Force measurements of postural sway and rapid arm lift in seated children with and without MMC

• Published in: Clinical biomechanics (Bristol) Vol. 17; no. 3; pp. 197 - 202
• Main Authors: Norrlin, Simone, Karlsson, Annica, Ahlsten, Gunnar, Lanshammar, Håkan, C:son Silander, Hans, Dahl, Margareta
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01-03-2002
• Subjects: Adolescent; Arm - physiology; Biomechanical Phenomena; Case-Control Studies; Child; Children; Female; Frequency; Gait - physiology; Ground reaction force; Humans; Leg - physiology; Male; Meningomyelocele - physiopathology; Movement - physiology; Myelomeningocele; Postural Balance - physiology; Posture - physiology; Psychomotor Performance; Reaction Time; Reference Values; Sampling Studies; Severity of Illness Index; Sitting; Statistics, Nonparametric; Sway; Frequency; Myelomeningocele; Sway; Children; Ground reaction force; Sitting
• ISSN: 0268-0033; 1879-1271
• DOI: 10.1016/S0268-0033(02)00006-2

Objective. The aim was to investigate the horizontal ground reaction forces of seated postural sway and rapid arm lift in children with and without myelomeningocele.
Background. It is unclear whether children with myelomeningocele have limited control of body posture entirely caused by the impairment in the legs or also by other dysfunction.
Methods. 11 children with myelomeningocele, 10–13 years, and 20 children without physical impairment were investigated. Data were collected by force plate measurements during quiet sitting and during rapid arm lift. The forces were expressed as the corresponding acceleration of the centre of mass. The amplitude and the frequency of the centre of mass acceleration quantified the sway. Movement time, onset and anteroposterior peak acceleration were analysed during arm lift.
Results. The children with myelomeningocele had a low sway frequency under both conditions: eyes open and eyes closed. The movement time was longer for these children compared to the controls. The onset of initial anteroposterior centre of mass acceleration preceded the arm lift and was directed forward in both groups. The peak centre of mass acceleration was usually directed backward.
Conclusions. The control of postural sway was different in children with myelomeningocele compared to children without disabilities and this could not be explained by the cele level. The children with myelomeningocele had a slow motor performance of the seated sway and during arm lift.
Relevance
Slow motor performance involves functional limitations in the individual child and is important for the therapy program.