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Development of postural adjustments during reaching in infants with CP

Published online by Cambridge University Press:  01 November 1999

Mijna Hadders-Algra ,
Ingrid B M van der Fits ,
Elisabeth F Stremmelaar  and
Bert C L Touwen
Mijna Hadders-Algra
Affiliation:
Department of Medical Physiology, University of Groningen, Groningen, The Netherlands
Ingrid B M van der Fits
Affiliation:
Department of Medical Physiology, University of Groningen, Groningen, The Netherlands
Elisabeth F Stremmelaar
Affiliation:
Department of Paediatrics Beatrix Children's Hospital, University Hospital Groningen, Groningen, The Netherlands
Bert C L Touwen
Affiliation:
Department of Medical Physiology, University of Groningen, Groningen, The Netherlands
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Abstract

The development of postural adjustments during reaching movements was longitudinally studied in seven infants with cerebral palsy (CP) between 4 and 18 months of age. Five infants developed spastic hemiplegia, one spastic tetraplegia, and one spastic tetraplegia with athetosis. Each assessment consisted of a simultaneous recording of video data and surface EMGs of arm, neck, trunk, and leg muscles during reaching in various lying and sitting positions. The basic organization of postural adjustments of the children developing spastic CP was intact. Their main problem was a deficient capacity to modulate the postural adjustments to task-specific constraints – a deficit which was attributed to a combination of an impaired motor coordination and deficits in sensory integration. The child with spastic-dyskinetic CP showed distinct abnormalities in the basic organization of postural adjustments.

Type
Original Articles
Information
Developmental Medicine and Child Neurology , Volume 41 , Issue 11 , November 1999 , pp. 766 - 776
Copyright
© 1999 Mac Keith Press

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