Development of postural control in typically developing children and children with cerebral palsy: possibilities for

Victorine B de Graaf-Peters1, Cornill H Blauw-Hospers, Tineke Dirks

  • 1Department Neurology and Developmental Neurology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.

Insights

Infants develop direction-specific postural control early. Children with cerebral palsy (CP) show delays in adapting this control, but interventions may help improve postural development.

Area of Science:

  • Developmental neuroscience
  • Motor control
  • Pediatrics

Background:

  • Postural control is active from infancy, with direction-specific adjustments developing early.
  • The capacity for postural adaptation to environmental constraints emerges around 3 months.
  • Adult-level postural adaptation is achieved only after adolescence.

Purpose of the Study:

  • To examine postural control development in infants and children.
  • To investigate the impact of cerebral palsy (CP) on postural control development.
  • To explore the potential of interventions for improving postural control.

Main Methods:

  • Observational studies on infant postural adjustments.
  • Comparative analysis of postural control in typically developing children and children with CP.
  • Review of intervention studies focusing on active trial-and-error learning.

Main Results:

  • Typically developing infants demonstrate direction-specific postural adjustments.
  • Children with CP exhibit delayed development in recruiting these adjustments, especially under mild postural challenges.
  • Difficulties in adapting direction-specific postural activity are common in children with CP.

Conclusions:

  • Early development of postural control is evident in infants.
  • Cerebral palsy significantly impacts the development and adaptation of postural control.
  • Interventions promoting active experience may enhance postural development and control in infants and children at risk.