Acta Scientific Paediatrics (ASPE)

Research Article Volume 7 Issue 2

Efficacy of Tilted Seat Surface on Postural Adjustment During Reaching in Sitting Position: In Hemiplegic Cerebral Palsied Children

Enas Hamdy Elnady1*, Faten Hassan Abdelazium2 and Mostafa El-sherbini3

1Assistant Lecturer, Department of Physical Therapy for Paediatrics, Faculty of Physical Therapy, Cairo University, Egypt
2Professor of Physical Therapy, Department of Physical Therapy for Paediatrics, Faculty of Physical Therapy, Cairo University, Egypt
3Consultant Orthopaedic Surgeon, National Institute of Neuromotor System, Giza, Egypt

*Corresponding Author: Enas Hamdy Elnady, Assistant Lecturer, Department of Physical Therapy for Paediatrics, Faculty of Physical Therapy, Cairo University, Egypt.

Received: January 16, 2024; Published: January 26, 2024

Abstract

Purpose: The aim of this study to evaluate the effect of seat surface inclination on postural adjustments during forward reaching in sitting position in hemiplegic cerebral palsied children.

Subjects: Fifteen hemiplegic cerebral palsy children aged from 7-9 years participated in this study.

Procedure: During the task of reaching with the affected arm, surface electromyograms were recorded for postural activity and reaching in three conditions: sitting with the seat surface oriented horizontally, sitting with the seat surface tilted 15 degrees forward and 15 degree backward in addition to Modified Functional Paediatric Reaching test.

Results: Backward inclined position associated with more postural activity while in forward inclined seat surface is associated with less postural muscle activity and more forward reaching in terms of modified paediatric functional reach test.

Conclusion: In hemiplegic cerebral palsied children, forward inclination of the seat surface is considered the best position as it is associated with more postural control ability and stability and less postural muscle activity.

Keywords: Seat Inclination; Tilting Seat; Cerebral Palsy Children; Hemiplegia; Postural Control; Postural Adjustment; Reaching; Sitting Position

