Analysis of Postural Stability in Children With Cerebral Palsy and Children With Typical Development: An Observational Study

Saxena, Shikha MPT; Rao, Bhamini K. MPT, PhD; Kumaran, Senthil MPT

Pediatric Physical Therapy:
doi: 10.1097/PEP.0000000000000060
Research Article
Abstract

Purpose: To analyze and compare postural stability during static upright standing between children with cerebral palsy (CP) and age-matched peers with typical development (TD).

Methods: Forty-five children with spastic CP (34 with diplegia and 11 with hemiplegia) and 45 children with TD aged 5 to 12 years were assessed using a posturography device. Postural stability was evaluated under 4 sensory conditions: eyes open and eyes closed on a firm surface; eyes open and eyes closed on a foam surface.

Results: Statistically significant differences were obtained between children with spastic diplegic CP and children with TD under all conditions involving visual and somatosensory conflicts (P < .05), but no significant differences were found between children with hemiplegic CP and children with TD.

Conclusion: Children with spastic diplegic CP have increased postural instability under sensory conditions that involve both visual and somatosensory conflicts.

In Brief

Children with spastic diplegic CP have increased postural instability under sensory conditions that involve both visual and somatosensory conflicts.

Author Information

McGill University (Ms Saxena), Montreal, Canada; Manipal University (Dr. Rao, Mr. Kumaran), Manipal, Karnataka, India.

Correspondence: Bhamini K. Rao, MPT, PhD, Associate Professor, Department of Physiotherapy, Manipal College of Allied Health Sciences, Manipal University, Manipal 576104, Karnataka, India (bhamini.kr@manipal.edu).

This study was conducted when Shikha Saxena was a student at the Manipal College of Allied Health Sciences, Manipal University, Manipal, Karnataka, India.

The authors declare no conflicts of interest.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins and the Section on Pediatrics of the American Physical Therapy Association.