Stance posture control in select groups of children with cerebral palsy: Deficits in sensory organization and muscular coordination
Abstract
This study has focused upon the automatic components of posture and movement in a group of ten cerebral palsy children carefully selected to represent a spectrum of abnormalities relatively pure by clinical standards and ten age-matched normals. Each subject stood unsupported upon a movable platform and within a movable visual surround and was then exposed to external perturbations or was asked to pull with one arm upon a movable handle. In comparing the performance of cerebral palsy children in each clinical category with the age-matched normals and with normal adults assessed in previous studies, the process of maintaining stance was subdivided into two component functions: substrates which determined the onset timing, direction and amplitude of postural actions from somatosensory, vestibular, and visual stimuli were termed "sensory organization", and those establishing temporal and spatial patterns of muscular contractions appropriate to produce effective movements were termed "muscle coordination". We found among seven of the ten cerebral palsy children a clear localization of dysfunction within either sensory organization or muscle coordination mechanisms. These results are providing some new insights into the organization of each of these processes as well as suggesting methods for developing a more systematic understanding of the abnormalities of movement control.
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Children with CP show deficits in anticipatory postural adjustments, reactive postural adjustments, and sensory and musculoskeletal components of postural control compared with children with typical development.
“To date, it is known that children with CP show deficits in anticipatory postural adjustments, 4 -9 and reactive postural adjustments, 10 -12 as well as sensory 4,13 and musculoskeletal components 14,15 of postural control, compared with children with typical development.”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [4]
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- Authors
- Nashner, L. M., Shumway-Cook, A., & Marin, O.
- Affiliations
- Legacy Good Samaritan Medical Center (US)
- University of Oregon (US)
- Venue
- Experimental Brain Research
- Published
- 1983-03
- Volume
- 49
- Issue
- 3
- Pages
- 393-409
- ISSN
- 0014-4819 (ISSN-L)
- 1432-1106
- OpenAlex
- W1987789147
- Cited by
- 396
- References
- 33
- Citations by year
- 2025: 7 · 2024: 8 · 2023: 15 · 2022: 6 · 2021: 7 · 2020: 12 · 2019: 6 · 2018: 15 · 2017: 8 · 2016: 14 · 2015: 13 · 2014: 12 · 2013: 15 · 2012: 9
- FWCI
- 17.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Experimental Brain Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- cerebral palsy, sensory organization, muscle coordination, postural control, somatosensory feedback, vestibular feedback, visual feedback, external disturbances, motor control, children
- MeSH terms
- Cerebral Palsy, Child, Hemiplegia, Humans, Motor Activity, Movement, Muscle Spasticity, Posture, Psychomotor Performance
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