Age-related Changes in Postural Sway During Sit-to-stand in Typical Children and Children with Cerebral Palsy

Silvia Leticia Pavão1, Ana Carolina de Campos1, Nelci Adriana Cicuto Ferreira Rocha1

  • 1a Physical Therapy Department , Neuropediatrics Sector, Federal University of São Carlos , São Carlos-SP , Brazil.

Insights

Typical children reduce postural sway with age during sit-to-stand (STS) movements. Children with cerebral palsy (CP) do not exhibit these age-related changes in sway, indicating different postural control development.

Area of Science:

  • Pediatrics
  • Neurology
  • Biomechanics

Background:

  • Postural sway, a measure of balance, changes with age in typical development.
  • Cerebral palsy (CP) can impact motor development, potentially affecting postural control.
  • Understanding age-related changes in postural sway is crucial for assessing developmental milestones and identifying atypical development.

Purpose of the Study:

  • To investigate age-related differences in postural sway during sit-to-stand (STS) movements.
  • To compare postural sway development between typical children (TC) and children with mild CP.
  • To identify potential delays or differences in postural control development in children with CP.

Main Methods:

  • Thirty-five TC and 23 children with mild CP were grouped by age (5-6, 7-9, 10-12, 13-15 years).
  • Participants performed STS movements while standing on a force plate.
  • Anterior-posterior and medial-lateral center of pressure (CoP) displacement, area, and velocity were analyzed.

Main Results:

  • TC aged 5-6 years exhibited greater anterior-posterior CoP displacement and CoP sway area during the stabilization phase compared to those aged 10-12 years.
  • No significant age-related changes in postural sway were observed in children with mild CP.
  • This suggests a divergence in postural control maturation between TC and children with CP.

Conclusions:

  • Typical children demonstrate a reduction in postural sway during the latter stages of STS as they mature.
  • Children with CP do not show similar age-related improvements in postural sway during STS.
  • This highlights a distinct developmental trajectory of postural control in children with CP.
Abstract

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