Postural Adjustment of Children With Spastic Diplegic Cerebral Palsy During Seated Hand Reaching in Different Directions  Yun-Huei Ju, MS, PT, Ing-Shiou.

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Postural Adjustment of Children With Spastic Diplegic Cerebral Palsy During Seated Hand Reaching in Different Directions  Yun-Huei Ju, MS, PT, Ing-Shiou Hwang, PhD, PT, Rong-Ju Cherng, PhD, PT  Archives of Physical Medicine and Rehabilitation  Volume 93, Issue 3, Pages 471-479 (March 2012) DOI: 10.1016/j.apmr.2011.10.004 Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 A comparison of a COP excursion in a representative trial of a boy with CP (identification number [ID] 9; age: 82mo; seated height: 82.5cm; total PRT score: 36.9) and an age-matched TD boy (ID 13; age: 81mo; seated height: 87.5cm; total PRT score: 80.6) in all 3 reach directions (top: anterior; middle: lateral; and bottom: medial). A square indicates the beginning of reaching for the target, and a star denotes touching the target. Archives of Physical Medicine and Rehabilitation 2012 93, 471-479DOI: (10.1016/j.apmr.2011.10.004) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 The changes of the COP SR at all 3 reach directions in both groups. The dash line is plotted at SR=1, which means the COP-AP cumulative path is equal to the COP-ML path. Archives of Physical Medicine and Rehabilitation 2012 93, 471-479DOI: (10.1016/j.apmr.2011.10.004) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 A profile of mean pushing and braking forces for each participant with CP and TD during hand acceleration and deceleration in all 3 reach conditions (A, chair data; B, feet data). Positive GRF-AP represents the braking effect, and negative GRF-AP represents the pushing effect. Archives of Physical Medicine and Rehabilitation 2012 93, 471-479DOI: (10.1016/j.apmr.2011.10.004) Copyright © 2012 American Congress of Rehabilitation Medicine Terms and Conditions