Hand function in children with hemiplegic cerebral palsy: prospective follow-up and functional outcome in adolescence

Fedrizzi, Ermellina; Pagliano, Emanuela; Andreucci, Elena; Oleari, Giovanna

doi:10.1017/s0012162203000173

Cited by 61 publications

(58 citation statements)

References 19 publications

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“…2 The diversity in clinical presentation is not surprising, as it can be caused by various etiological factors during either the pre-, peri-or postnatal period. In congenital hemiplegia, due to pre-or perinatal brain damage, three main lesion types determined by the stage of brain development at the time of the insult have been described: malformations, periventricular lesions and cortical-subcortical lesions.…”

Section: Introductionmentioning

confidence: 99%

Relation between neuroradiological findings and upper limb function in hemiplegic cerebral palsy

Feys

Eyssen

Jaspers

et al. 2010

European Journal of Paediatric Neurology

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Section: Introductionmentioning

confidence: 99%

Relation between neuroradiological findings and upper limb function in hemiplegic cerebral palsy

Feys

Eyssen

Jaspers

et al. 2010

European Journal of Paediatric Neurology

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“…Crianças hemiplégicas evoluem com piora da função manual 29 e sua principal dificuldade será realizar tarefas que requerem manipulação bilateral 30,31 . As maiores modificações na função da preensão palmar ocorrem durante os primeiros anos de vida 29 . Após os 11 anos esta piora está atribuída ao crescimento do membro e à retração crescente dos tendões do punho 30 .…”

Section: Funcionalidadeunclassified

“…Após os 11 anos esta piora está atribuída ao crescimento do membro e à retração crescente dos tendões do punho 30 . Com o passar do tempo, a função neuromotora de crianças com hemiplegia congênita melhora até um determinado nível e mantém-se igual 29 . Conforme o desenvolvimento destas crianças, elas tendem a adquirir maior destreza com a mão não afetada e cada vez mais negligenciar a mão comprometida.…”

Section: Funcionalidadeunclassified

Prognóstico motor e perspectivas atuais na paralisia cerebral

Rebel

Rodrigues

Araújo

et al. 2010

J. Hum. Growth Dev.

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A paralisia cerebral é uma sequela de agressão encefálica caracterizada por transtorno motor não evolutivo quanto à sua lesão. De acordo com o local da lesão pode provocar diferentes seqüelas que resultam em incapacidade funcional. OBJETIVO: revisar de forma não sistemática sobre o tema paralisia cerebral, enfocando o seu prognóstico motor, incluindo expectativa de vida e funcionalidade. MÉTODO: utilização das bases de dados Medline e LILACS, dos últimos quinze anos, com os unitermos paralisia cerebral, quadriplegia, diplegia, hemiplegia, prognóstico. RESULTADOS: foram listados 474 artigos científicos, sendo selecionados para esta revisão 34 artigos com base em: título, resumo, assunto, originalidade e disponibilidade de acesso pelo portal da CAPES. Foram identificadas as variáveis que podem influenciar o prognóstico motor nas crianças com paralisia cerebral. O prejuízo motor das crianças com paralisia cerebral está diretamente relacionado com o nível de gravidade da paralisia cerebral, assistência terapêutica e o tipo apresentado pelas crianças. Os pacientes com hemiplegia resultante de paralisia cerebral apresentam um prognóstico motor mais favorável comparado aos diplégicos e quadriplégicos.

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“…2 Impairment begins early in life and has the potential to limit activity and participation, causing considerable distress to children with CP, their parents, and carers. 3 However, these limitations are not inevitable or irreversible, but underline the need to question, identify, and intervene.…”

mentioning

confidence: 99%

“…There are reports describing functional performance in typically developing children 15 and children with CP; 2,16,17 however, there are currently no studies that describe how motor and process abilities affect meaningful and familiar ADL tasks in natural environments for children with hemiplegic CP. Fedrizzi et al 2 reported on upper limb function in a sample of 31 children (16 males, 15 females) with hemiplegic CP through measurement of grip impairment, spontaneous use of the affected hand, and stereognosis.…”

mentioning

confidence: 99%

Activities of daily living in children with hemiplegic cerebral palsy: a cross-sectional evaluation using the Assessment of Motor and Process Skills

Van

Miller

Russo

et al. 2007

Developmental Medicine &Amp; Child Neurology

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Upper limb impairment can affect the ability to perform and participate in activities of daily living. The level of activity and participation limitation in the home environment for children with hemiplegic cerebral palsy (CP) is poorly understood. A greater understanding of these limitations could be used to provide targeted and appropriate intervention programmes. Level of activity and participation limitation were investigated, with the use of the Assessment of Motor and Process Skills (AMPS) in a representative sample of 54 South Australian children (31 males, 23 females) with hemiplegic C P, aged 3 to 12 years (mean age 7y 4mo [SD 2y 5mo]). Two AMPS tasks that were familiar to the child were performed in the home under the supervision of a trained occupational therapist. Findings suggested that younger children (3–8y) performed significantly better than older children (9–12y) for motor skill ability (0.46 vs 0.09, p=0.041) but not for process skill ability (‐0.25 vs ‐0.28, p=0.885). Functional performance for the sample was below that of age‐matched normative data. Motor performance in activities of daily living as detected by the AMPS seemed to worsen with age in children with hemiplegic C P. Further investigation into what can influence this outcome is required.

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Hand function in children with hemiplegic cerebral palsy: prospective follow-up and functional outcome in adolescence

Cited by 61 publications

References 19 publications

Relation between neuroradiological findings and upper limb function in hemiplegic cerebral palsy

Relation between neuroradiological findings and upper limb function in hemiplegic cerebral palsy

Prognóstico motor e perspectivas atuais na paralisia cerebral

Activities of daily living in children with hemiplegic cerebral palsy: a cross-sectional evaluation using the Assessment of Motor and Process Skills

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