Trunk involvement in performing upper extremity activities while seated in neurological patients with a flaccid trunk - A review
Publication year
2018Source
Gait & Posture, 62, (2018), pp. 46-55ISSN
Publication type
Article / Letter to editor
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Organization
Rehabilitation
Journal title
Gait & Posture
Volume
vol. 62
Page start
p. 46
Page end
p. 55
Subject
Radboudumc 3: Disorders of movement DCMN: Donders Center for Medical NeuroscienceAbstract
BACKGROUND: Trunk control is essential during seated activities. The trunk interacts with the upper extremities (UE) and head by being part of a kinematic chain and by providing a stable basis. When trunk control becomes impaired, it may have consequences for the execution of UE tasks. AIM: To review trunk involvement in body movement and stability when performing seated activities and its relation with UE and head movements in neurological patients with a flaccid trunk, with a focus on childhood and development with age. METHODS AND PROCEDURES: A search using PubMed was conducted and 32 out of 188 potentially eligible articles were included. OUTCOMES AND RESULTS: Patients with a flaccid trunk (e.g. with spinal cord injury or cerebral palsy) tend to involve the trunk earlier while reaching than healthy persons. Different balance strategies are observed in different types of patients, like using the contralateral arm as counterweight, eliminating degrees of freedom, or reducing movement speed. CONCLUSIONS AND IMPLICATIONS: The key role of the trunk in performing activities should be kept in mind when developing interventions to improve seated task performance in neurological patients with a flaccid trunk.
This item appears in the following Collection(s)
- Academic publications [238441]
- Faculty of Medical Sciences [90373]
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