PMID- 34179752
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220424
IS  - 2590-1095 (Electronic)
IS  - 2590-1095 (Linking)
VI  - 3
IP  - 2
DP  - 2021 Jun
TI  - A New Method for Postural Misalignment of a 6-Year-Old Girl With Cerebral Palsy: 
      A Case Report.
PG  - 100116
LID - 10.1016/j.arrct.2021.100116 [doi]
LID - 100116
AB  - OBJECTIVE: To demonstrate the effects of a newly designed postural alignment 
      relearning system on postural control dysfunction in a typical patient with 
      cerebral palsy (CP). DESIGN: Evaluation before and after 8 weeks of Constraint 
      Standing Training 3-dimensional postural alignment relearning system. SETTING: 
      Department of Rehabilitation Medicine. PARTICIPANT: A 6-year-old girl with CP and 
      postural misalignment on Gross Motor Function Classification System level I. 
      INTERVENTIONS: Constraint Standing Training for 8 weeks to correct postural 
      misalignment. MAIN OUTCOME MEASURES: Parameters of lateral plain radiographs in 
      static standing, posturography measurements in standing and walking, motor 
      ability (Gross Motor Function Measure-88 [GMFM-88] scores, manual muscle testing 
      [MMT] scores, muscle architecture), and gait kinematic parameters (40 
      3-dimensional parameters of arms, trunk, waist, and lower limbs). RESULTS: Knee 
      hyperextension angle in static standing; peaks of knee flexion angle (KFA) when 
      walking, hip flexion angle and ankle flexion angle in dynamic standing; and the 
      KFA at initial contact in gait cycle all decreased significantly (P<.01). Scores 
      of GMFM-88 sections D and E and MMT of 5 core stability muscles improved (P<.01). 
      The velocities and range of motion of the arms, the 3-dimensinoal range of motion 
      of the trunk and waist, and most of the parameters of the lower limbs showed 
      statistically significant change (P<.01). Bilateral muscle thickness did not 
      change significantly after the treatment (P=.738 left, P=.978 right), but the 
      gluteus maximus morphology was changed: the muscle fibers became rounder, the 
      interfiber space decreased, and the border lines of the muscle fibers got 
      clearer. CONCLUSIONS: Postural alignment, motor ability, and gait may be 
      homologous external manifestations of more fundamental core abilities, referring 
      to correct standing posture cognition, muscle activation, and postural 
      unconsciousness. Constraint Standing Training 3-dimensional postural alignment 
      relearning system aimed to improve the static and dynamic standing control 
      ability, may fix postural misalignment and improve motor ability and flexed-knee 
      gait. Future work should use Constraint Standing Training with patients with 
      different kinds of misalignment, choose sensitive indicators, observe the 
      duration of each step, and reveal the mechanism causes postural misalignment.
CI  - (c) 2021 The Authors.
FAU - Hou, Ying
AU  - Hou Y
AD  - Department of Rehabilitation Medicine, Affiliated Suzhou Hospital of Nanjing 
      Medical University, Suzhou.
FAU - Zheng, Huitian
AU  - Zheng H
AD  - Department of Rehabilitation Medicine, Affiliated Suzhou Hospital of Nanjing 
      Medical University, Suzhou.
FAU - Li, Jinping
AU  - Li J
AD  - Department of Rehabilitation Medicine, Affiliated Suzhou Hospital of Nanjing 
      Medical University, Suzhou.
FAU - Wang, Shujia
AU  - Wang S
AD  - Department of Rehabilitation Medicine, Affiliated Suzhou Hospital of Nanjing 
      Medical University, Suzhou.
FAU - Zhang, Dongmei
AU  - Zhang D
AD  - Department of Rehabilitation Medicine, Affiliated Suzhou Hospital of Nanjing 
      Medical University, Suzhou.
FAU - Tang, Tong
AU  - Tang T
AD  - Department of Rehabilitation Medicine, Affiliated Suzhou Hospital of Nanjing 
      Medical University, Suzhou.
FAU - Xu, Mindan
AU  - Xu M
AD  - Neurological Rehabilitation Department, Zhangjiagang Gangcheng Rehabilitation 
      Hospital, Zhangjiagang.
FAU - Zhou, Hong
AU  - Zhou H
AD  - Children Rehabilitation Department, Kunshan Rehabilitation Hospital, Kunshan, 
      China.
LA  - eng
PT  - Case Reports
DEP - 20210223
PL  - United States
TA  - Arch Rehabil Res Clin Transl
JT  - Archives of rehabilitation research and clinical translation
JID - 101763542
PMC - PMC8212001
OTO - NOTNLM
OT  - CST, Constraint Standing Training
OT  - Cerebral palsy
OT  - Exercise movement techniques
OT  - GMFCS, Gross Motor Function Classification System
OT  - GMFM-88, Gross Motor Function Measure-88
OT  - IC, initial contact
OT  - KFA, knee flexion angle
OT  - List of abbreviations: CP, cerebral palsy
OT  - MMT, manual muscle testing.
OT  - Posture
OT  - Rehabilitation
EDAT- 2021/06/29 06:00
MHDA- 2021/06/29 06:01
PMCR- 2021/02/23
CRDT- 2021/06/28 06:13
PHST- 2021/06/28 06:13 [entrez]
PHST- 2021/06/29 06:00 [pubmed]
PHST- 2021/06/29 06:01 [medline]
PHST- 2021/02/23 00:00 [pmc-release]
AID - S2590-1095(21)00020-3 [pii]
AID - 100116 [pii]
AID - 10.1016/j.arrct.2021.100116 [doi]
PST - epublish
SO  - Arch Rehabil Res Clin Transl. 2021 Feb 23;3(2):100116. doi: 
      10.1016/j.arrct.2021.100116. eCollection 2021 Jun.