A Novel Method to Measure Balance in Children with Cerebral Palsy

When it comes to addressing biomechanical challenges in children, particularly those with motor disabilities such as Cerebral Palsy (CP), attention to detail is absolutely crucial. Clinicians today have access to advanced tools that enable them to leverage objective data in making critical decisions to support a child's balance improvement. Force plates have long been the go-to device for evaluating static standing balance, but high-resolution pressure-sensitive mats, like the Tekscan HRâ„¢ Mat, are increasingly being recognized as practical alternatives. Research1 highlights how these pressure-sensitive mats provide comparable assessments of balance while offering additional benefits such as ease of use, portability, and affordability compared to traditional force plates. In a recent presentation at lerEXPO, Christina Bickley (PT, PhD, BOCO, C/NDT) shared her latest findings on using plantar pressure mats for assessing standing balance in both typically developing children and those with CP. The study results confirmed the reliability and validity of this technology when applied to the pediatric population. Looking ahead, there are plans to further explore and expand the applications of this innovative approach. If you're interested in learning more about this topic, check out the full webinar below!

Watch the Full Webinar Here!


About Christina Bickley

Dr. Christina Bickley embarked on her professional journey in 1994 at Helen Hayes Hospital in New York following her graduation from the State University of New York. It was in 1998 that she fully committed herself to pediatric care upon joining Texas Children’s Hospital. By 2000, she had earned her NDT certification, and in 2006, she became a certified orthotist. Her focus on pediatric motion analysis deepened when she moved to Shriners Hospitals for Children in Houston in 2010. Currently, Dr. Bickley serves as an Associate Professor in the Physical Therapy program at Texas Woman’s University in Houston. She actively contributes to educating future professionals by teaching courses in pediatrics, anatomy, and research within the DPT, OTD, and PhD-PT programs. (1) Bickley C, Linton J, Sullivan E, Mitchell K, Slota G, Barnes D. Comparison of simultaneous static standing balance data on a pressure mat and force plate in typical children and in children with cerebral palsy. Gait Posture. 2019 Jan;67:91-98. doi: 10.1016/j.gaitpost.2018.08.012. Epub 2018 Aug 16. PMID: 30308334. --- After years of dedicated work in pediatric physical therapy, Dr. Bickley remains passionate about advancing clinical practices through evidence-based research. Her contributions extend beyond academia, influencing policies and standards across various healthcare institutions. As someone who has witnessed firsthand the transformative power of technology in healthcare, she emphasizes the importance of continuous learning and adaptation for both practitioners and patients alike. In my opinion, the integration of cutting-edge technologies into standard clinical procedures not only enhances diagnostic accuracy but also empowers families with actionable insights. For instance, parents often feel overwhelmed by the complexity of managing their child's condition. Providing them with clear, quantifiable feedback derived from tools like pressure mats can alleviate some of that stress while fostering collaboration between therapists and caregivers. Looking forward, I believe we'll see even more sophisticated systems emerge that will further refine our ability to diagnose and treat biomechanical issues in young patients. These advancements hold immense potential for improving quality of life outcomes and should be embraced wholeheartedly by the medical community. Reflecting on Dr. Bickley's career trajectory, it's inspiring to note how her early experiences shaped her commitment to excellence. From her initial role at Helen Hayes Hospital to her current position at Texas Woman’s University, each step reflects her dedication to advancing knowledge and practice in pediatric physical therapy. Her work serves as a testament to what can be achieved when passion meets purpose. Ultimately, the field of rehabilitation sciences owes much to pioneers like Dr. Bickley. Their relentless pursuit of innovation ensures that we continue pushing boundaries and finding new ways to enhance human health and well-being.

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