Cerebral palsy is a sensorimotor disorder

Efficacy of the use of unaffected hand containment in unimanual intensive therapy to increase visuomotor coordination in children with hemiplegia: a randomized controlled pilot study

“…28,29 Most children with unilateral brain injuries do not develop an adequate grasp force in the coordination of unimanual activities carried out by the affected upper limb. 2 A pathological pattern or an immature state of grasps are produced for this age, resulting in an inadequate synergy of the coordination force that is related to manipulative skill deterioration in the affected hand, depending on the level of injury. 30,31 In addition to the intensity of the treatment and the repetition of the tasks, the execution of the latter at home also favors visuomotor coordination.…”

“…Infantile hemiplegia is the second most frequent type of cerebral palsy, 1 causing a motor deficit of the hemibody contralateral to the injured hemisphere, with more affectation in the upper limb than the lower limb. 2,3 Children with hemiplegia Efficacy of the use of unaffected hand containment in unimanual intensive therapy to increase visuomotor coordination in children with hemiplegia: a randomized controlled pilot study 2 journals.sagepub.com/home/taj have a lesion in the corticospinal tract that produces an alteration in the grasp and the production of force in advance (anticipation control), altering the affected upper limb visuomotor coordination. [4][5][6] An important aspect of motor control is motor planning.…”

Somatosensory discrimination impairment in children with hemiplegic cerebral palsy as measured by the sense_assess© kids

“…Currently there is only emerging evidence for interventions targeting somatosensory ability for children with HCP (Kuo et al, 2016;McLean et al, 2017;Smorenburg et al, 2013). There is a growing body of literature recommending interventions to address somatosensory impairment be investigated in this group of children (Auld et al, 2014;Dan, 2020;Klingels et al, 2012;Majnemer et al, 2008;Van de Winckel et al, 2013). Early investigations suggest that somatosensory discrimination functions are modifiable and result in improvements in bimanual hand-use (McLean et al, 2017).…”

“…Previous studies have found that roughly two-thirds of children with HCP have reduced tactile sensation and these impairments significantly impact motor function (Auld et al, 2012(Auld et al, , 2012a(Auld et al, , 2012bKlingels et al, 2012). A recent editorial described CP as a sensorimotor disorder and highlighted the importance of considering somatic sensation to enhance the relevance of therapies for this group of children (Dan, 2020).…”

“…With the assertion that CP is a sensorimotor disorder it is important to consider somatosensory function that interfaces with motor function (Dan, 2020). This paradigm cements the importance of haptic ability and limb position sense as areas for assessment and intervention.…”