Purpose: To compare the effects of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy.
Materials And Methods: Twelve children with hemiplegic cerebral palsy and 12 typically developing children ages 5 to 12 years (GMFCS I-II) were evaluated with the Timed Up and Go (TUG) and Biodex Balance System during three upper extremity (UE) conditions: 1) Free UEs (no constraints), 2) Simple UE constraint (unaffected/dominant UE constrained with a sling), and 3) Difficult UE constraint (Simple constraint plus the other UE holding cup of water).
Results: The UE condition had significant effects on Overall Stability Index (OSI) (F = 24.899, < .001), Medial-Lateral Stability Index (MLSI) (F = 4.380, = .018), Anterior-Posterior Stability Index (F = 6.187, = .004), and TUG scores (F = 113.372, < .001). Group was significant for OSI (F = 7.906, = .010), MLSI (F = 13.113, = .002), and TUG (F = 36.282, < .001).
Conclusions: The upper extremity appears to have a role in maintaining functional balance and postural stability in children with hemiplegic cerebral palsy and should be considered during intervention programs.
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| http://dx.doi.org/10.1080/17518423.2021.2020351 | DOI Listing |
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