Article

AIM: To describe upper limb motor function and level of activity and
participation in children with HIV encephalopathy (HIVE) and bilateral lower limb (BLL) spasticity. METHOD: Thirty ambulant children with HIVE and BLL spasticity
and 20 typically developing children, between 5 years and 12 years, were
recruited. Upper limb motor function was assessed using the Purdue Pegboard and
level of activity and participation using the Computer-Adapted Pediatric
Evaluation of Disabilities Inventory (PEDI-CAT).
RESULTS: The HIVE group
comprised 14 males and 16 females (mean age [SD] 8y 8mo [2y 2mo], Gross Motor
Function Classification System (GMFCS) level I [n=10], II [n=11], and III [n=9])
and the typically developing group comprised 11 males and 9 females (mean age 8y
8mo [2y 3mo]). The HIVE group had lower scores than the typically developing
group for all pegboard tasks and three of the four PEDI-CAT domains (p</=0.001).
However, individual outcome scores varied substantially within each GMFCS level.
INTERPRETATION: Children with HIVE and BLL spasticity may have significantly
poorer upper limb motor performance and lower levels of activity and
participation than typically developing children. These findings suggest that an
assessment of upper limb motor function should form part of optimal care for this
population.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS