching with the dominant arm in four sitting conditions: a horizontal and a 15 forward (FW) tilted seat surface, each with and without foot-support.Results: Seating condition did not affect head stability during reaching, but did affect kinematic reaching quality. The major reaching parameters, i.e., the proportion of reaches with one movement unit (MU) and the size of the transport MU, were not affected by foot-support. Forward-tilting had a positive effect on these parameters in children with US-CP, whereas the horizontal condition had this effect in children with BS-CP.Implications: A 15 degrees forward-tilted seating and foot-support do not affect head stability. Reaching in children with US-CP profits from forward-tilting; in children with BS-CP forward-tilting worsens reaching - effects that are independent of foot-support.

KW - Cerebral palsy

KW - Seating inclination

KW - Foot-support

KW - Head stability

KW - Reaching movement

KW - Kinematics

KW - POSTURAL CONTROL

KW - PRETERM CHILDREN

KW - SURFACE INCLINATION

KW - YOUNG-CHILDREN

KW - KINEMATIC CHARACTERISTICS

KW - EVERYDAY ACTIVITIES

KW - HEAD STABILIZATION

KW - REACHING MOVEMENTS

KW - INFANTS

KW - ADJUSTMENTS

U2 - 10.1016/j.ridd.2017.09.016

DO - 10.1016/j.ridd.2017.09.016

M3 - Article

C2 - 28987971

SN - 0891-4222

VL - 71

SP - 42

EP - 52

JO - Research in Developmental Disabilities

JF - Research in Developmental Disabilities

ER -

Best seating condition in children with spastic cerebral palsy: One type does not fit all

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Keywords

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