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Effects of Suit-Orthosis on Postural Adjustments During Seated Reaching Task in Children With Cerebral Palsy
Sílvia Leticia Pavão1, Livia Pessarelli Visicato, Carolina Souza Neves da Costa
1Department of Physiotherapy, Neuropediatrics Section, Federal University of São Carlos, Sao Carlos, SP, Brazil.
Aim:
To investigate suit-orthosis effects on postural sway during anticipatory and compensatory postural adjustments (APA and CPA, respectively) in a seated reaching task performed by children with cerebral palsy (CP).
Methods:
Twenty-nine children were divided according to Manual Ability Classification System (MACS) I and II-III. Participants were instructed to reach forward toward an object both in a no-suit condition and in a suit-orthosis condition.
Results:
Using the suit-orthosis, children at MACS II-III decreased velocity of center-of-pressure (CoP) sway during APA, whereas children at MACS I increased the anterior-posterior CoP displacement during CPA.
Conclusion:
Suit-orthosis improved postural stability in children at MACS II-III during APA. The suit may assist with arm function control during postural sway when preparing to reach for objects.
Clinical Implications:
Suit-orthoses in therapy should be individually prescribed considering the intended activity and person's motor impairment.
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