Deficits in task-specific modulation of anticipatory postural adjustments in individuals with spastic diplegic cerebral palsy
Abstract
We examined whether individuals with spastic diplegic cerebral palsy (SDCP) have the ability to utilize lower leg muscles in anticipatory postural adjustments (APAs) associated with voluntary arm movement while standing, as well as the ability to modulate APAs with changes in the degree of postural perturbation caused by arm movement. Seven individuals with spastic diplegia (SDCP group, 12–22 yr of age) and seven age- and sex-matched individuals without disability (control group) participated in this study. Participants flexed both shoulders and lifted a load under two different load conditions, during which electromyographic activities of focal and postural muscles were recorded. Although the timing of anticipatory activation of the erector spinae and medial hamstring (MH) muscles was similar in the two participant groups, that of the gastrocnemius (GcM) muscle was significantly later in the SDCP group than in the control group. An increase in anticipatory postural muscle activity with an increase in load was observed in MH and GcM in the control group but not in GcM in the SDCP group. The degree of modulation in MH was significantly smaller in the SDCP group than in the control group. An additional experiment confirmed that these differences in APAs between the two participant groups were unlikely to be attributable to their differences in initial standing posture before load lift. The present findings suggest that lower leg muscles play a minor role in APAs in individuals with spastic diplegia. In addition, it is likely that these individuals have difficulty modulating anticipatory postural muscle activity with changes in the degree of postural perturbation.
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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 [9]
Cites
Palisano, R. J., Rosenbaum, P., Walter, S. D., Russell, D., Wood, E. P., & Galuppi, B. E. (1997) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1997.tb07414.x · Cited by 6,728 · see citing works
Horak, F. B. (2006) · Age and Ageing · doi:10.1093/ageing/afl077 · Cited by 2,769 · see citing works
Postural Orientation and Equilibrium
Horak, F. B., & Macpherson, J. M. (1996) · Comprehensive physiology · doi:10.1002/cphy.cp120107 · Cited by 1,030 · see citing works
Exercise : regulation and integration of multiple systems
Rowell, L. B., & Shepherd, J. T. (1996) · Medical Entomology and Zoology · Cited by 810 · see citing works
Lower‐Extremity strength profiles in spastic cerebral palsy
Wiley, M. E., & Damiano, D. L. (1998) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.1998.tb15369.x · Cited by 501 · see citing works
Horak, F. B., Esselman, P. C., Anderson, M. E., & Lynch, M. (1984) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.47.9.1020 · Cited by 440 · see citing works
ON THE CONTROL ELEMENTS OF VOLUNTARY MOVEMENTS.
Belen’kii, V. E., Gurfinkel, V. S., & Pal'tsev, E. I. (1967) · Биофизика · Cited by 409 · see citing works
Nashner, L. M., Shumway-Cook, A., & Marin, O. (1983) · Experimental Brain Research · doi:10.1007/bf00238781 · Cited by 396 · see citing works
Postural Control Systems in Developmental Perspective
Massion, J. (1998) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(97)00031-6 · Cited by 325 · see citing works
Posture, dynamic stability, and voluntary movement
Bouisset, S., & Do, M.-C. (2008) · Neurophysiologie Clinique · doi:10.1016/j.neucli.2008.10.001 · Cited by 322 · see citing works
dos Santos, M. J., Kanekar, N., & Aruin, A. S. (2009) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2009.06.006 · Cited by 286 · see citing works
Postural adjustments associated with rapid voluntary arm movements 1. Electromyographic data.
