Trunk postural reactions to the force perturbation intensity and frequency during sitting astride in children with cerebral palsy.
Abstract: The purpose of this study was to examine kinematic and neuromuscular responses of the head and body to pelvis perturbations with different intensities and frequencies during sitting astride in children with CP. Sixteen children with spastic CP (mean age 7.4 ± 2.4 years old) were recruited in this study. A custom designed cable-driven robotic horse was used to apply controlled force perturbations to the pelvis during sitting astride. Each participant was tested in four force intensity conditions (i.e., 10%, 15%, 20%, and 25% of body weight (BW), frequency = 1 Hz), and six force frequency conditions (i.e., 0.5 Hz, 1 Hz, 1.5 Hz, 2 Hz, 2.5 Hz, and 3 Hz, intensity = 20% of BW). Each testing session lasted for one minute with a one-minute rest break inserted between two sessions. Kinematic data of the head, trunk, and legs were recorded using wearable sensors, and EMG signals of neck, trunk, and leg muscles were recorded. Children with CP showed direction-specific trunk and neck muscle activity in response to the pelvis perturbations during sitting astride. Greater EMG activities of trunk and neck muscles were observed for the greater intensities of force perturbations (P < .05). Participants also showed enhanced activation of antagonistic muscles rather than direction-specific trunk and neck muscle activities for the conditions of higher frequency perturbations (P < .05). Children with CP may modulate trunk and neck muscle activities in response to greater changes in intensity of pelvis perturbation during sitting astride. Perturbations with too high frequency may be less effective in inducing direction-specific trunk and neck muscle activities.
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Publication Date: 2023-11-28 PubMed ID: 38015245PubMed Central: 5303755DOI: 10.1007/s00221-023-06744-0Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
This research focuses on studying the trunk postural reactions in children with cerebral palsy during varying intensity and frequency forces applied to the pelvis during a sitting astride position.
Overview of the Study
- The study was targeted to analyze the kinematic and neuromuscular responses of the head and body to forces applied to the pelvis during a specific posture (sitting astride) in children with spastic cerebral palsy (CP).
- The participants of this study were sixteen children with spastic CP with an average age of 7.4 ± 2.4 years old.
- The research utilized a cable-driven robotic horse specifically designed for this study to apply controlled force perturbations to the pelvis.
Research Methodology
- Participants were subjected to trials with varying force intensity conditions and frequency conditions. Force intensity conditions were set at 10, 15, 20, and 25% of the child’s body weight at a frequency of 1Hz. Frequency conditions were set at 0.5Hz, 1Hz, 1.5Hz, 2Hz, 2.5Hz, and 3Hz, with an intensity of 20% of child’s body weight.
- Each testing session lasted for one minute and was interspersed with a one-minute rest break between two sessions.
- Data on the kinematics of the head, trunk, and legs were recorded using wearable sensors, while electromyographical (EMG) signals of muscles in the neck, trunk, and legs were also recorded.
Findings of the Study
- The study found that the participants exhibited direction-specific trunk and neck muscle activity in response to the varying pelvis perturbations during the sitting astride position.
- Greater EMG activities of the trunk and neck muscles were noted when greater intensity force perturbations were applied.
- For higher frequency force perturbations, the participants showed increased activation of antagonistic muscles as opposed to exhibiting direction-specific trunk and neck muscle activities.
Implications of the Study
- The findings of the study suggest that children with CP can modulate trunk and neck muscle activities in reaction to greater changes in the intensity of force perturbations applied to the pelvis during sitting astride.
- The study implies that perturbations with excessively high frequency may not be effective enough in inducing direction-specific trunk and neck muscle activities.
Cite This Article
APA
Yan S, Park SH, Dee W, Keefer R, Rojas AM, Rymer WZ, Wu M.
(2023).
Trunk postural reactions to the force perturbation intensity and frequency during sitting astride in children with cerebral palsy.
Exp Brain Res.
https://doi.org/10.1007/s00221-023-06744-0 Publication
Researcher Affiliations
- Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E. Erie Street, 23Rd Floor, Chicago, IL, 60611, USA.
- Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA.
- Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E. Erie Street, 23Rd Floor, Chicago, IL, 60611, USA.
- Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA.
- Department of Health and Human Performance, Department of Communication Sciences and Disorders, Department of Clinical Sciences, University of Houston, Houston, TX, USA.
- Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E. Erie Street, 23Rd Floor, Chicago, IL, 60611, USA.
- Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E. Erie Street, 23Rd Floor, Chicago, IL, 60611, USA.
- Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E. Erie Street, 23Rd Floor, Chicago, IL, 60611, USA.
- Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA.
- Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E. Erie Street, 23Rd Floor, Chicago, IL, 60611, USA.
- Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA.
- Legs and Walking Lab, Shirley Ryan AbilityLab, 355 E. Erie Street, 23Rd Floor, Chicago, IL, 60611, USA. w-ming@northwestern.edu.
- Department of Physical Medicine and Rehabilitation, Northwestern University, Chicago, IL, USA. w-ming@northwestern.edu.
- Department of Biomedical Engineering, University of Illinois at Chicago, Chicago, IL, USA. w-ming@northwestern.edu.
Grant Funding
- R01 NS115487 / NINDS NIH HHS
- R01NS115487 / NINDS NIH HHS
References
This article includes 55 references
- Andersen GL, Irgens LM, Haagaas I, Skranes JS, Meberg AE, Vik T. Cerebral palsy in Norway: prevalence, subtypes and severity. Eur J Paediatr Neurol 12:4–13.
- Antunes FN, Pinho AS, Kleiner AF. Different horse’s paces during hippotherapy on spatio-temporal parameters of gait in children with bilateral spastic cerebral palsy: A feasibility study. Res Dev Disabil 59:65–72.
- Bertoti DB. Effect of therapeutic horseback riding on posture in children with cerebral palsy. Phys Ther 68:1505–1512.
- Brogren E, Hadders-Algra M, Forssberg H. Postural control in children with spastic diplegia: muscle activity during perturbations in sitting. Dev Med Child Neurol 38:379–388.
- Brogren E, Hadders-Algra M, Forssberg H. Postural control in sitting children with cerebral palsy. Neurosci Biobehav Rev 22:591–596.
- Brogren E, Forssberg H, Hadders-Algra M. Influence of two different sitting positions on postural adjustments in children with spastic diplegia. Dev Med Child Neurol 43:534–546.
- Buchanan JJ, Horak FB. Emergence of postural patterns as a function of vision and translation frequency. J Neurophysiol 81:2325–2339.
- Bulea TC, Stanley CJ, Damiano DL. Part 2: Adaptation of gait kinematics in unilateral cerebral palsy demonstrates preserved independent neural control of each limb. Front Hum Neurosci 11:50.
- Burtner PA, Qualls C, Woollacott MH. Muscle activation characteristics of stance balance control in children with spastic cerebral palsy. Gait Posture 8:163–174.
- Cappellini G, Ivanenko YP, Dominici N, Poppele RE, Lacquaniti F. Motor patterns during walking on a slippery walkway. J Neurophysiol 103:746–760.
- Carlberg EB, Hadders-Algra M. Postural dysfunction in children with cerebral palsy: some implications for therapeutic guidance. Neural Plast .
- Dewar R, Love S, Johnston LM. Exercise interventions improve postural control in children with cerebral palsy: a systematic review. Dev Med Child Neurol 57:504–520.
- Dominguez-Romero JG, Molina-Aroca A, Moral-Munoz JA, Luque-Moreno C, Lucena-Anton D. Effectiveness of mechanical horse-riding simulators on postural balance in neurological rehabilitation: systematic review and meta-analysis. Int J Environ Res Public Health 17(1):165.
- Flores FM, Dagnese F, Mota CB, Copetti F. Parameters of the center of pressure displacement on the saddle during hippotherapy on different surfaces. Braz J Phys Ther 19:211–217.
- Forssberg H, Hirschfeld H. Postural adjustments in sitting humans following external perturbations: muscle activity and kinematics. Exp Brain Res 97:515–527.
- Hadders-Algra M. General movements in early infancy: what do they tell us about the nervous system?. Early Hum Dev 34:29–37.
