Skip to main content

Design Requirements to Enhance the Postural Control in Patients with Severe Spastic Quadriplegia

  • Conference paper
  • First Online:
Book cover Advances in Ergonomics in Design (AHFE 2017)

Abstract

The aim of this project was to identify a set of design requirements that could be used as a guide to generate effective products to tackle the negative effects of severe spastic quadriplegia (SSQ) with a focus on head and trunk control. This project was undertaken with the participation of a seven year old boy with SSQ who showed an extensor pattern, according to the WeeFIM had a functional performance of 26% and was unable to control his head or trunk when subjected to anti-gravitational positions. A series of tests were conducted regarding the analysis of segmental supports. External inputs such as video, sound, vibration, and different ways to collocate clothes were evaluated as part of this study. Among the most relevant design requirements identified from this study were the recommendation about the placement of external supports on the pelvic area and avoiding physical contact with the dorsal spine.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 259.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 329.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Bigongiari, A., de Andrade e Souza, P., Franciulli, P.M., El Razi Neto, S., Correa Araujo, C., Mochizuki, L.: Anticipatory and compensatory postural adjustments in sitting in children with cerebral palsy. Hum. Mov. Sci. 30(3), 648–657 (2011)

    Article  Google Scholar 

  2. Blair, E.: Epidemiology of the cerebral palsies. Orthop. Clin. N. Am. 41(4), 441–455 (2010)

    Article  Google Scholar 

  3. Blair, E., Watson, L.: Epidemiology of cerebral palsy. Semin. Fetal Neonatal Med. 11(2), 117–125 (2006)

    Article  Google Scholar 

  4. Bobath, B.: Actividad postural refleja anormal causada por lesiones cerebrales. Editorial Médica Panamericana, Buenos Aires (1987)

    Google Scholar 

  5. Bobath, B., Bobath, K.: Desarrollo motor en distintos tipos de parálisis cerebral. Editorial Médica Panamericana, Buenos Aires (1987)

    Google Scholar 

  6. Cheng, H.Y.K., Yu, Y.C., Wong, A.M.K., Tsai, Y.S., Ju, Y.Y.: Effects of an eight-week whole body vibration on lower extremity muscle tone and function in children with cerebral palsy. Res. Dev. Disabil. 38, 256–261 (2015)

    Article  Google Scholar 

  7. Finnie, N.R.: Atención en el hogar del niño con parálisis cerebral. Ediciones Científicas La Prensa Médica Mexicana, Distrito Federal (2004)

    Google Scholar 

  8. Gómez-Regueira, N., Viñas-Diz, S.: Mejora del control postural y equilibrio en la parálisis cerebral infantil: revisión sistemática. Fisioterapia 38(4), 196–214 (2016)

    Article  Google Scholar 

  9. Karabay, I., Dogan, A., Ekiz, T., Koseoglu, B.F., Ersoz, M.: Training postural control and sitting in children with cerebral palsy: Kinesio taping vs. neuromuscular electrical stimulation. Complement. Ther. Clin. Pract. 24, 67–72 (2016)

    Article  Google Scholar 

  10. Krigger, K.W.: Cerebral palsy: an overview. Am. Fam. Phys. 73(1), 91–100 (2006)

    Google Scholar 

  11. Lampe, R., Mitternacht, J.: Correction versus bedding: wheelchair pressure distribution measurements in children with cerebral palsy. J. Child. Orthop. 4(4), 291–300 (2010)

    Article  Google Scholar 

  12. Mancini, M., Horak, F.B.: The relevance of clinical balance assessment tools to differentiate balance deficits. Eur. J. Phys. Rehabil. Med. 46(2), 239–248 (2010)

    Google Scholar 

  13. National Health System. http://www.nhs.uk/conditions/Cerebral-palsy/Pages/Introduction.aspx

  14. Peréz-de la Cruz, S.: Parálisis cerebral infantil y el uso de sistemas de posicionamiento para el control postural: estado actual del arte. Neurología 1, 1–5 (2015)

    Google Scholar 

  15. Reddihough, D.S., Collins, K.J.: The epidemiology and causes of cerebral palsy. Aust. J. Physiother. 49(1), 7–12 (2003)

    Article  Google Scholar 

  16. Saavedra, S.L., Woollacott, M.H.: Segmental contributions to trunk control in children with moderate-to-severe cerebral palsy. Arch. Phys. Med. Rehabil. 96(6), 1088–1097 (2015)

    Article  Google Scholar 

  17. Secretaría de Salud: Evaluación diagnóstica del niño con parálisis cerebral en el tercer nivel de atención. CENETEC, Distrito Federal (2009)

    Google Scholar 

  18. Venkateswaran, S., Shevell, M.I.: Etiologic profile of spastic quadriplegia in children. Pediatr. Neurol. 37(3), 203–208 (2007)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paulina Manzano-Hernandez .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this paper

Cite this paper

Manzano-Hernandez, P., Vidana-Zavala, D., Landa-Avila, I.C., Aceves-Gonzalez, C. (2018). Design Requirements to Enhance the Postural Control in Patients with Severe Spastic Quadriplegia. In: Rebelo, F., Soares, M. (eds) Advances in Ergonomics in Design. AHFE 2017. Advances in Intelligent Systems and Computing, vol 588. Springer, Cham. https://doi.org/10.1007/978-3-319-60582-1_80

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-60582-1_80

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-60581-4

  • Online ISBN: 978-3-319-60582-1

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics