Children with cerebral palsy effectively modulate postural control to perform a supra-postural task.

Gait Posture

University of Cincinnati, Center for Cognition, Action, & Perception, Department of Psychology, ML 0376, 4150 Edwards Center 1, Cincinnati, OH 45221-0376, USA. Electronic address:

Published: June 2015

AI Article Synopsis

  • The study aimed to investigate the postural control in children with cerebral palsy (CP) while they performed a balancing task involving a marble inside a tube.
  • Children with CP exhibited less efficient postural control, showing greater irregularity and variability in their center of pressure (COP) during quiet standing compared to typically developing (TD) peers.
  • When performing the balancing task, the differences in postural control between the two groups lessened but were still significant, highlighting the adaptability of the postural control system in children with CP.

Article Abstract

The purpose of this study was to determine whether signatures of adaptive postural control remain present in children with cerebral palsy (CP) when they performed a supra-postural task (i.e., a task performed above and beyond the control of posture) requiring them to balance a marble inside a tube held in the hands. Measures of center of pressure (COP) dynamics (how regular or predictable were the COP data as quantified by the sample entropy metric) and variability (as quantified by the COP standard deviation) were obtained from a sample of children with CP (n=30) and compared to the same measures taken from typically developing (TD) children. Children with CP demonstrated an apparent inefficiency in postural control (greater irregularity, greater sway variability) relative to TD peers during a quiet-stance (no supra-postural task) condition (p<.05). During supra-postural task performance, those differences were attenuated, though they remained statistically different (p<.05). The findings illustrate flexibility and adaptability in the postural control system, despite the pathological features associated with CP.

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http://dx.doi.org/10.1016/j.gaitpost.2015.04.001DOI Listing

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