Value of Dynamometry in Assessing Upper Extremity Function in Children with Myelomeningocele

Aronin, Patricia A.; Kerrick, Robin

doi:10.1159/000120929

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…These include cortical, brainstem, cerebellar, and corpus callosum dysmorphologies; seizures; active hydrocephalus; shunt history, including revisions and infections; lowered intelligence; visual impairments; lack of experience-dependent motor and visuo-motor development; primary spinal cord malformations causing weakness, spasticity, or incoordination of the upper limbs; level of spinal cord lesion; lack of trunk control; and scoliosis [2, 11, 12, 15, 17, 20, 22, 23, 25, 27–30, 32, 33, 37, 39]. …”

Section: Introductionmentioning

confidence: 99%

Upper limb motor function in young adults with spina bifida and hydrocephalus

et al. 2009

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© Springer-Verlag 2009Correspondence to: M. Dennis, maureen.dennis@sickkids.ca. Objective-The objective of the study was to measure upper limb motor function in young adults with spina bifida meningomyelocele (SBM) and typically developing age peers. NIH Public AccessMethod-Participants were 26 young adults with SBM, with a Verbal or Performance IQ score of at least 70 on the Wechsler scales, and 27 age-and gender-matched controls. Four upper limb motor function tasks were performed under four different visual and cognitive challenge conditions. Motor independence was assessed by questionnaire.Results-Fewer SBM than control participants obtained perfect posture and rebound scores. The SBM group performed less accurately and was more disrupted by cognitive challenge than controls on limb dysmetria tasks. The SBM group was slower than controls on the diadochokinesis task. Adaptive motor independence was related to one upper limb motor task, arm posture, and upper rather than lower spinal lesions were associated with less motor independence. Conclusions-Young

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Section: Introductionmentioning

confidence: 99%

Upper limb motor function in young adults with spina bifida and hydrocephalus

et al. 2009

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“…Regarding mobility, it is possible that hand function and cognitive function are important, especially in children who cannot walk. From the literature it is well known that many children with MMC have poor hand function, reported as weak hands (8,11) and impaired hand coordination (8,12). Cognitive dysfunction in these children has been reported as average to low-average intelligence (9,13,14), as well as impaired visuospatial function (9,13,15) and impaired executive function (9,16).…”

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confidence: 99%

Factors of significance for mobility in children with myelomeningocele

et al. 2003

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Norrlin S, Strinnholm M, Carlsson M, Dahl M. Factors of significance for mobility in children with myelomeningocele. Acta Paediatr 2003; 92: 204-210. Stockholm. ISSN 0803-5253Aim: To investigate neurological impairment, hand function and cognitive function in a group of children with myelomeningocele, in order to identify factors of significance for independent mobility and the physical assistance required for mobility in daily activities. Methods: The study material comprised 32 children, aged 6-11 y and without mental retardation. Mobility was assessed with the Pediatric Evaluation of Disability Inventory, scored as caregiver assistance. Statistical differences and correlations between the caregiver assistance scores and the selected variables were analysed. Results: Nine children scored independent mobility. The independent children had better hand coordination ( p = 0.004) and walking ability ( p = 0.01), lower cele levels ( p = 0.011), higher performance IQ ( p = 0.027), better visuospatial function ( p = 0.029) and executive function ( p = 0.037) than the others. The caregiver assistance scores were lower for both the children with early and severe symptoms of brainstem dysfunction and the children with scoliosis. Statistically significant correlations were found between the need for caregiver assistance and reduced walking ability, high cele level, poor hand strength and coordination, visuospatial function, executive function and performance IQ. In the subgroup of children who needed a wheelchair or walking aids, hand strength was the only variable significantly correlated with caregiver assistance (r s = 0.703, p = 0.000).Conclusion: Most of the children were dependent on others in daily activities. Impaired hand function and cognitive function were significant for mobility, and this has implications for the therapy programme in children with myelomeningocele.

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“…In 1995, Aronin and Kerrick [21] suggested that an acute decrease in upper extremity strength might provide an early indication of an acute neurological complication in children with MM. This could provide a useful way to diagnose neurological complications early before they cause significant morbidity or mortality.…”

Section: Discussionmentioning

confidence: 99%

“…In this journal, Aronin and Kerrick [21] suggested that an uncharacteristic acute decrease in upper extremity strength might provide an early indication of a neurological complication in children with meningomyelocele. They found that children with symptomatic Chiari II malformation, syringomyelia, and worsening hydrocephalus had deterioration of grip and pinch strength.…”

Section: Introductionmentioning

confidence: 99%

Do Grip and Pinch Strength Predict Neurologic Complications in Children with Spina Bifida and Hydrocephalus?

Liptak¹,

Fried²,

Baltus-Hebert³

et al. 2006

Pediatr Neurosurg

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Background: Neurological complications occur commonly in children with meningomyelocele and can cause significant morbidity and mortality. An earlier study suggested that acute changes in grip and pinch strength could be used to identify individuals at increased risk for developing a neurological complication. Objective: To evaluate the use of grip and pinch measurements to screen for neurological problems in children with spina bifida and hydrocephalus. Design: A prospective evaluation of screening tests. Patients: 92 children, born since 1976, who had meningomyelocele and hydrocephalus and were treated at the University of Rochester Medical Center. Methods: Grip and pinch strength were measured between July, 1991, and June, 2003. Results: Mean grip and pinch strengths were similar to those found in previous studies of children with meningomyelocele; 58 neurological events occurred in 39 (40%) individuals. These included 31 episodes of ventricular shunt failure and 22 symptomatic tethered cord occurrences. Specificity, sensitivity and likelihood ratios were calculated in multiple ways using different criteria for loss of grip or pinch strength and for interval to neurological event. Sensitivities were low (<0.35) and the highest positive likelihood ratio found, using fall in either lateral pinch with 6 months to neurological event, was 2.3. Conclusions: Despite previous recommendations, grip and pinch measurements were not helpful when used as a routine screening test for neurological dysfunction for children with meningomyelocele and hydrocephalus.

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Value of Dynamometry in Assessing Upper Extremity Function in Children with Myelomeningocele

Cited by 12 publications

References 7 publications

Upper limb motor function in young adults with spina bifida and hydrocephalus

Upper limb motor function in young adults with spina bifida and hydrocephalus

Factors of significance for mobility in children with myelomeningocele

Do Grip and Pinch Strength Predict Neurologic Complications in Children with Spina Bifida and Hydrocephalus?

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