title: Assessing postural asymmetry with a podoscope in infants with Central Coordination Disturbance.
abstract: The aim of this study was to digitally evaluate the incidence and severity of postural asymmetry in infants with Central Coordination Disturbance (CCD) by using a computer-aided podoscope (PodoBaby) from CQ Elektronik System. A sample of 120 infants aged from 3 months (± 1 week) to 6 months (± 1 week) took part in the study, of which 60 were diagnosed with CCD by a neurologist using Vojta's method and the remaining half healthy, non-afflicted infants. The relationships between Vojta's method, as a subjective clinical diagnostic tool for assessing the functional performance of infants with CCD, and the postural asymmetry results recorded with the podoscope, were also defined. Each infant was placed on the podoscope and photographed underneath in two positions: first lying on their back and then on their stomach. A symmetry index was used to calculate body asymmetry, i.e., the percent difference of abnormal body posture by favoring one side of the body to the other. The results confirmed that postural asymmetry assessed by the PodoBaby was in line with the earlier clinical diagnosis using Vojta's method. Statistically significant differences in postural asymmetry were also found between the healthy infants and infants with CCD. In addition, significant relationships were demonstrated in the magnitude and direction of asymmetry in the stomach and back positions.
authors.affiliation: Promyk Słońca Rehabilitation-Diagnostic Center, ul. Swobodna 8a, Wrocław 50-001, Poland. meggifit@gmail.com
authors.forename: Magdalena
authors.initials: M
authors.lastname: Pyzio-Kowalik
authors.forename: Dorota
authors.initials: D
authors.lastname: Wójtowicz
authors.forename: Anna
authors.initials: A
authors.lastname: Skrzek
mesh_terms: D000367:Age Factors; D002657:Child Development / Q000502:physiology; D003936:Diagnosis, Computer-Assisted / Q000295:instrumentation* / Q000379:methods* / Q000592:standards; D005260:Female; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D019957:Motor Skills Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000503:physiopathology*; D010808:Physical Examination / Q000295:instrumentation / Q000379:methods / Q000592:standards; D011187:Posture / Q000502:physiology*; D016684:Prone Position; D015203:Reproducibility of Results; D012720:Severity of Illness Index; D016683:Supine Position