An asymmetric windswept posture is often seen in children with severe cerebral palsy (CP). However, it is still unclear how long children with CP remain in the windswept posture in daily life. Thus, we developed a triple-accelerometer system for detecting windswept posture. The aim of this study was to assess the validity of a system for classifying various body postures and movements. We assessed the accuracy of our system in nine healthy young adults (age range, 21-23 years). The participants wore acceleration monitors on the sternum and both thighs, then spent 3 min each in eight different positions and three physical activities. Once accuracy was confirmed, we assessed the posture and movements for 24 h in six healthy young adults (age range, 21-23 years) in their home environments. The body postures and activities were correctly detected: the agreement across the subjects were 100% compatible with the subjects' activity logs at least 68% of the time, and at least 96% of the time for recumbent positions. We concluded that the proposed monitoring system is a reliable and valid approach for assessing windswept hip posture in a free-living setting.
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Classification of windswept posture in daily life using tri-axial accelerometers.
Proc Inst Mech Eng H
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Department of Assistive Technology, Research Institute of National Rehabilitation Center for Persons with Disabilities, Tokorozawa, Japan.
An asymmetric windswept posture is often seen in children with severe cerebral palsy (CP). However, it is still unclear how long children with CP remain in the windswept posture in daily life. Thus, we developed a triple-accelerometer system for detecting windswept posture.
View Article and Find Full Text PDFEvidence-informed clinical perspectives on postural management for hip health in children and adults with non-ambulant cerebral palsy.
J Pediatr Rehabil Med
April 2022
University of British Columbia, Vancouver, BC, Canada.
Postural management is a multi-disciplinary approach incorporating a comprehensive schedule of daily and night-time positions, equipment and physical activity to help maintain or improve body structures and function and increase activity and participation. Postural management may play a role in preventing contracture, deformity, pain, and asymmetry. This article provides an overview of the evidence supporting use of postural management to positively influence hip health in individuals with cerebral palsy, functioning as Gross Motor Classification System (GMFCS) levels IV or V.
View Article and Find Full Text PDFRelationship between scoliosis, windswept hips and contractures with pain and asymmetries in sitting and supine in 2450 children with cerebral palsy.
Disabil Rehabil
November 2022
Department of Clinical Sciences, Orthopaedics, Lund University, Lund, Sweden.
Purpose: This cross-sectional study of 2450 children with cerebral palsy aimed to analyse the prevalence and association of scoliosis, windswept hips, hip and knee contractures.
Methods: Logistic regression was used to estimate associations with pain, postural asymmetries, and ability to change position for children at Gross Motor Function Classification System (GMFCS) levels I-V, aged 0-18 years.
Results: Most children with a deformity or contracture had postural asymmetries in both sitting and supine positions; 10.
Pain and its relationship with postural asymmetry in adults with cerebral palsy: A preliminary exploratory study.
Disabil Health J
July 2021
Physiotherapy Department, Monash University, Frankston, Australia. Electronic address:
Background: Pain in adults with cerebral palsy (CP) is commonly reported, with muscular and skeletal dysfunction resulting in postural asymmetry as potential contributors to multifactorial causes of pain. The relationship between pain and postural asymmetry of the thoracic cage, pelvis and hips in non-ambulatory adults with CP however is unknown, particularly in those with cognitive and communication limitations.
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A case report of severe degenerative lumbar scoliosis associated with windswept lower limb deformity.
BMC Surg
September 2020
Department of Orthopedics Surgery and Orthopedics Research Institute, West China Hospital, Sichuan University, No. 37 GuoXue Road, Chengdu, Sichuan, China.
Background: The windswept lower limb deformity describes valgus deformity in one leg with varus deformity in the other. It is mostly seen in young children with metabolic bone diseases (such as rickets) and may lead to leg length discrepancy (LLD) and Degenerative scoliosis (DS) in older age. To the best of our knowledge, there was no report of the spinal surgery in patient with severe DS associated with windswept deformity.
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