- Hadders-Algra M, Brogren E, Katz-Salamon M, Forssberg H. Periventricular leucomalacia and preterm birth have different detrimental effects on postural adjustments. Brain 122(Pt 4):727–740.
- Heyrman L, Molenaers G, Desloovere K, Verheyden G, De Cat J, Monbaliu E, Feys H. A clinical tool to measure trunk control in children with cerebral palsy: The Trunk Control Measurement Scale. Res Dev Disabil 32:2624–2635.
- Heyrman L, Feys H, Molenaers G, Jaspers E, Monari D, Nieuwenhuys A, Desloovere K. Altered trunk movements during gait in children with spastic diplegia: compensatory or underlying trunk control deficit?. Res Dev Disabil 35:2044–2052.
- Kawasaki S, Ohata K, Yoshida T, Yokoyama A, Yamada S. Gait improvements by assisting hip movements with the robot in children with cerebral palsy: a pilot randomized controlled trial. J Neuroeng Rehabil 17:87.
- Keshner EA, Allum JH, Pfaltz CR. Postural coactivation and adaptation in the sway stabilizing responses of normals and patients with bilateral vestibular deficit. Exp Brain Res 69:77–92.
- Kwon JY, Chang HJ, Yi SH, Lee JY, Shin HY, Kim YH. Effect of hippotherapy on gross motor function in children with cerebral palsy: a randomized controlled trial. J Altern Complement Med 21:15–21.
- Kwon YM, Rose J, Kim AR, Son SM. Corticoreticular tract lesion in children with developmental delay presenting with gait dysfunction and trunk instability. Neural Regen Res 12:1465–1471.
- Leonard CT, Moritani T, Hirschfeld H, Forssberg H. Deficits in reciprocal inhibition of children with cerebral palsy as revealed by H reflex testing. Dev Med Child Neurol 32:974–984.
- Lidbeck C, Bartonek A, Yadav P, Tedroff K, Astrand P, Hellgren K, Gutierrez-Farewik EM. The role of visual stimuli on standing posture in children with bilateral cerebral palsy. BMC Neurol 16:151.
- Lightsey P, Lee Y, Krenek N, Hur P. Physical therapy treatments incorporating equine movement: a pilot study exploring interactions between children with cerebral palsy and the horse. J Neuroeng Rehabil 18:132.
- Lopez-Ruiz J, Estrada-Barranco C, Gimenez-Mestre MJ, Villarroya-Mateos I, Martin-Casas P, Lopez-de-Uralde-Villanueva I. Differences between novice and expert raters assessing trunk control using the Trunk Control Measurement Scale Spanish version (TCMS-S) in children with cerebral palsy. J Clin Med 12(10):3568.
- Matusiak-Wieczorek E, Dziankowska-Zaborszczyk E, Synder M, Borowski A. The Influence of Hippotherapy on the Body Posture in a Sitting Position among Children with Cerebral Palsy. Int J Environ Res Public Health .
- McGee MC, Reese NB. Immediate effects of a hippotherapy session on gait parameters in children with spastic cerebral palsy. Pediatr Phys Ther 21:212–218.
- Mills R, Levac D, Sveistrup H. Kinematics and postural muscular activity during continuous oscillating platform movement in children and adolescents with cerebral palsy. Gait Posture 66:13–20.
- Moraes AG, Copetti F, Angelo VR, Chiavoloni LL, David AC. The effects of hippotherapy on postural balance and functional ability in children with cerebral palsy. J Phys Ther Sci 28:2220–2226.
- Moraes AG, Copetti FP, Angelo VB, Chiavoloni LB, de David ACP. Hippotherapy on postural balance in the sitting position of children with cerebral palsy: Longitudinal study. Physiother Theory Pract 10(1080/09593985):1484534.
- Moraes Ag Pt M, Copetti FP, Angelo VB, Chiavoloni LB, de David ACP. Hippotherapy on postural balance in the sitting position of children with cerebral palsy - Longitudinal study. Physiother Theory Pract 36:259–266.
- Nashner LM, Shumway-Cook A, Marin O. Stance posture control in select groups of children with cerebral palsy: deficits in sensory organization and muscular coordination. Exp Brain Res 49:393–409.
