Comparison between the Melbourne Assessment of unilateral upper limb function and the quality of upper extremity skills test (QUEST) in children with hemiplegic cerebral palsy

2006 ◽  
Vol 24 ◽  
pp. S245-S247 ◽  
Author(s):  
Katrijn Klingels ◽  
Hilde Feys ◽  
Kaat Desloovere ◽  
Catherine Huenaerts ◽  
Ine Van Nuland ◽  
...  
2021 ◽  
Vol 28 (1) ◽  
pp. 1-13
Author(s):  
Moloud Khoshbakht ◽  
Parvin Raji ◽  
Noureddin Nakhostin Ansari ◽  
Mahmoud Mahmodian

Background/aims Hemiplegia is one of the most common types of cerebral palsy. Upper limb dysfunction in these children can affect their quality of life. The aim of this study was to investigate the effects of somatosensory interventions on upper extremity sensory and motor functions in spastic hemiplegic children. Methods This single-subject study was performed in the occupational therapy clinic of Tehran University of Medical Sciences. Three participants (two boys and one girl) aged 8–12 years with spastic hemiplegia were assessed during baseline, treatment and follow-up phases. During the treatment phase, the children received 12 tactile and proprioceptive stimulation (active, passive and playful) sessions over 4 weeks. Four sensory measures (tactile localisation, stereognosis, two-point discrimination, proprioception) and one motor measure (Box and Block Test) were assessed during each phase. Results Improvement in function was seen in all three children based on visual analysis, with significant differences between the baseline and treatment scores in the majority of measures for all participants. Changes were sustained at follow up for most tests. The effect size was large for all three children. Conclusions Despite the small number of participants, sensory intervention with a focus on sensory deficits could help to improve upper extremity sensory and motor function in children with spastic hemiplegia.


2010 ◽  
Vol 34 (1) ◽  
pp. 10-19 ◽  
Author(s):  
Neil Postans ◽  
Philip Wright ◽  
Will Bromwich ◽  
Ingrid Wilkinson ◽  
Sybil E. Farmer ◽  
...  

The aim of this pilot study was to investigate the feasibility of applying the combination of Dynamic splinting (DS) and Neuromuscular electrical stimulation (NMES) in order to improve wrist and elbow function, and range of motion, in children with upper limb contractures due to Cerebral palsy (CP). Six children aged seven to 16, with contractures at the wrist or elbow, were recruited. Following a 12-week baseline period all participants underwent a 12-week treatment period where DS was used for one hour per day and combined with NMES for the second half of the 1-h treatment. A 12-week follow-up period then ensued. Upper limb function was assessed with the Melbourne assessment, physical disability with the Paediatric Evaluation of Disability Index and the Activity Scale for Kids, and quality of life with the Pediatric Quality of Life Scale. Passive and active range of motion at the wrist and elbow were measured using manual and electrical goniometers. The technique of using combined NMES and DS was demonstrated to be feasible and compliance with the intervention was good. There was an increase in passive elbow extension in two participants treated for elbow contractures, although no accompanying change in upper limb function was demonstrated. Wrist range of movement improved in one participant treated for wrist contracture.


2016 ◽  
Vol 73 (9) ◽  
pp. 825-830 ◽  
Author(s):  
Dragana Bojinovic-Rodic ◽  
Svetlana Popovic-Petrovic ◽  
Sanja Tomic ◽  
Stanislava Markez ◽  
Dobrinka Zivanic

Background/Aim. Upper limb lymphedema is one of the most frequent chronic complications after breast cancer treatment with a significant impact on the upper extremity function and quality of life (QoL). The aim of this study was to estimate health-related quality of life (HRQoL) in patients with breast-cancer-related lymphedema and its correlation with upper limb function and the size of edema. Methods. The cross-sectional study included 54 breast-cancer-related lymphedema patients. The quality of life was evaluated by the Short Form 36-Item Health Survey (SF-36). Upper limb function was assessed by the Quick Disability of the Arm, Shoulder and Hand questionnaire (Quick DASH). The size of lymphedema was determined by the arm circumference. Results. The higher HRQoL score was assessed for mental health (47.0 ? 12.2) than for physical one (42.2 ? 7.5). The highest values of SF-36 were found in the domains of Mental Health (67.7 ? 22.9) and Social Function (70.1 ? 23.1). The lowest scores were registered in the domains of Role Physical (46.9 ? 39.1) and General Health (49.3 ? 20.1). Upper extremity function statistically significantly correlated with the domains Role Physical, Bodily Pain and Physical Composite Summary and also, with the domain Role Emotional (p < 0.01). There was no statistically significant correlation between size of lymphedema and tested domains of quality of life (p > 0.05). Conclusions. Physical disability in patients with breast cancer-related lymphedema influences quality of life more than mental health. Upper limb function has a significant impact on quality of life, not only on the physical, but also on the mental component. The presence of breast-cancer-related lymphedema certainly affects upper limb function and quality of life, but in this study no significant correlation between the size of edema and quality of life was found.


2008 ◽  
Vol 50 (12) ◽  
pp. 904-909 ◽  
Author(s):  
K Klingels ◽  
P De Cock ◽  
K Desloovere ◽  
C Huenaerts ◽  
G Molenaers ◽  
...  

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