References

  1. Bax M., et al. “Executive Committee for the Definition of Cerebral Palsy: Proposed definition and classification of cerebral palsy”. Developmental Medicine and Child Neurology 47 (2005): 571-576.
  2. Woollacott MH and Shumway-Cook A. “Postural dysfunction during standing and walking in children with cerebral palsy: what are the underlying problems and what new therapies might improve balance?” Neural Plasticity 12 (2005): 211-219.
  3. Hadders-Algra M., et al. “Development of postural adjustments during reaching in infants with CP”. Developmental Medicine and Child Neurology 41 (2005): 766-776.
  4. Macias ML. “Abnormal sitting postures in children with neuromotor disabilities and use of the pelvic corset or molded seat for adaptative sitting”. Pediatric Physical Therapy 10 (1998): 74-80.
  5. Van der Heide JC., et al. “Postural control during reaching in preterm children with cerebral palsy”. Developmental Medicine and Child Neurology 46 (2003): 253-2667.
  6. Von Hofsten C. “Structuring of early reaching movements: a longitudinal study”. Journal of Motor Behavior 23 (1991): 280-292.
  7. Van der Heide JC., et al. “Development of postural adjustments during reaching in sitting children”. Experimental Brain Research 151 (2003): 32-45.
  8. Chung J., et al. “Effectiveness of adaptive seating on sitting posture and posture control in children with cerebral palsy”. Pediatric Physics Therapy4 (2008): 303.
  9. Lacoste M., et al. “Powered tilt/recline systems: why and how are they used?” Assistant Technology 15 (2003): 58-68.
  10. Washington K., et al. “The effects of a contoured foam seat on postural alignment and upper extremity function in infants with neuromotor impairments”. Physical Therapy 82 (2002): 1069-1076.
  11. Bendix T and Biering-Sorensen F. “Posture of the trunk when sitting on forward inclining seats”. Scandinavian Journal of Rehabilitation Medicine 15 (1983): 197-203.
  12. Chan A and Heck CS. “The effects of tilting the seating position of a wheelchair on respiration, posture, fatigue, voice volume and exertion outcomes in individuals with advanced multiple sclerosis”. Journal of Rehabilitation Outcomes Measure 3 (1999): 1-14.
  13. Pope PM., et al. “Postural control in sitting. The Sam system: evaluation of use over three years”. Developmental Medicine and Child Neurology 36 (1994): 241-252.
  14. Hobson DA. “Comparative effects of posture on press and shear at the body-seat interface”. Journal of Rehabilitation Research and Development 29 (1992): 21-31.
  15. Chan A and Heck CS. “The effects of tilting the seating position of a wheelchair on respiration, posture, fatigue, voice volume and exertion outcomes in individuals with advanced multiple sclerosis”. Journal of Rehabilitation Outcomes Measure 3 (1992): 1-14.
  16. Lacoste M., et al. “Powered tilt/recline systems: why and how are they used?” Assistant Technology 15 (2003): 58-68.
  17. Pountney TE., et al. “The Chailey approach to postural management, second edition”. Chailey Heritage Clinical Services (2004).
  18. Tsao H and Hodges PW. “Persistence of improvements in postural strategies following motor control training in people with recurrent low back pain”. Journal of Electromyography and Kinesiology 18 (2008): 559-567.
  19. Robertson G., et al. “Research methods in biomechanics”. Champaign, IL: Human Kinetics 56.4 (2004): 124.130.
  20. Katz-leurer M., et al. “Reliability and validity of the modified functional reach test at the subacute stage post-stroke”. Disability Rehabilitation3 (2009): 243-248.
  21. Weiner DKDR., et al. “Does functional reach improve with rehabilitation?” Archives of Physical Medicine and Rehabilitation 8 (1993): 796-800.
  22. McClenaghan BA., et al. “Effects of seat surface inclination on postural stability and function of upper extremities of children with cerebral palsy”. Developmental Medicine and Child Neurology 34 (1992): 40-48.
  23. Van Der Heide Jolando C., et al. “Development Of Postural Adjustments During Reaching in Sitting in Children”. Experimental Brain Research 151 (2003): 32-45.
  24. Hadders Algra M., et al. “Effect Of Seat Surface Inclination on Postural Control During Reaching in Preterm Children with Cerebral palsy physical therapy”. Journal of Physiological Anthropology 877 (2007): 861-871.
  25. Van der Fits IBM., et al. “The development of postural adjustments during reaching in 6-18-month-old infants”: evidence for two transitions”. Experimental Brain Research 126 (1999b): 517-528.
  26. Van der Heide JC., et al. “Development of postural adjustments during reaching in sitting children”. Experimental Brain Research 151 (2003): 32-45.
  27. Bolgla LA and Uhl TL. “Reliability of electromyographic normalization methods for evaluating the hip musculature”. Journal of Electromyography and Kinesiology1 (2007): 102-111.
  28. Hsu WL., et al. “An alternative test of electromyographic normalization in patients”. Muscle Nerve2 (2006): 232-241.
  29. Ferber-viart C., et al. “Balance in healthy individuals assessed with equitest:maturation and normative data for children and young adults”. International Journal of Pediatric Otorhinolaryngology 71 (2007): 1041-1046.
  30. Riach CL and Starkes JL. “Stability limits of quiet standing postural control in children”. Gait and Posture 1 (1993): 105-111.
  31. Walter Michael Strobl. “Seating”. Journal of Children's Orthopaedics 7 (2013): 395-399.
  32. Yvonne J Janssen-Potten., et al. “The Effect of Seat Tilting on Pelvic Position, Balance Control, and Compensatory Postural Muscle Use in Paraplegic Subjects”. Archives of Physical Medicine and Rehabilitation 82 (2001): 1393-1402.
  33. Chung J., et al. “Effectiveness of adaptive seating on sitting posture and postural control in children with cerebral palsy.” Pediatric Physical Therapy 20 (2008): 303-317.
  34. Sochaniwskyj A., et al. “Dynamic monitoring of sitting posture for children with spastic cerebral palsy”. Clinical Biomechanics3 (1991): 161-167.
  35. Bendix, T., et al. “Posture of the trunk when sitting on forward inclining seats.” Scandinavian Journal of Rehabilitation Medicine 4 (1983): 197-203.
  36. McClenaghan BA., et al. “Effects of seat-surface inclination on postural stability and function of the upper extremities of children with cerebral palsy”. Developmental Medicine and Child Neurology1 (1992): 40-48.
  37. Ju YH., et al. “Postural adjustment of children with spastic diplegic cerebral palsy during seated hand reaching in different directions”. Archives of Physical Medicine and Rehabilitation 93 (2012): 471-479.
  38. Ju YH., et al. “Effect of task constraint on reaching performance in children with spastic diplegic cerebral palsy”. Research in Developmental Disabilities5 (2010): 1076-1082.
  39. Hadders-Algra., et al. “Effect of Seat Surface Inclination on Postural Control During Reaching in Preterm Children With Cerebral Palsy”. Physical Therapy 87 (2007): 861-871.
  40. Rong-Ju Cherng., et al. “Effect of seat surface inclination on postural stability and forward reaching efficiency in children with spastic cerebral palsy”. Research in Developmental Disabilities (2009): 1420-1427.
  41. Reid DT., et al. “An investigation of postural sway in sitting of normal children and children with neurological disorders”. Physical and Occupational Therapy in Paediatrics 11 (1991): 19-34.

Citation

Citation: Enas Hamdy Elnady., et al. “Efficacy of Tilted Seat Surface on Postural Adjustment During Reaching in Sitting Position: In Hemiplegic Cerebral Palsied Children".Acta Scientific Paediatrics 7.2 (2024): 11-18.

Copyright

Copyright: © 2024 Enas Hamdy Elnady., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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