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Static Postural Control in Youth With Osteogenesis Imperfecta Type I

  • Annie Pouliot-Laforte
    Affiliations
    Research Center, Sainte-Justine UHC, Marie Enfant Rehabilitation Center, Montreal, Quebec, Canada

    Department of Physical Activity Sciences, University of Quebec in Montreal, Montreal, Quebec, Canada
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  • Martin Lemay
    Affiliations
    Research Center, Sainte-Justine UHC, Marie Enfant Rehabilitation Center, Montreal, Quebec, Canada

    Department of Physical Activity Sciences, University of Quebec in Montreal, Montreal, Quebec, Canada
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  • Frank Rauch
    Affiliations
    Shriners Hospital for Children – Canada, Montreal, Quebec, Canada

    Department of Pediatrics, McGill University, Montreal, Quebec, Canada
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  • Louis-Nicolas Veilleux
    Correspondence
    Corresponding author Louis-Nicolas Veilleux, PhD, Shriners Hospital for Children – Canada, 1003 Decarie Bld, Montreal, Québec, Canada H4A 0A9.
    Affiliations
    Shriners Hospital for Children – Canada, Montreal, Quebec, Canada

    Department of Kinesiology, University of Montreal, Montreal, Quebec, Canada
    Search for articles by this author
Published:April 19, 2017DOI:https://doi.org/10.1016/j.apmr.2017.03.018

      Highlights

      • Postural control deficits are reported in youth with osteogenesis imperfecta type I.
      • Poorer postural control was not associated with muscle function deficits.
      • Proprioceptive deficits could explain poorer postural control in osteogenesis imperfecta type I.

      Abstract

      Objectives

      To assess static postural control in eyes-open and eyes-closed conditions in individuals with osteogenesis imperfecta (OI) type I as compared with typically developing (TD) individuals and to explore the relation between postural control and lower limb muscle function.

      Design

      Cross-sectional study.

      Setting

      Outpatient department of a pediatric orthopedic hospital.

      Participants

      A convenience sample (N=38) of individuals with OI type I (n=22; mean age, 13.1y; range, 6–21y) and TD individuals (n=16; mean age, 13.1y; range, 6–20y) was selected. Participants were eligible if they were between 6 and 21 years and if they did not have any fracture or surgery in the lower limb in the 12 months before testing.

      Interventions

      Not applicable.

      Main Outcomes Measures

      Postural control was assessed through static balance tests and muscle function through mechanographic tests on a force platform. Selected postural parameters were path length, velocity, 90% confidence ellipse area, and the ellipse's length of the mediolateral and anteroposterior axes. Mechanographic parameters were peak force and peak power as measured using the multiple two-legged hopping and the single two-legged jump test, respectively.

      Results

      Individuals with OI type I had poorer postural control than did TD individuals as indicated by longer and faster displacements and a larger ellipse area. Muscle function was unrelated to postural control in the OI group. Removing visual information resulted in a larger increase in postural control parameters in the OI group than in the TD group.

      Conclusions

      A proprioceptive deficit could explain poorer postural control in individuals with OI type I.

      Keywords

      List of abbreviations:

      OI (osteogenesis imperfecta), TD (typically developing)
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