- Novak I, McIntyre S, Morgan C. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol 55:885–910.
- Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil 28:183–191.
- Pavao SL, dos Santos AN, Woollacott MH, Rocha NA. Assessment of postural control in children with cerebral palsy: a review. Res Dev Disabil 34:1367–1375.
- Peia F, Veiga NC, Gomes AP, Santos BND, Marques NMS, Gloria I, Goulardins JB. Effects of hippotherapy on postural control in children with cerebral palsy: a systematic review. Pediatr Phys Ther 35:202–210.
- Prosser LA, Lee SC, VanSant AF, Barbe MF, Lauer RT. Trunk and hip muscle activation patterns are different during walking in young children with and without cerebral palsy. Phys Ther 90:986–997.
- Reisman DS, Bastian AJ, Morton SM. Neurophysiologic and rehabilitation insights from the split-belt and other locomotor adaptation paradigms. Phys Ther 90:187–195.
- Roncesvalles MN, Woollacott MW, Burtner PA. Neural factors underlying reduced postural adaptability in children with cerebral palsy. NeuroReport 13:2407–2410.
- Rosen MG, Dickinson JC. The incidence of cerebral palsy. Am J Obstet Gynecol 167:417–423.
- Russell DJ, Rosenbaum PL, Cadman DT, Gowland C, Hardy S, Jarvis S. The gross motor function measure: a means to evaluate the effects of physical therapy. Dev Med Child Neurol 31:341–352.
- Shurtleff TL, Engsberg JR. Changes in trunk and head stability in children with cerebral palsy after hippotherapy: a pilot study. Phys Occup Ther Pediatr 30:150–163.
- Silkwood-Sherer DJ, Killian CB, Long TM, Martin KS. Hippotherapy–an intervention to habilitate balance deficits in children with movement disorders: a clinical trial. Phys Ther 92:707–717.
- Stergiou A, Tzoufi M, Ntzani E, Varvarousis D, Beris A, Ploumis A. Therapeutic effects of horseback riding interventions: a systematic review and meta-analysis. Am J Phys Med Rehabil 96(10):717–725.
- Stergiou AN, Mattila-Rautiainen S, Varvarousis DN, Tzoufi M, Plyta P, Beris A, Ploumis A. The efficacy of equine assisted therapy intervention in gross motor function, performance, and spasticity in children with cerebral palsy. Front Vet Sci 10:1203481.
- Tang R, Kim J, Gaebler-Spira DJ, Wu M. Gradual increase of perturbation load induces a longer retention of locomotor adaptation in children with cerebral palsy. Hum Mov Sci 63:20–33.
- Tseng SH, Chen HC, Tam KW. Systematic review and meta-analysis of the effect of equine assisted activities and therapies on gross motor outcome in children with cerebral palsy. Disabil Rehabil 35:89–99.
- van der Heide JC, Fock JM, Otten B, Stremmelaar E, Hadders-Algra M. Kinematic characteristics of postural control during reaching in preterm children with cerebral palsy. Pediatr Res 58:586–593.
- Woollacott MH, Burtner P, Jensen J, Jasiewicz J, Roncesvalles N, Sveistrup H. Development of postural responses during standing in healthy children and children with spastic diplegia. Neurosci Biobehav Rev 22:583–589.
- Yan S, Park SH, Keefer R, Dee W, Rojas AM, Rymer WZ, Wu M. Improving trunk postural control facilitates walking in children with cerebral palsy: a pilot study. Am J Phys Med Rehabil .
- Zadnikar M, Kastrin A. Effects of hippotherapy and therapeutic horseback riding on postural control or balance in children with cerebral palsy: a meta-analysis. Dev Med Child Neurol 53:684–691.
- Zeiler SR, Krakauer JW. The interaction between training and plasticity in the poststroke brain. Curr Opin Neurol 26:609–616.
- Zhou P, Lock B, Kuiken TA. Real time ECG artifact removal for myoelectric prosthesis control. Physiol Meas 28:397–413.
Citations
This article has been cited 0 times.Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists