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Effect of Upper Extremity Constraints on Functional and Dynamic Postural Control in Children With Hemiplegic Cerebral Palsy Publisher Pubmed



Roostaei M1 ; Raji P1 ; Kalantari KK2 ; Faghihzadeh E3 ; Fragalapinkham M4
Authors
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Authors Affiliations
  1. 1. Department of Occupational Therapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Physiotherapy, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Department of Biostatistics and Epidemiology, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran
  4. 4. Department of Physical Therapy and Occupational Therapy, Boston Children’s Hospital, Boston, MA, United States

Source: Developmental Neurorehabilitation Published:2022


Abstract

Purpose: To compare the effects of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy. Materials and Methods: Twelve children with hemiplegic cerebral palsy and 12 typically developing children ages 5 to 12 years (GMFCS I–II) were evaluated with the Timed Up and Go (TUG) and Biodex Balance System during three upper extremity (UE) conditions: 1) Free UEs (no constraints), 2) Simple UE constraint (unaffected/dominant UE constrained with a sling), and 3) Difficult UE constraint (Simple constraint plus the other UE holding cup of water). Results: The UE condition had significant effects on Overall Stability Index (OSI) (F(2,44) = 24.899, p < .001), Medial-Lateral Stability Index (MLSI) (F(2,44) = 4.380, p = .018), Anterior-Posterior Stability Index (F(2,44) = 6.187, p = .004), and TUG scores (F(2,44) = 113.372, p < .001). Group was significant for OSI (F(1,22) = 7.906, p = .010), MLSI (F(1,22) = 13.113, p = .002), and TUG (F(1,22) = 36.282, p < .001). Conclusions: The upper extremity appears to have a role in maintaining functional balance and postural stability in children with hemiplegic cerebral palsy and should be considered during intervention programs. © 2022 Taylor & Francis Group, LLC.
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