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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Asymmetry in children with unilateral cerebral palsy during sit-to-stand movement: Cross-sectional, repeated-measures and comparative study

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dos Santos, Adriana Neves [1, 2] ; Pena, Gisele Moreira [1] ; Guilherme, Evelyn Maria [1] ; Cicuto Ferreira Rocha, Nelci Adriana [1]
Total Authors: 4
[1] Univ Fed Sao Carlos, Dept Physiotherapy, Rod Washington Luis, Km 235, BR-13565905 Sao Carlos, SP - Brazil
[2] Univ Fed Santa Catarina, Dept Hlth Sci, Rod Governador Jorge Lacerda 3201, Km 35, 4, BR-88905355 Ararangua, SC - Brazil
Total Affiliations: 2
Document type: Journal article
Source: CLINICAL BIOMECHANICS; v. 71, p. 152-159, JAN 2020.
Web of Science Citations: 0

Background: We aimed to compare motor strategies adopted by children with unilateral Cerebral Palsy and typically developing children during the performance of sit-to-stand. Methods: Eleven children with unilateral cerebral palsy and 20 typically developing children were evaluated. Kinematic and kinetic analysis of the sit-to-stand movement was performed. Three seat heights were evaluated: neutral (90 degrees of hip-knee-ankle flexion), elevated to 120% of the neutral height, and lowered to 80% of the neutral height. As outcome variables, we considered sit-to-stand duration (temporal); initial, final and maximal sagittal angles and range of motion of trunk, pelvis, hip, knee, and ankle (kinematics); the peak of vertical ground reaction force (kinetics), and asymmetric index. Effect size is represented by eta(2)p. Findings: We found that for the lowered seat, all groups presented increased flexion of lower limbs and trunk to initiate sit-to-stand (p <= 0.012; eta(2)p = 0.41-0.84), increased peak flexion of trunk, hip and knee (p <= 0.01; eta(2)p = 0.39-0.88), increased range of motion of knee and trunk (p <= 0.01; eta(2)p = 0.45-0.85) and the duration of sit-to-stand (p <= 0.05 eta(2)p = 0.23-0.56). Children with unilateral cerebral palsy presented increased posterior pelvic tilt (p <= 0.01) and decreased hip flexion of both lower limbs (p <= 0.01) for all seat heights and moved their non-affected limb backward in the lowered seat (p <= 0.01). Asymmetry was observed for the final and the maximal angles of the ankle in neutral and lowered seats in unilateral cerebral palsy (asymmetry index = 3.3-5.8%). Interpretation: The lowered seat height led to adaptive motor strategies in children with unilateral cerebral palsy, which should be considered in clinical practice. (AU)

FAPESP's process: 12/18592-9 - Influence of bench heigth and kinesiotaping in sit-to-stand movement in children with cerebral palsy
Grantee:Thiago Luiz de Russo
Support type: Regular Research Grants
FAPESP's process: 12/10558-6 - Effects os kinesio taping and bench heigth during sit to stand movement in children with Cerebral Palsy
Grantee:Adriana Neves dos Santos
Support type: Scholarships in Brazil - Doctorate