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Neural Plasticity
Volume 12 (2005), Issue 2-3, Pages 205-210
http://dx.doi.org/10.1155/NP.2005.205

Role of Visual Dysfunction in Postural Control in Children With Cerebral Palsy

1Departments of Child-Neurology, University Medical Center, Utrecht, The Netherlands
2Departments of Ophthalmology, University Medical Center, Utrecht, The Netherlands
3Department of Ophthalmology, University Medical Center Utrecht, Neuroophthalmological Center, AZU, Heidelberglaan 100, Utrecht 3584 CX, The Netherlands

Copyright © 2005 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction: Deficient postural control is one of the key problems in cerebral palsy (CP). Little, however, is known about the specific nature of postural problems of children with CP, nor of the relation between abnormal posture and dysfunction of the visual system. Aim of the study: To provide additional information on the association of abnormalities in postural control and visual dysfunction of the anterior or posterior part of the visual system. Methods: Data resulting from ophthalmologic, orthoptic, neurological, neuro-radiological, and ethological investigations of more than 313 neurologically impaired children were retrospectively analyzed. Results: Abnormal postural control related to ocular and ocular motor disorders consisted of anomalous head control and subsequent abnormal head posture and torticollis. The abnormal postural control related to retrochiasmatical damage of the visual system consisted of a torticollis combined with adjustment of the upper part of the body, as if at the same time adapting to a combination of defects and optimizing residual visual functions. Conclusion: Visual dysfunctions play a distinct role in the postural control of children with CP.