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Updated: May 1, 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
Postural orientation during standing in children with bilateral cerebral palsy
Cecilia M Lidbeck1, Elena M Gutierrez-Farewik, Eva Broström
1Department of Women's and Children's Health (Ms Lidbeck and Drs Gutierrez-Farewik, Broström, and Bartonek) Karolinska Institutet, Stockholm, Sweden; KTH Mechanics (Dr Gutierrez-Farewik), Royal Institute of Technology, Stockholm, Sweden.
Purpose:
To investigate postural orientation and maintenance of joint position during standing in children with bilateral spastic cerebral palsy (BSCP).
Methods:
Standing was examined with 3-D motion analysis in 26 children with BSCP, and 19 children typically developing (TD). Two groups of children with cerebral palsy (CP) were analyzed: 15 who were able to maintain standing without support and 11 who needed support.
Results:
Children with CP stood with more flexion than children TD. In the CP groups, children standing without support stood more asymmetrically with less hip and knee flexion and less movement than those who required support.
Conclusion:
Children with CP had varying abilities to stand and maintain standing posture with or without support. Both CP groups stood with more flexion than their potential passive joint angle, more obvious in children requiring support. Investigations on how muscle strength and spatial perception influence posture remains to be explored.
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