Development of postural control in typically developing children and children with cerebral palsy: Possibilities for intervention?
Abstract
The basic level of postural control is functionally active from early infancy onwards: young infants possess a repertoire of direction-specific postural adjustments. Whether or not direction-specific adjustments are used depends on the child's age and the nature of the postural task. The second level of control emerges after 3 months: children start to develop the capacity to adapt postural activity to environmental constraints. But the adult form of postural adaptation first emerges after adolescence. Children with cerebral palsy (CP) in general have the ability to generate direction-specific adjustments, but they show a delayed development in the capacity to recruit direction-specific adjustments in tasks with a mild postural challenge. Children with CP virtually always have difficulties in the adaptation of direction-specific activity. The limited data available on the effect of intervention on postural development suggest that intervention involving active trial and error experience may accelerate postural development in typically developing infants and may improve postural control in children with or at high risk for a developmental motor disorder.
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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 [6]
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Assessing Dynamic Balance in Children with Cerebral Palsy
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A New Method for Postural Misalignment of a 6-Year-Old Girl With Cerebral Palsy: A Case Report
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The Psychometric Properties of the Trunk Impairment Scale in Children with Cerebral Palsy
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Assessing Dynamic Balance in Children with Cerebral Palsy
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The impact of exergames on the functional balance of a teenager with cerebral palsy – a case report
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The Reactive Postural Control in Spastic Cerebral Palsy Children
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- Authors
- DEGRAAFPETERS, V, BLAUWHOSPERS, C., DIRKS, T., BAKKER, H., BOS, A., & HADDERSALGRA, M.
- Affiliations
- University Medical Center Groningen (NL)
- ORCID
- BOS, A
- Venue
- Neuroscience & Biobehavioral Reviews
- Publisher
- Elsevier BV
- Published
- 2007
- Volume
- 31
- Issue
- 8
- Pages
- 1191-1200
- ISSN
- 0149-7634 (ISSN-L)
- OpenAlex
- W2091571269
- Cited by
- 146
- References
- 55
- Citations by year
- 2026: 9 · 2025: 3 · 2024: 7 · 2023: 11 · 2022: 7 · 2021: 14 · 2020: 8 · 2019: 6 · 2018: 9 · 2017: 8 · 2016: 12 · 2015: 9 · 2014: 6 · 2013: 8 · 2012: 6
- FWCI
- 2.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Neuroscience & Biobehavioral Reviews (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
- Keywords
- postural control, cerebral palsy, postural development, postural adaptation, environmental constraints, typically developing children, infants, motor intervention, trial-and-error learning
- MeSH terms
- Cerebral Palsy, Child, Child Development, Child, Preschool, Humans, Infant, Movement Disorders, Posture
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