Movement patterns of the upper extremity and trunk before and after corrective surgery of impaired forearm rotation in patients with cerebral palsy

Abstract

The effect of surgical correction of impaired forearm rotation on associated body movement patterns was studied prospectively by comparison of preoperative and postoperative three‐dimensional video analysis of the upper extremity and trunk in eight male and two female patients with hemiplegic cerebral palsy (CP; mean age 16y 2mo [SD 4y 11mo]; range 11–27y). A customized parameter,‘extrinsic forearm rotation’, was used to quantify associated movements supplementing forearm rotation. After surgical correction of the pronation deformity, active forearm supination during a functional reaching task had improved by a mean of 37° in combination with significantly decreased extrinsic forearm rotation by a mean of 13°. In addition, an average loss of 16° of active pronation in combination with increased extrinsic forearm rotation (mean 8°) was observed. On the basis of these results we conclude that successful surgical correction of a pronation deformity in patients with CP directly affects related movement patterns of the upper extremity and trunk.

Reliability of kinematic measures of functional reaching in children with cerebral palsy

“…It is important to note that during reach‐to‐grasp movements from sitting, children with CP use more trunk displacement than their typically developing peers 32 . As a decrease in excessive trunk displacement is associated with better upper limb activity, 33 the high reliability of trunk displacement will permit analysis of this parameter in intervention studies.…”

Core stabilisation reduces compensatory movement patterns in patients with injury to the arm: a randomized controlled trial

“…The angular deviations from normal values were recorded following a comparison between the involved and uninvolved arm. 19,20,21 Data simplification was performed to compare both groups and the pre- and post-treatment values. The total degree of compensation of the wrist, elbow, shoulder, head and trunk movements were calculated for each patient during both activities.…”

Assessment of movement disorders using wearable sensors during upper limb tasks: A scoping review

“…In an effort to reduce the subjective aspect in the evaluation of movement disorders, motion analysis has been widely introduced as an alternative to objectify movement disorders, as well as to evaluate the effect of treatment interventions in PD ( Agostino et al, 2003 ; Pang et al, 2020 ), CP ( Kreulen et al, 2006 ; Butler and Rose, 2012 ; Simon-Martinez et al, 2020 ) and stroke ( Lang et al, 2009 ; Alt Murphy et al, 2018 ; Cuesta-GómezCarratala-Tejada et al, 2019 ). While three-dimensional motion analysis is the gold standard in movement analysis, it requires a specially equipped expensive laboratory whereby patients need to visit the hospital or study center for study participation or assessment of rehabilitation.…”