Friedli, W. G., Hallett, M., & Simon, S. R. (1984) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.47.6.611 · Cited by 265 · see citing works
Woollacott, M. H., & Shumway-Cook, A. (2005) · Neural Plasticity · doi:10.1155/np.2005.211 · Cited by 264 · see citing works
Latash, M. L., Aruin, A. S., Neyman, I., & Nicholas, J. J. (1995) · Journal of Neurology Neurosurgery & Psychiatry · doi:10.1136/jnnp.58.3.326 · Cited by 167 · see citing works
Muscle activation characteristics of stance balance control in children with spastic cerebral palsy
Burtner, P. A., Qualls, C., & Woollacott, M. H. (1998) · Gait & Posture · doi:10.1016/s0966-6362(98)00032-0 · Cited by 149 · see citing works
Postural control during reaching in preterm children with cerebral palsy
van der Heide, J. C., Begeer, C., Fock, J. M., Otten, B., Stremmelaar, E. F., van Eykern, L. A., & Hadders‐Algra, M. (2004) · Developmental Medicine & Child Neurology · doi:10.1017/s0012162204000416 · Cited by 147 · see citing works
Postural control during reaching in preterm children with cerebral palsy
Van Der Heide, J. C., Begeer, C., Fock, J. M., Otten, B., Stremmelaar, E., Van Eykern, L. A., & Hadders‐Algra, M. (2004) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2004.tb00480.x · Cited by 147 · see citing works
DEGRAAFPETERS, V, BLAUWHOSPERS, C., DIRKS, T., BAKKER, H., BOS, A., & HADDERSALGRA, M. (2007) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2007.04.008 · Cited by 146 · see citing works
Fowler, E. G., Staudt, L. A., & Greenberg, M. B. (2010) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2009.03586.x · Cited by 131 · see citing works
The treatment of gait problems in cerebral palsy
Jefferson, R. J. (2005) · Archives of Disease in Childhood · doi:10.1136/adc.2004.060491 · Cited by 131 · see citing works
Benvenuti, F., Stanhope, S. J., Thomas, S. L., Panzer, V. P., & Hallett, M. (1997) · Brain Research · doi:10.1016/s0006-8993(97)00260-6 · Cited by 108 · see citing works
Schmitz, C., Martin, N., & Assaiante, C. (2002) · Experimental Brain Research · doi:10.1007/s00221-001-0910-y · Cited by 107 · see citing works
Developmental changes in somatosensory processing in cerebral palsy and healthy individuals
Riquelme, I., & Montoya, P. (2010) · Clinical Neurophysiology · doi:10.1016/j.clinph.2010.03.010 · Cited by 107 · see citing works
Woollacott, M. H., Shumway‐Cook, A., Hutchinson, S., Ciol, M. A., Price, R., & Kartin, D. (2005) · Developmental Medicine & Child Neurology · doi:10.1017/s0012162205000885 · Cited by 106 · see citing works
Development of postural adjustments during reaching in sitting children
van der Heide, J. C., Otten, B., van Eykern, L. A., & Hadders‐Algra, M. (2003) · Experimental Brain Research · doi:10.1007/s00221-003-1451-3 · Cited by 93 · see citing works
Task-specific modulation of anticipatory postural adjustments in individuals with hemiparesis
Slijper, H. P., Latash, M. L., Rao, N., & Aruin, A. S. (2002) · Clinical Neurophysiology · doi:10.1016/s1388-2457(02)00041-x · Cited by 76 · see citing works
Anticipatory Postural Control in Children
Riach, C. L., & Hayes, K. C. (1990) · Journal of Motor Behavior · doi:10.1080/00222895.1990.10735513 · Cited by 69 · see citing works
Postural muscle activity during bilateral and unilateral arm movements at different speeds
Mochizuki, G., Ivanova, T. D., & Garland, S. J. (2004) · Experimental Brain Research · doi:10.1007/s00221-003-1732-x · Cited by 67 · see citing works
Kasai, T., & Taga, T. (1992) · Journal of Motor Behavior · doi:10.1080/00222895.1992.9941632 · Cited by 61 · see citing works
Neural factors underlying reduced postural adaptability in children with cerebral palsy
Roncesvalles, M. N., Woollacott, M. W., & Burtner, P. A. (2002) · NeuroReport · doi:10.1097/00001756-200212200-00006 · Cited by 58 · see citing works
Sieck, G. C. (2004) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00017.2004 · Cited by 57 · see citing works
Fujiwara, K., Toyama, H., & Kunita, K. (2002) · Gait & Posture · doi:10.1016/s0966-6362(02)00100-5 · Cited by 52 · see citing works
Becher, J. G., Harlaar, J., Lankhorst, G. J., & Vogelaar, T. W. (1998) · PubMed · Cited by 42 · see citing works
Cerebral palsy: postural-locomotor prognosis in spastic diplegia.
