Effect of upper limb deformities on gross motor and upper limb functions in children with spastic cerebral palsy

Park, Eun Sook; Sim, Eun Geol; Rha, Dong-Wook

doi:10.1016/j.ridd.2011.07.021

Cited by 36 publications

(29 citation statements)

References 26 publications

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“…In children with CP, certain restrictions are observed in upper extremity functions and the skills in the activities of daily living depending on motor activation (18,19). In a study by Law et al, it was suggested that manual functions were affected more in especially tetraparetic and diparetic CP cases compared to triparetic cases.…”

Section: Discussionmentioning

confidence: 99%

Upper Extremity Impairments and Activities in Children with Bilateral Cerebral Palsy

et al. 2017

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Background: There is a lack of evidence about the upper extremity impairments and function in children with diparetic cerebral palsy. Objectives: This study was planned to investigate the upper extremity impairments, dexterity, grip strength and function in the daily living activities in children with diparetic cerebral palsy (CP). Methods: Eighteen children with diparetic CP and 15 typical peers between the ages 5 -12 years were included in the study. Manual Ability Classification System (MACS) was used for the classification of upper extremity fine motor skills; WeeFIM for activities of daily living; Abilhand-Kids for the manual abilities; and Pediatric Evaluation of Disability Inventory (PEDI) for the disability in the daily living activities respectively. Grip strength was evaluated with Jamar Hand Dynamometer, hand functions were assessed with Nine-hole Peg Test and Jebsen-Taylor test. Results: Children with diparetic CP were affected in manual abilities and functions, grip strength, activities of daily living, and levels of disability and the results were statistically significant (P < 0.05). Conclusions: As a conclusion, upper extremity impairments, dexterity, grip strength, and functions in the activities of daily living are affected in children with diparetic CP. Physiotherapy interventions for upper extremities and hand should be included as well as the lower extremities in the treatment of the spastic diparetic children.

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Section: Discussionmentioning

confidence: 99%

Upper Extremity Impairments and Activities in Children with Bilateral Cerebral Palsy

et al. 2017

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“…CP is the most common motor disability in children, affecting approximately 3.6 per 1,000 school-age children [2]. Approximately 47% of patients with CP have a thumb in palm deformity in at least one of their hands, which negatively affects hand function [3]. According to the House classification, type 2 thumb in palm deformity is defined as fixed adduction of the CMC joint and flexion of the MCP joint [4].…”

Section: Introductionmentioning

confidence: 99%

A pediatric robotic thumb exoskeleton for at-home rehabilitation: The Isolated Orthosis for Thumb Actuation (IOTA)

Aubin

Sallum

Walsh

et al. 2013

2013 IEEE 13th International Conference on Rehabilitation Robotics (ICORR)

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In this paper, we present the design of a thumb exoskeleton for pediatric at-home rehabilitation. Pediatric disorders, such as cerebral palsy (CP) and stroke, can result in thumb in palm deformity greatly limiting hand function. This not only limits children's ability to perform activities of daily living but also limits important motor skill development. Specifically, the device, dubbed IOTA (Isolated Orthosis for Thumb Actuation) is a 2-DOF thumb exoskeleton that can actuate the carpometacarpal (CMC) and metacarpalphalangeal (MCP) joints through ranges of motion required for activities of daily living. The device consists of a lightweight hand-mounted mechanism that can be custom secured and aligned to the wearer. The mechanism is actuated via flexible cables that connect to a portable control box. Embedded encoders and bend sensors monitor the two degrees of freedom of the thumb and flexion/extension of the wrist. Using this platform, a number of control modes can be implemented that will enable the device to be intuitively controlled by a patient to assist with opposition grasp, fine motor control, and ultimately facilitate motor recovery. We envision this at-home device augmenting the current in-clinic therapy and enabling tele-rehabilitation where a clinician can remotely monitor a patient's usage and performance.

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“…Manual ability and performance of dexterity tasks require coordinated gross and fine hand skills. Some children have difficulties performing manual activities such as grasping, manipulating or releasing objects, which are crucial in the performance of many activities of daily living [9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Bruininks- Oseretsky Test Showed Strong Correlation Between Upper Limb Speed Dexterity and Upper Limb Coordination

Emara¹,

Elgohary²

2017

IJNPT

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Abstract:Background: Daily living activities such as walking, dressing and feeding require adequate proficiency in gross and fine motor skills; however inadequate proficiency leads to multiple difficulties that range from increased anxiety and poor self-esteem to significant difficulties with academic achievements. Recent research findings claimed that children's skill proficiency tends to lag behind the established developmental norms. Purpose: The aim of this study was to examine the interrelationship among different subtests of gross and fine motor skill in school aged children in Al-Madinah Al-Munawara. Methods: Children (N= 99) from 2nd, 3rd and 4th grades completed the gross and fine motor composite of the BruininksOseretsky Test of motor proficiency 2nd Edition (BOT-2). Results: Analysis revealed a weak correlation between gross motor composite and fine motor composite. A weak correlation was found for gross motor subtests except a significant correlation was found for the relationship between balance and bilateral coordination. Conclusion: Therapists should closely look at upper limb speed dexterity and upper limb coordination since they are significantly correlated.

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Effect of upper limb deformities on gross motor and upper limb functions in children with spastic cerebral palsy

Cited by 36 publications

References 26 publications

Upper Extremity Impairments and Activities in Children with Bilateral Cerebral Palsy

Upper Extremity Impairments and Activities in Children with Bilateral Cerebral Palsy

A pediatric robotic thumb exoskeleton for at-home rehabilitation: The Isolated Orthosis for Thumb Actuation (IOTA)

Bruininks- Oseretsky Test Showed Strong Correlation Between Upper Limb Speed Dexterity and Upper Limb Coordination

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