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Updated: Jul 29, 2026
Sit-to-stand-and-walk from 120% Knee Height: A Novel Approach to Assess Dynamic Postural Control Independent of Lead-limb
Published on: August 30, 2016
Functionality level and its relation to postural control during sitting-to-stand movement in children with cerebral
Silvia Leticia Pavão1, Adriana Neves Dos Santos1, Ana Beatriz de Oliveira1
1Universidade Federal de São Carlos, Physical Therapy Department, Neuropediatrics Section. Rod. Washington Luis, km 235, 13565-905 São Carlos, SP, Brazil.
Insights
Children with cerebral palsy (CP) show deficits in functional performance and balance compared to typically developing peers. Postural control during sit-to-stand (STS) movements is linked to their functional abilities.
Area of Science:
- Pediatrics
- Neuroscience
- Rehabilitation Medicine
Background:
- Cerebral palsy (CP) affects motor function, impacting daily activities.
- Understanding functional performance and balance is crucial for children with CP.
- Postural control is a key component of motor development and function.
Purpose of the Study:
- To compare functional performance and balance in children with CP and typically developing (TD) children.
- To investigate the relationship between functional components and postural control during sit-to-stand (STS) movement.
- To explore the link between motor impairments and functional outcomes in children.
Main Methods:
- Study included 10 children with CP (GMFCS I-II) and 27 TD children (ages 5-12).
- Functional performance and balance assessed using the Pediatric Evaluation of Disability Inventory (PEDI) and Pediatric Balance Scale (PBS).
- Postural control during STS movement measured using a force plate.
Main Results:
- Children with CP scored lower on the PBS and PEDI mobility domains (Functional Skills, Caregiver Assistance) than TD children (p≤0.05).
- Postural control during STS movement correlated with PEDI mobility Caregiver Assistance scores in both groups.
- Deficits in functional performance and balance were observed in children with CP, even with mild-moderate motor impairment.
Conclusions:
- Children with CP exhibit reduced functional performance and balance compared to TD children.
- Impaired postural control during STS movement is associated with functional performance in both groups.
- Structure and function components significantly influence activity levels in children, highlighting the need for targeted interventions.
Abstract:
In this study we studied functional performance and functional balance in children with cerebral palsy (CP) and typically developing (TD) children. The relationship between these components and postural control during sit-to-stand movement (STS) was also investigated. Ten children with CP (GMFCS I and II) and 27 TD children, ages 5-12 years, were included in the study. The Pediatric Evaluation of Disability Inventory (PEDI) and the Pediatric Balance Scale (PBS) were used to measure functional performance and functional balance, respectively. Postural control during STS was assessed by means of a force plate. Participants were asked to stand from a chair with feet over a force plate. Children with CP exhibited lower scores than TD children in the PBS and in the mobility Functional Skills and Caregiver Assistance domains of the PEDI (p≤0.05). In both groups postural control during STS movement was correlated with mobility Caregiver Assistance scores of the PEDI. The results demonstrate that although the participants had mild to moderate motor impairment, they exhibit deficits in their level of functional performance and functional balance compared to typical children. Moreover, it was observed that impairments in postural control during the STS movement are related to functional performance in both groups. This result demonstrates the importance of the structure and function components to the level of activity in children.
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