Title: Arm and hand function in children with unilateral cerebral palsy: A one-year follow-up study
Authors: Klingels, Katrijn ×
Feys, Hilde
De Wit, Liesbet
Jaspers, Ellen
Van de Winckel, Ann
Verbeke, Geert
De Cock, Paul
Molenaers, Guy #
Issue Date: May-2012
Publisher: Saunders
Series Title: European Journal of Paediatric Neurology vol:16 issue:3 pages:257-265
Abstract: BACKGROUND: In children with unilateral cerebral palsy (CP), development of arm and hand function is often compromised by the underlying motor and sensory impairments. However, knowledge about the evolution of arm and hand function in this population is limited.

AIM: The aims were to map the evolution of scores on upper limb measures over one year in children with unilateral CP and to identify factors that influence time trends.

METHODS: Eighty-one children (43 males, 38 females; mean age 9y11mo (SD 3y3mo) range 5-15 y) were tested at baseline, at 6 and 12 months. According to the International Classification of Functioning, Disability and Health, body function measurements included passive range of motion, muscle tone, manual muscle strength and grip strength. Activity measurements included the Melbourne Assessment, the Jebsen-Taylor test, the Assisting Hand Assessment and the Abilhand-Kids questionnaire. Age, gender, etiology (congenital or acquired lesions) and Manual Ability Classification System (MACS) levels were analyzed as predictive factors, using mixed models.

RESULTS: Scores for grip strength (p = 0.001) and manual dexterity (Jebsen-Taylor test, p < 0.0001) increased significantly over time. MACS level (p = 0.03) and etiology (p = 0.02) had a significant influence on the time evolution of the Jebsen-Taylor scores. Other assessments showed no significant changes.

CONCLUSION: Motor impairments, movement quality and hemiplegic hand use in bimanual tasks do not spontaneously improve over one year, except for an age-related change in grip strength. However, an improvement was observed in manual dexterity, suggesting that some children can learn more adaptive movement strategies.
ISSN: 1090-3798
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group for Neuromotor Rehabilitation
Leuven Biostatistics and Statistical Bioinformatics Centre (L-BioStat)
Youth Health (-)
× corresponding author
# (joint) last author

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