Relative contribution of motor impairments to limitations in activity and restrictions in participation in adults with hemiplegic cerebral palsy

Abstract

The findings imply that coordination of four motor impairments makes the largest independent relative contribution to activity limitations, whereas upper limb activity makes less contribution to participation in people with mild and moderate hemiplegic cerebral palsy.

How Much Do Range of Movement and Coordination Affect Paralympic Sprint Performance?

“…Whereas the current study was the first to quantify the effect of an eligible impairment on a paralympic sport, one other study investigated the strength of association between a standardized upper limb activity assessment and four measures of impairment: ROM, coordination, strength, and spasticity (2). Results indicated that 25% of the variance in the upper limb assessment was explained by a combination of ROM, coordination, spasticity, and strength (2), indicating that there may have been an interaction between the measures of impairment.…”

Stronger relation between impairment and manual capacity in the non-dominant hand than the dominant hand in congenital hand differences; implications for surgical and therapeutic interventions

“…On the other hand, this phenomenon is also found in other diagnosis groups. 27,28 Even when all body functions that enhance manual activity capacity score 0 preoperatively and maximum postoperatively, the maximum increase in manual activity capacity for the dominant hand may be 11 points. On the other hand, for the nondominant hand this all may add up to 33 points on a scale from 0 to 36.…”

Towards evidence-based classification for paralympic running and throwing events

“…While the current study was the first to quantify the effect of an eligible impairment on a Paralympic sport, one other study investigated the strength of association between a standardised upper limb activity assessment and four measures of impairment -ROM, coordination, strength and spasticity (Chiu et al 2010). Results indicated that 25% of the variance in the upper limb assessment was explained by a combination of ROM, coordination, spasticity and strength (Chiu et al 2010), indicating that there may have been an interaction between the measures of impairment.…”

“…Results indicated that 25% of the variance in the upper limb assessment was explained by a combination of ROM, coordination, spasticity and strength (Chiu et al 2010), indicating that there may have been an interaction between the measures of impairment. Two results from the current study were consistent with this finding.…”

“…In the literature, one study consisting of 23 non-athletes with cerebral palsy illustrates how this can achieved in a non-sports specific setting. The experiment evaluated the strength of association between upper limb motor impairment and upper limb activity limitation (Chiu et al 2010). Four impairments were evaluated, comprising isometric upper limb strength, coordination (using a tracking task on a computer screen), spasticity (using Electromyography) and contracture of the biceps/triceps (by measuring loss of passive elbow joint range of movement).…”