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首页> 外文期刊>Research in developmental disabilities >Best seating condition in children with spastic cerebral palsy: One type does not fit all
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Best seating condition in children with spastic cerebral palsy: One type does not fit all

机译：痉挛性脑瘫儿童的最佳座位状况：一种类型不适合所有

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Highlights ? Seat forward-tilt doesnt affect head stability in reaching children with spastic CP. ? Foot-support has little effect on seated reaching of children with spastic CP. ? Forward-tilting of seat improves seated reaching in children with unilateral CP. ? Forward-tilting of seat deteriorates seated reaching in children with bilateral CP. ? Effect of seating depends on type of CP, not on severity. Abstract Background The effect of forward-tilting of the seat surface and foot-support in children with spastic cerebral palsy (CP) is debated. Aim To assess the effect of forward-tilting of the seat surface and foot-support in children with CP on kinematic head stability and reaching. Methods Nineteen children functioning at Gross Motor Function Classification System levels I–III participated [range 6–12y; ten unilateral spastic CP (US-CP) and nine bilateral spastic CP (BS-CP)]. Kinematic data were recorded of head sway and reaching with the dominant arm in four sitting conditions: a horizontal and a 15° forward (FW) tilted seat surface, each with and without foot-support. Results Seating condition did not affect head stability during reaching, but did affect kinematic reaching quality. The major reaching parameters, i.e., the proportion of reaches with one movement unit (MU) and the size of the transport MU, were not affected by foot-support. Forward-tilting had a positive effect on these parameters in children with US-CP, whereas the horizontal condition had this effect in children with BS-CP. Implications A 15° forward-tilted seating and foot-support do not affect head stability. Reaching in children with US-CP profits from forward-tilting; in children with BS-CP forward-tilting worsens reaching ? effects that are independent of foot-support.
机译：强调 ？座椅前进倾斜不会影响带有痉挛CP的儿童的头部稳定性。还脚踏支持几乎没有对痉挛CP的坐姿达到的效果。还座椅的前倾斜改善坐在单边CP的儿童中坐着。还座椅的前进倾斜劣质坐在有双侧CP的儿童。还座位的效果取决于CP的类型，而不是严重程度。摘要背景技术痉挛性脑瘫患儿座椅表面和脚载的前向倾斜的影响是争论的。目的评估座椅表面和脚载在CP儿童对运动头稳定性和到达的影响。方法199名儿童在总电机函数分类系统水平I-III参加[范围6-12Y;十个单侧痉挛CP（US-CP）和九个双边痉挛CP（BS-CP）]。在四个休息条件下记录头部摇动并与主导臂的主导臂进行记录：水平和15°向前（FW）倾斜的座椅表面，每个带有脚载和没有脚载。结果座位状况不影响达到头部稳定性，但确实影响了运动达到质量。主要达到参数，即与一个运动单元（mu）的比例和运输亩的尺寸，不受足部载体的影响。向前倾斜对US-CP儿童的这些参数对这些参数产生了积极影响，而水平状况在BS-CP的儿童中对这种疗效产生了这种效果。影响15°前倾斜的座椅和脚支撑不影响头部稳定性。从前行倾斜有US-CP利润的儿童。在BS-CP前进倾斜的儿童达到达到？独立于脚踏支持的效果。

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