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Journals / Turkish Journal of Pediatrics / 2019 / Cilt: 61 - Sayı: 1

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

Kübra SEYHAN
Mintaze Kerem GÜNEL
Pages
79–84
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The portableand adaptable hip-positioning belt may be used in daily life to improve upperlimb activity in preschool children with moderate to severe BSCP.

📌 3 Key Takeaways

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Objective & Hypothesis:Bilateral spastic cerebral palsy (BSCP) patients frequently need to use varioussitting devices for body control and function.
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Key Findings & Data:Fortyone children with BSCP [mean age 44 ±11, range 18-60 months] classifiedaccording to the Gross Motor Function Classification System (GMFCS), aslevel III (n=21) and level IV (n=20) were fitted with a hip-positioning belt.Upper limb functions were assessed by Quality of Upper Extremity SkillsTest (QUEST).
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Conclusion & Impact:The portableand adaptable hip-positioning belt may be used in daily life to improve upperlimb activity in preschool children with moderate to severe BSCP.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Bilateral spastic cerebral palsy (BSCP) patients frequently need to use varioussitting devices for body control and function. The aim of this study was toinvestigate whether the use of a belt to position the pelvis in an adjustablechair would affect upper limb function in preschool children with BSCP. Fortyone children with BSCP [mean age 44 ±11, range 18-60 months] classifiedaccording to the Gross Motor Function Classification System (GMFCS), aslevel III (n=21) and level IV (n=20) were fitted with a hip-positioning belt.Upper limb functions were assessed by Quality of Upper Extremity SkillsTest (QUEST). The median scores of the following upper extremity functionsincreased significantly by wearing the hip positioning belt: dissociatedmovements, grasping, weight bearing and protective extension. The total QUESTscore increased from 56.7 (±46.3) to 66.1 (±39.2) (p<0.001). The portableand adaptable hip-positioning belt may be used in daily life to improve upperlimb activity in preschool children with moderate to severe BSCP.

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Cite This Article

SEYHAN, K., GÜNEL, M. K. (2019). Does stable sitting influence upper limb function in children with cerebral palsy?. Turkish Journal of Pediatrics, Cilt: 61 - Sayı: 1, 79–84. https://ajindex.com/articles/411998

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References (15)

  1. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109: 8-14
  2. Anttila H, Autti-Rämö I, Suoranta J, Mäkelä M, Malmivaara A. Effectiveness of physical therapy interventions for children with cerebral palsy: a systematic review. BMC Pediatr 2008; 8:14
  3. Rethlefsen SA, Ryan DD, Kay RM. Classification systems in cerebral palsy. Orthop Clin of North Am 2010; 41: 457-467
  4. Pandyan AD, Gregoric M, Barnes MP, et al. Spasticity: Clinical perceptions, neurological realities and meaningful measurement. Disabil Rehabil 2005; 27: 2-6
  5. Krigger KW. Cerebral palsy: an overview. Am Fam Physician 2006; 73: 91-100
  6. Strobl WM. Seating. J Child Orthop 2013; 7: 395-399
  7. Kirkwood CA, Bardsley GI. Seating and positioning. In: Upper Motor Neurone Syndrome and Spasticity.2nd ed. Cambridge University Press. New York, USA. 2008: 99-113
  8. Brogren E, Hadders-Algraa M, Forssberg H. Postural control in sitting children with cerebral palsy. Neurosci Biobehav Rev 1998; 22: 591-596
  9. Rodby-Bousquet E, Hägglund G. Sitting and standing performance in a total population of children with cerebral palsy: a cross-sectional study. BMC Musculoskelet Disord 2010; 11: 131. 10. Østensjø S, Brogren E. Everyday functioning in young children with cerebral palsy: functional skills, caregiver assistance, and modifications of the environment. Dev Med Child Neurol 2003; 45: 603-612
  10. Cook AM, Polgar JM. Assistive technologies: Principles and practice (4th ed) USA: Elsevier Health Sciences, 2014:1-16
  11. Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of revised Gross Motor Function Classification System. Dev Med Child Neurol 2008; 50: 744-750
  12. Fulford G, Brown J. Position as a cause of deformity in children with cerebral palsy. Dev Med Child Neurol 1976; 18: 305-314
  13. Porter D, Michael S, Kirkwood C. Is there a relationship between preferred posture and positioning in early life and the direction of subsequent asymmetrical postural deformity in non ambulant people with cerebral palsy? Child Care Health Dev 2008; 34: 635-641
  14. Hulme JB, Gallacher K, Walsh J, Niesen S, Waldron D. Behavioral and postural changes observed with use of adaptive seating by clients with multiple handicaps. Phys Ther 1987; 67: 1060-1067
  15. Kluzik J, Fetters L, Coryell J. Quantification of Control: A Preliminary Study of Effects of Neurodevelopmental Treatment on Reaching in Child