Differences in standing balance between patients with diplegic and hemiplegic cerebral palsy*

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Abstract

Maintaining standing postural balance is important for walking and handling abilities in patients with cerebral palsy. This study included 23 patients with cerebral palsy (seven with spastic diplegia and 16 with spastic hemiplegia), aged from 7 to 16 years of age. Standing posture balance measurements were performed using an AMTI model OR6-7 force platform with the eyes open and closed. Patients with diplegic cerebral palsy exhibited greater center of pressure displacement areas with the eyes open and greater center of pressure sway in the medial-lateral direction with the eyes open and closed compared with hemiplegic patients. Thus, diplegic patients exhibited weaker postural balance control ability and less standing stability compared with hemiplegic cerebral palsy patients.

Research Highlights

(1) Improving postural balance in patients with cerebral palsy is crucial to improve motor function.

Research Highlights

(2) This study innovatively investigated the postural balance control ability in patients with spastic diplegia from the perspective of standing balance and confirmed that spastic diplegia patients with cerebral palsy exhibited worse postural balance control ability compared with spastic hemiplegia patients with cerebral palsy, as demonstrated by the greater center of pressure sway in the medial-lateral direction in both conditions and the center of pressure area during eye opening.

Research Highlights

(3) More special attention to spastic diplegia patients with cerebral palsy will help improve their motor functions.

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