Badell-Ribera, A. (1985) · PubMed · Cited by 42 · see citing works
Maeda, K., & Fujiwara, K. (2006) · Gait & Posture · doi:10.1016/j.gaitpost.2006.01.004 · Cited by 38 · see citing works
Schmitz, C., & Assaiante, C. (2002) · Neuroscience Letters · doi:10.1016/s0304-3940(02)00590-6 · Cited by 35 · see citing works
Fujiwara, K., Tomita, H., Maeda, K., & Kunita, K. (2008) · Journal of Electromyography and Kinesiology · doi:10.1016/j.jelekin.2007.08.003 · Cited by 34 · see citing works
Self-citationPalluel, E., Ceyte, H., Olivier, I., & Nougier, V. (2008) · Clinical Neurophysiology · doi:10.1016/j.clinph.2008.08.001 · Cited by 29 · see citing works
Functional reaching discloses perceptive impairment in diplegic children with cerebral palsy
Ferrari, A., Tersi, L., Ferrari, A., Sghedoni, A., & Chiari, L. (2010) · Gait & Posture · doi:10.1016/j.gaitpost.2010.05.010 · Cited by 26 · see citing works
Temporal characteristics of lower extremity moment generation in children with cerebral palsy
Downing, A. L., Ganley, K. J., Fay, D. R., & Abbas, J. J. (2009) · Muscle & Nerve · doi:10.1002/mus.21231 · Cited by 24 · see citing works
Tomita, H., Fukaya, Y., Honma, S., Ueda, T., Yamamoto, Y., & Shionoya, K. (2010) · Neuroscience Letters · doi:10.1016/j.neulet.2010.05.059 · Cited by 21 · see citing works
Self-citationKazennikov, O. V., Solopova, I. A., Talis, V. L., & Me, I. (2007) · Experimental Brain Research · doi:10.1007/s00221-007-1224-5 · Cited by 18 · see citing works
Tomita, H., Fujiwara, K., & Fukaya, Y. (2010) · Disability and Rehabilitation · doi:10.3109/09638280903464455 · Cited by 15 · see citing works
Self-citationShen, X., Fujiwara, K., & Tomita, H. (2009) · Clinical Neurophysiology · doi:10.1016/j.clinph.2009.02.163 · Cited by 12 · see citing works
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Sæther, R., Helbostad, J. L., Adde, L., Brændvik, S. M., Lydersen, S., & Vik, T. (2014) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2014.02.011 · Cited by 42 · see citing works
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Shiratori, T., Girolami, G. L., & Aruin, A. S. (2016) · Experimental Brain Research · doi:10.1007/s00221-016-4699-0 · Cited by 17 · see citing works
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Tomita, H., Fukaya, Y., Totsuka, K., & Tsukahara, Y. (2013) · Journal of Neurophysiology · doi:10.1152/jn.00253.2012 · Cited by 7 · see citing works
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Hegazy, R. G., & Abdel-aziem, A. A. (2022) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2023.04.011 · Cited by 4 · see citing works
Vasani, P., Narayan, A., Nayak, A., Alsulaimani, M., & Alzahrani, A. (2025) · Physiotherapy Research International · doi:10.1002/pri.70028 · Cited by 4 · see citing works
Su, I. Y. W., & Chow, D. H. K. (2016) · Journal of Motor Behavior · doi:10.1080/00222895.2015.1092938 · Cited by 3 · see citing works
Inoue, T., Izumi, H., Nishibu, H., & Himuro, N. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1977859 · Cited by 3 · see citing works
Ren, S., Liu, W., Wang, L., Guo, C.-L., & Pang, Q. (2019) · Journal of Integrative Neuroscience · doi:10.31083/j.jin.2019.03.146 · Cited by 3 · see citing works
Siconolfi-Morris, G. (2012) · UKnowledge (University of Kentucky) · Cited by 2 · see citing works
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- Authors
- Tomita, H., Fukaya, Y., Ueda, T., Honma, S., Yamashita, E., Yamamoto, Y., Mori, E., & Shionoya, K.
- Affiliations
- Toyohashi SOZO University (JP)
- Aichi Prefectural Hospital and Rehabilitation Center for Disabled Children, Dai-ni Aoitorigakuen, Okazaki, Japan
- Corresponding author
- Tomita, Hidehito
- Venue
- Journal of Neurophysiology
- Publisher
- American Physiological Society
- Published
- 2011-05
- Volume
- 105
- Issue
- 5
- Pages
- 2157-2168
- ISSN
- 0022-3077 (ISSN-L)
- 1522-1598
- OpenAlex
- W2323511290
- Cited by
- 23
- References
- 43
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 2 · 2022: 2 · 2021: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 5 · 2014: 2 · 2013: 3 · 2012: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Neurophysiology (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
- Physical Sciences › Engineering › Biomedical Engineering › Muscle activation and electromyography studies
- Keywords
- spastic diplegia, anticipatory postural adjustments, postural control, lower leg muscle activity, gastrocnemius, medial hamstring, erector spinae, arm movement, postural perturbation, load lifting, electromyography
- MeSH terms
- Adolescent, Cerebral Palsy, Child, Electromyography, Postural Balance, Female, Humans, Male, Movement, Psychomotor Performance, Young Adult, Anticipation, Psychological
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