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Does stable sitting influence upper limb function in children with cerebral palsy?

Kübra Seyhan¹, Mintaze Kerem-Günel¹

¹Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences,Hacettepe University, Ankara, Turkey.

The Turkish Journal of Pediatrics

|September 28, 2019

Summary

A hip-positioning belt significantly improved upper limb function in preschool children with bilateral spastic cerebral palsy (BSCP). This intervention enhanced dissociated movements, grasping, weight-bearing, and protective extension, aiding daily activities.

Keywords:

belt cerebral palsy function hip upper

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Area of Science:

Pediatrics
Neurology
Rehabilitation Medicine

Background:

Children with bilateral spastic cerebral palsy (BSCP) often require assistive devices for postural control.
Effective sitting support is crucial for optimizing function in children with cerebral palsy.

Purpose of the Study:

To evaluate the impact of a pelvic positioning belt in an adjustable chair on upper limb function in preschool children with BSCP.
To determine if targeted pelvic support can enhance motor skills in the upper extremities.

Main Methods:

Forty-one preschool children with BSCP (GMFCS levels III and IV) were fitted with a hip-positioning belt.
Upper limb function was assessed using the Quality of Upper Extremity Skills Test (QUEST) before and after belt use.

Main Results:

Significant improvements were observed in dissociated movements, grasping, weight bearing, and protective extension.
The total QUEST scores increased significantly from 56.7 (±46.3) to 66.1 (±39.2) (p < 0.001).

Conclusions:

A portable and adaptable hip-positioning belt can effectively improve upper limb activity in young children with moderate to severe BSCP.
This intervention offers a practical approach to enhance daily functional abilities in children with cerebral palsy.