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Motor performance of children with cerebral palsy in anterior reach
Leiliane Mônika Dos Santos Soares1, Juliana Maria Savazzi Geraldini Rozane1, Raquel de Paula Carvalho2
1Federal University of São Paulo, Rua Silva Jardim, 136 - Vila Mathias, Santos, SP 11015-020, Brazil.
Insights
Children with cerebral palsy (CP) exhibit reduced anterior reach and movement control compared to typically developing peers. This suggests difficulties in postural balance and trunk/shoulder mobility during forward reaching tasks.
Area of Science:
- Pediatric motor control
- Biomechanics of movement
- Neurological disorders
Background:
- Children with cerebral palsy (CP) demonstrate limited anterior reach from a standing position.
- Potential causes include challenges in lower limb stabilization or forward reaching movement control.
Purpose of the Study:
- To identify and compare the anterior reach motor performance between children with CP and typically developing children.
Main Methods:
- Cross-sectional study involving 28 children (14 with spastic CP, 14 typically developing).
- Utilized the Pediatric Reach Test and three-dimensional motion analysis for evaluation.
Main Results:
- Children with CP exhibited significantly lower movement control during anterior reach.
- Both bilateral and unilateral CP groups showed reduced shoulder and trunk range of motion compared to controls.
Conclusions:
- Children with CP display impaired anterior displacement and movement control.
- Difficulties in trunk bending and shoulder flexion during reaching suggest compromised postural balance in children with CP.
Background:
Children with cerebral palsy perform small displacements during the anterior reach movement from standing position without loss of balance. There are two possible reasons for their decreased performance: the difficulty to stabilize their lower limbs during forward body inclination to reach greater distances or to control the movement of forward reaching. The objective of this study is to identify and compare the motor performance of children with CP and typically developing children, during anterior reach.
Methods:
This is a cross-sectional study, composed of 28 children, 14 with spastic cerebral palsy and 14 typical children, who were all evaluated by the Pediatric Reach Test and three-dimensional motion analysis.
Findings:
The decreased performance was shown by the lower movement control by children with cerebral palsy. The bilateral and unilateral cerebral palsy children showed lower range of motion of shoulder and trunk than typical children.
Interpretation:
Children with cerebral palsy show lower anterior displacement and movement control and difficulty bending the trunk and flexing shoulders while reaching forward, suggesting poor postural balance.
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