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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.
Objective:
To assess age-related changes in postural sway during sit-to-stand (STS) in typical children (TC) and children with mild cerebral palsy (CP).
Methods:
Thirty-five TC and 23 children with mild CP were allocated in four different age groups: 5-6, 7-9, 10-12, and 13-15 years; they all performed STS movements over a force plate. Anterior-posterior and medial-lateral amplitude of center of pressure (CoP) displacement, area and velocity of CoP sway were analyzed and compared between the age groups for TC and children with CP.
Results:
TC at 5 to 6 years of age showed higher values of anterior-posterior CoP displacement and Area of CoP sway than at 10-12 years, during the stabilization phase. There were no age-related changes for CP.
Conclusion:
TC change their postural sway during the last STS phase over the years, reducing their body sway. Children with CP did not show age-related changes in sway during STS, reflecting a distinct rhythm of postural control development in this population.
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