Effect of supporting 3D-garment on gait postural stability in children with bilateral spastic cerebral palsy.
BACKGROUND
Children with cerebral palsy show dysfunctional postural control which interferes with their functional performance and daily-life activities.


OBJECTIVE
The aim of the study was to identify the effect of a 3D supporting garment on trunk postural control and interjoint coordination during gait in children with bilateral cerebral palsy.


METHODS
We analyzed tridimensional trunk motion, trunk-thigh and interjoint coordination in 15 4-10 year-old children with bilateral spastic cerebral palsy (GMFCS I or II) and 16 4-10 year-old typically developing children while walking with or without a supporting garment.


RESULTS
We found significantly changes in the coordination between trunk and lower limbs in children with cerebral palsy. Step velocity and cadence both increased significantly in children with cerebral palsy but in controls, the cadence remained unaltered. Interjoint coordination between hip-knee and knee-ankle was altered during the stance phase only in the subgroup of children with cerebral palsy without any limitations in ankle joint passive range of motion.


CONCLUSION
3D supporting garments improve trunk-thigh and lower limb interjoint coordination in walking in children with bilateral cerebral palsy.
['Degelaen|Marc|M|', 'De Borre|Ludo|L|', 'Buyl|Ronald|R|', 'Kerckhofs|Eric|E|', 'De Meirleir|Linda|L|', 'Dan|Bernard|B|']
D000843:Ankle Joint D001696:Biomechanical Phenomena D002547:Cerebral Palsy D002648:Child D002675:Child, Preschool D003020:Clothing D005260:Female D005684:Gait D020233:Gait Disorders, Neurologic D006621:Hip Joint D006801:Humans D007719:Knee Joint D008297:Male D009989:Orthotic Devices D004856:Postural Balance D060726:Torso D016138:Walking
cerebral palsy postural control 3D supporting garment interjoint coordination