Influence of different seats on postural alignment: hammock adapted for cerebral palsy
DOI:
https://doi.org/10.1590/1809-2950/19013227022020Keywords:
Cerebral Palsy, Self-Help Devices, PostureAbstract
The hammock is an option to sit in the northern region of Brazil. However, its flexible structure can cause postural instability in individuals with cerebral palsy (CP), limiting their independence. Therefore, a hammock was created with a seat/back, seeking a seated positioning with adequate postural alignment. The objective was to verify the alignment of the trunk and lower limbs of individuals with CP in the conditions: adapted hammock, non-adapted hammock and bench, comparing them with control individuals without neurological disabilities. Six individuals with CP (CPG) and six individuals without neurological alterations (CG), aged between 8 and 14 years old, were evaluated in the seated posture under the conditions: adapted hammock, bench and hammock without seat/back support. By the kinematic analysis, angles of trunk, pelvis and lower limbs were evaluated in static posture for 5 seconds. Part of the Quebec B-Quest questionnaire was applied to the guardians. Results: lower limb, pelvis and trunk angles were similar in the three conditions. Quebec B-Quest: Greater satisfaction with product dimensions and less with comfort and safety. The adapted hammock can be considered an option to sit for short time, because it promoted postural control in individuals with CP.
Downloads
References
Rosenbaum P, Paneth N, Leviton A, Goldstein M, Martin B.
A report: The definition and classification of cerebral palsy
April 2006. Dev Med Child Neurol. 2007;49 Suppl 109:8-14.
doi: 10.1111/j.1469-8749.2007.tb12610.x
Hadders-Algra M. Typical and atypical development of reaching
and postural control in infancy. Dev Med Child Neurol. 2013;55
Suppl 4:5-8. doi: 10.1111/dmcn.12298
Bittencourt Z, Cheraid DC, Montilha RC, Gasparetto ME.
Expectativas quanto ao uso de tecnologia assistiva. J Res Spec
Educ Needs. 2016;16 Suppl 1:492-6. doi: 10.1111/1471-3802.12311
Ramos RL, Silva PS, Bastos L, Figueiredo NM. Vantagens do uso
da Rede de dormir: contribuições da enfermagem para a vida. Rev
Cuba Enferm. 2017;33(1). Disponível em: https://bit.ly/3d8Ammt
Arakaki VC, de Carvalho Cardoso MC, Thinen NC, Imamura M,
Battistella LR. Paralisia cerebral: membros superiores: reabilitação.
Acta Fisiatrica. 2012; 19(2):123-9. 10.5935/0104-7795.20120019.
Myhr U, von Wendt L, Sandberg KW. Assessment of sitting
in children with cerebral palsy from videofilm: A reliability
study. Phys Occup Ther Pediatr. 1993;12(4):21-35. 10.1080/
J006v12n04_03.
Valvano J, Rapport J. Activity-focused motor interventions for infants
and young children with neurological conditions. Infants Young Child.
;19(4):292-307. doi: 10.1097/00001163-200610000-00003
Cimolin V, Avellis M, Piccinini L, Corbetta C, Cazzaniga A,
Turconi AC, et al. Comparison of two pelvic positioning belt
configurations in a pediatric wheelchair. Assist Technol.
;25(4):240-6. doi: 10.1080/10400435.2013.778916
Braccialli LMP, de Oliveira FT, Braccialli AC, Sankako AN.
Influência do assento da cadeira adaptada na execução de uma
tarefa de manuseio. Rev Bras Educ Espec. 2008;14(1):141-54.
doi: 10.1590/S1413-65382008000100011
Furuya M, Ohata K, Izumi K, Matsubayashi J, Tominaga W,
Mitani A. Effect of the angle of shoulder flexion on the reach
trajectory of children with spastic cerebral palsy. Res Dev
Disabil. 2015;36:413-8. doi: 10.1016/j.ridd.2014.10.037
Sedrez JA, Furlanetto TS, Noll M, Gontijo KNS, da Rosa BN,
Candotti CT. Relação entre alterações posturais e fatores
associados em escolares do ensino fundamental. Rev
Baiana Saúde Pública. 2014;38(2):279-96. doi: 10.5327/
Z0100-0233-2014380200005
Cunha AB, Polido GJ, Bella GP, Garbellini D, Fornasari CA.
Relação entre alinhamento postural e desempenho motor em
crianças com paralisia cerebral. Fisioter Pesqui. 2009;16(1):22-7.
doi: 10.1590/S1809-29502009000100005
Reid DT. The effects of the saddle seat on seated postural
control and upper-extremity movement in children with
cerebral palsy. Dev Med Child Neurol. 1996;38(9):805-15. doi:
1111/j.1469-8749.1996.tb15115.x
Shumway-Cook A, Woollacott M. Controle motor: teoria e
aplicações práticas. São Paulo: Manole; 2010.
van Drunen P, van der Helm FCT, van Dieën JH, Happee R.
Trunk stabilization during sagittal pelvic tilt: From trunk-onpelvis to trunk-in-space due to vestibular and visual feedback.
J Neurophysiol. 2016;115(3):1381-8. doi: 10.1152/jn.00867.2015
Robson P. A neurophysiological basis for the treatment of
cerebral palsy. Arch Dis Child. 1991;56(1):80.
Pavão SL, Visicato LP, da Costa CSN, de Campos AC, Rocha
NACF. Effect of the severity of manual impairment and hand
dominance on anticipatory and compensatory postural
adjustments during manual reaching in children with
cerebral palsy. Res Dev Disabil. 2018;83:47-56. doi: 10.1016/
j.rpped.2014.11.012 0103-0582/
Myhr U, von Wendt L. Improvement of functional sitting
position for children with cerebral palsy. Dev Med Child Neurol.
Downloads
Published
Issue
Section
License
Copyright (c) 2020 Flávia Pantoja Machado, Cristina dos Santos Cardoso de Sá, Raquel de Paula Carvalho
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
