Effect of supporting 3D-garment on gait postural stability in children with bilateral spastic cerebral palsy

Article type: Research Article

Authors: Degelaen, Marc^{a; b; e; *} | De Borre, Ludo^{a; d} | Buyl, Ronald^g | Kerckhofs, Eric^e | De Meirleir, Linda^f | Dan, Bernard^{b; c; d}

Affiliations: [a] Centre d’Analyse du Mouvement, Hôpital Brugmann, Université Libre de Bruxelles (ULB), Brussels, Belgium | [b] Rehabilitation Hospital Inkendaal, Vlezenbeek, Belgium | [c] Laboratory of Neurophysiology and Movement Biomechanics Faculty of Movement Science, Université Libre de Bruxelles (ULB), Brussels, Belgium | [d] Hôpital Universitaire des Enfants Reine Fabiola, Université Libre de Bruxelles (ULB), Brussels, Belgium | [e] Vrije Universiteit Brussel, Rehabilitation Research (RERE), Brussels, Belgium | [f] Universitair Ziekenhuis Vrije Universiteit Brussel (VUB), Brussels, Belgium | [g] Dienst Biostatistiek en Informatica, Faculteit Geneeskunde en Farmacie, Vrije Universiteit Brussel (VUB), Brussels, Belgium

Correspondence: [*] Address for correspondence: Prof. M. Degelaen, Vrije Universiteit Brussel, Rehabilitation Research, Laarbeeklaan 103, 1090 Brussels, Belgium. Tel./Fax: +32 2 4774529; E-mail: [email protected].

Abstract: 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.

Keywords: 3D supporting garment, cerebral palsy, postural control, interjoint coordination

DOI: 10.3233/NRE-161349

Journal: NeuroRehabilitation, vol. 39, no. 2, pp. 175-181, 2016