Motor Factors Associated with Health-Related Quality-of-Life in Ambulatory Children with Cerebral Palsy

Chien-Min, Chen; Chen, Chung-Yao; Wu, Katie P.; Chen, Chia‐Ling; Hsu, Hung‐Chih; Lo, Sing Kai

doi:10.1097/phm.0b013e3182240d54

Cited by 13 publications

(8 citation statements)

References 17 publications

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“…It was pointed out that fine motor functions, including upper-limb speed, dexterity and visual-motor control, were the most important factors associated with health-related quality-of-life (QOL) in ambulatory subjects with cerebral palsy [21]. Considering all these aspects, when school age children with bilateral spastic CP experience deterioration of ambulation and function, due to progressed deformity of the lower limbs, their upper limb function for ADLs performance is significant for QOLs assessment.…”

Section: Discussionmentioning

confidence: 99%

Botulinum Toxin Treatment on Upper Limb Function in School Age Children With Bilateral Spastic Cerebral Palsy: One Year Follow-up

Lee

et al. 2013

Ann Rehabil Med

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ObjectiveTo prospectively investigate the long-term effects of botulinum toxin treatment on the upper limb function and performance of school age children with spastic bilateral cerebral palsy, who have limitations in performing activities of daily living and school activities, due to spasticity of the upper extremities.MethodsBotulinum type A toxin (BoNT-A) was injected into 24 spastic upper limbs of 15 children. We used a Modified Ashworth Scale and a Modified Tardieu Scale for the evaluation of upper limb spasticity, and Quality of Upper Extremity Skills Test (QUEST), Canadian Occupational Performance Measure (COPM), and Test of Visual-Motor Skills-Revised (TVMS-R) for the evaluation of upper limb function and performance.ResultsUpper limb spasticity continuously decreased until the end of the one-year follow-up. Upper limb function on QUEST and COPM showed the best performance at 3 months and deteriorated slightly, but still showed a significantly better performance at 9 and 12 months than at pre-injection. In more functional nine subjects who could perform TVMS-R, the performance enhancement effects remained constant after 12 months, suggesting that the reduced spasticity led to the learning effect acquired by the repeated use of the affected upper limb.ConclusionFor school age children with bilateral spastic cerebral palsy whose upper limb functions are important, BoNT-A injections seem to be of help in the performance of school activities and activities of daily living.

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Section: Discussionmentioning

confidence: 99%

Botulinum Toxin Treatment on Upper Limb Function in School Age Children With Bilateral Spastic Cerebral Palsy: One Year Follow-up

Lee

et al. 2013

Ann Rehabil Med

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“…However, the GMFM-66 scores may achieve the ceiling levels for CP children with high motor ability. Therefore, the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) (Bruininks, 1978), another well-validated measure for evaluating motor coordination in children with CP (Chen et al, 2011;Gordon, Schneider, Chinnan, & Charles, 2007), was also used to measure gross motor function and coordination in this study.…”

Section: Introductionmentioning

confidence: 99%

Knee muscle strength at varying angular velocities and associations with gross motor function in ambulatory children with cerebral palsy

Hong

Chen

Shen

et al. 2012

Research in Developmental Disabilities

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“…Upper limb (UL) motion is essential for the motor, social and cognitive development of children as it allows interaction between the individual and his/her environment. The development of UL motion may be compromised by the presence of a neurodevelopmental disorder, such as cerebral palsy, Duchenne’s muscular dystrophy or brachial plexus palsy, which may negatively influence the performance of activities of daily living (ADL) and potentially affect the child’s participation and quality of life [ 1 , 2 ].…”

Section: Introductionmentioning

confidence: 99%

Age-related changes in upper limb motion during typical development

et al. 2018

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Background and aimUnderstanding the maturation of upper limb (UL) movement characteristics in typically developing (TD) children is key to explore UL deficits in those with neurodevelopmental disorders. Three-dimensional motion analysis (3DMA) offers a reliable tool to comprehensively evaluate UL motion. However, studies thus far mainly focused on specific pre-defined parameters extracted from kinematic waveforms. Here, we investigated age-related differences in UL movement characteristics over the entire movement cycle in TD children.Participants and methodsWe assessed the non-dominant UL of 60 TD children (mean age 10y3m±3y1m) using 3DMA during eight tasks: reaching (forwards (RF), upwards (RU), sideways (RS)), reach-to-grasp (sphere (RGS), vertical cylinder (RGV)) and activities-of-daily-living mimicking tasks (hand-to-head (HTH), hand-to-mouth (HTM), hand-to-shoulder (HTS)). We investigated differences between four age-groups (5-7y, 8-10y, 11-12y, 13-15y) in: (1) spatiotemporal parameters (movement duration, peak velocity, time-to-peak velocity and trajectory straightness), and (2) 12 UL joint angles, using Statistical Parametric Mapping (SPM).ResultsWe found that the 5-7y children moved with lower peak velocity and less straight trajectories compared to the 11-12y group (peak velocity: RS, HTS, p<0.01; trajectory: RU, RS, RGV, HTS, p<0.01) and the 13-15y group (peak velocity: RF, RS, RGS, RGV, HTH, HTS, p<0.01; trajectory, all tasks, p<0.01). The 5-7y children showed increased scapular protraction compared to older children (8-10y and 11-12y, HTS), as well as increased scapular medial rotation compared to the 13-15y group (RGS). During RU, the 5-7y children moved more towards the frontal plane (shoulder), unlike the 13-15y group. Lastly, the 5-7y group used less elbow flexion than older children (11-12y and 13-15y) during HTH and HTS.Discussion and conclusionIn conclusion, our results point toward a maturation in UL movement characteristics up to age 11-12y, when UL motion seemed to reach a plateau. The reference values provided in this study will help to further optimize the interpretation of UL deficits in children with neurodevelopmental disorders.

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Motor Factors Associated with Health-Related Quality-of-Life in Ambulatory Children with Cerebral Palsy

Abstract: Fine motor functions, including upper-limb speed and dexterity and visual-motor control, were the most important motor factors associated with health-related quality-of-life in ambulatory children with cerebral palsy.

Cited by 13 publications

References 17 publications

Botulinum Toxin Treatment on Upper Limb Function in School Age Children With Bilateral Spastic Cerebral Palsy: One Year Follow-up

Botulinum Toxin Treatment on Upper Limb Function in School Age Children With Bilateral Spastic Cerebral Palsy: One Year Follow-up

Knee muscle strength at varying angular velocities and associations with gross motor function in ambulatory children with cerebral palsy

Age-related changes in upper limb motion during typical development

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