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ISSN 2992-779X (Electronic)
ISSN 2007-6452 (Print)

2014, Number 4

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Investigación en Discapacidad 2014; 3 (4)

Association among balance response of erecting spine muscles and hip disorders in cerebral palsy

Alí-Morell OJ, Zurita-Ortega F, Padilla-Obispo B, Martínez-Porcel R

Language: Spanish
References: 32
Page: 153-161
PDF size: 195.71 Kb.


ABSTRACT

Introduction: Disturbances of the hip joint are about the most common disorders in patients with CP and mobility limitation. Intervention on spastic hip adductor and flexor muscles are not always satisfactory at all to improve body balance. Purpose of this study is to assess relationship among trunk stability and specific deficit of spinal erector reaction and development of hip subluxation or dislocation in spastic CP patients, in base to Gross Motor Function Classification System (GMFCS) level V. Methods: Activity of muscles longissimus thoracis (LT) and iliocostalis lumborum (IC) was recorded by surface electromyography in 10 patients with spastic quadriplegia and antero-posterior and lateral imbalance, compared to that obtained in sitting position without destabilization. As well, the 20 patients’ hips were assessed by the Reimers migration index (MI). Results: The highest rate of minimum MI of hips (‹ 30%) is associated to right responses of LT to anteroposterior and lateral imbalances. On the opposite, the highest rate of MI of hips ≥ 30% was associated to poor response of LT and IC imbalance. Conclusion: Good response of erector spine muscles to vestibular stimulation is associated to hips with MI lesser than 30% in class V patients of GMFCS.


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