Influence of Variations in Seat Surface Inclination on Trunk Muscle Recruitment and Reaching Ability in Children with Spastic Cerebral Palsy: Systematic Review Dighe Apoorva1, Bose Meruna2,*, Parab Shrutika3 1MPT Student, Department of Neuro-Physiotherapy, MGM School of Physiotherapy, Navi Mumbai, Maharashtra, India 2Associate Professor and Head of Department, Department of Neuro-Physiotherapy, MGM School of Physiotherapy, Navi Mumbai, Maharashtra, India 3Assistant Professor, Department of Neuro-Physiotherapy, MGM School of Physiotherapy, Navi Mumbai, Maharashtra, India *Corresponding Author: Dr. Meruna Bose, MGM School of Physiotherapy, Sec 1, Kamothe, Navi Mumbai-410209, Maharashtra, India. Email: merunabose.mgmsop@gmail.com
Online published on 11 July, 2019. Abstract Functional sitting is defined as a position in which children with Cerebral Palsy gain head- trunk and foot control with maximum degree of independent function while performing arm and hand movements during tasks. Aim of systematic review was to evaluate current evidence on effect of seat surface inclination on trunk muscle recruitment and manual reaching ability in children with spastic Cerebral Palsy (CP). Literature search was conducted through electronic databases which included Google Scholar, Pub Med, Science Direct, ERIC and Web of Science for studies performed from year 2004 to 2017. Reaching activity, seat surface inclination and spastic CP were used as keywords. In total 217 articles were identified through database search, out of which 208 were removed due to duplication or exclusion. Out of 217 studies, 9 were selected for this review from search in electronic databases. Literature search was performed from year 2004 referring to subject of interest up to 2017. Majority of the studies included in systematic review demonstrated that children with spastic CP sitting with an anterior incline demonstrated reduced postural sway which resulted in improved postural control. Reaching activity also improved with anterior inclination in these children in comparison with posterior inclination. However, these literatures did not highlight influence of seat surface inclination on trunk muscle recruitment in children with CP. Top Keywords Reaching activity, seat surface inclination, spastic cerebral palsy. Top |