Article

AIM: To evaluate the relationship between the movement abnormalities of the
impaired upper limb in children with unilateral cerebral palsy (CP) and bimanual
performance. METHOD: Twenty-three children with unilateral CP (mean age 11y 10mo
[SD 2y 8mo]) underwent evaluation of bimanual performance (Assisting Hand
Assessment [AHA]) and a three-dimensional movement analysis to measure deviations
in the movement of their affected upper limb, and compared with 23 typically
developing children (TDC) (mean age 11y 11mo [SD 2y 5mo]). Kinematic indices,
such as the Global Arm Profile Score (APS), which summarizes the global movement
deviation of the upper limb from the norm, and the Global Arm Variable Score
(AVS), which represent movement deviations for a given joint, were calculated and
correlated to AHA. RESULTS: Values of kinematic indices were significantly higher
in children with unilateral CP than in TDC. A strong correlation between
Global-APS and AHA score (r=-0.75) was found. Other significant correlations were
found with Global-AVS, especially in distal joints. INTERPRETATION: Children with
unilateral CP had more movement deviations than TDC. The global movement
deviation of the impaired upper limb was strongly correlated with bimanual
performance. The influence of distal abnormalities confirms the importance of
considering these limitations in therapeutics. WHAT THIS PAPER ADDS: Children
with unilateral cerebral palsy had more movement deviations than typically
developing children in unimanual tasks. A strong relationship was found between
movement deviations of the impaired upper limb and bimanual performance.
CI - (c) 2018 Mac Keith Press.

Langue : ANGLAIS