scholarly journals Do mirror movements relate to hand function and timing of the brain lesion in children with unilateral cerebral palsy?

2015 ◽  
Vol 58 (7) ◽  
pp. 735-742 ◽  
Author(s):  
Katrijn Klingels ◽  
Ellen Jaspers ◽  
Martin Staudt ◽  
Andrea Guzzetta ◽  
Lisa Mailleux ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Hand Function ◽  
Brain Lesion ◽  
Mirror Movements ◽  
Unilateral Cerebral Palsy ◽  
The Brain

Brain Lesions as a Predictor of Therapeutic Outcomes of Hand Function in Infants With Unilateral Cerebral Palsy

2018 ◽  
Vol 33 (14) ◽  
pp. 918-924
Author(s):  
Rena Chamudot ◽  
Shula Parush ◽  
Amihai Rigbi ◽  
Varda Gross-Tsur
Keyword(s):  
Cerebral Palsy ◽  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Upper Limb ◽  
Hand Function ◽  
Brain Lesion ◽  
Brain Lesions ◽  
Significant Difference ◽  
Unilateral Cerebral Palsy ◽  
Middle Cerebral Artery Infarct

Aim: The present study aimed to investigate whether the response variability of infants to modified constraint-induced movement therapy and bimanual therapy are associated with different types of brain lesions. Method: Infants with unilateral cerebral palsy (N = 22) ages 8-15 months (mean = 10.95, standard deviation = 2.15 months) were grouped according to having either a periventricular brain lesion or a middle cerebral artery infarct lesion. Improvement in hand function was analyzed based on the mini–Assistive Hand Assessment results. Results: Infants with periventricular brain lesion displayed greater positive response to upper limb treatment compared to those with middle cerebral artery infarct ( P = .02). A significant difference in improvement according to type of treatment was found in the middle cerebral artery infarct group but not in the periventricular brain lesion. Conclusion: The present study showed an association between the type of brain lesion and the efficacy of upper limb treatment in infants. Infants with periventricular brain lesions displayed greater positive responses than those with middle cerebral artery infarct.

scholarly journals Impairments of Visuospatial Attention in Children with Unilateral Spastic Cerebral Palsy

2018 ◽  
Vol 2018 ◽  
pp. 1-14 ◽  
Author(s):  
Gaétan Ickx ◽  
Samar M. Hatem ◽  
Inmaculada Riquelme ◽  
Kathleen M. Friel ◽  
Camille Henne ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Brain Lesion ◽  
Visuospatial Attention ◽  
Attention Deficits ◽  
Spastic Cerebral Palsy ◽  
Motor Impairments ◽  
Rehabilitation Process ◽  
Visuospatial Deficits ◽  
Periventricular Lesion ◽  
The Brain

Aim. This observational study aimed at assessing the prevalence of visuospatial attention deficits in children with unilateral spastic cerebral palsy (USCP), taking into consideration the affected hemibody and the localization of the brain lesion. Method. Seventy-five children with USCP were assessed with four visuospatial attention tests: star cancellation, Ogden figure copy, line bisection, and proprioceptive pointing. Results. A majority (64%) of children with USCP presented a deficit in at least one test compared to the reference values. The alterations observed in children with left or right USCP were related to egocentric or allocentric neglect, respectively. Children with cortico/subcortical lesion presented more often visuospatial attention deficits than children with periventricular lesion. Visuospatial attention deficits were not associated with brain lesion locations. Interpretation. Visuospatial attention deficits are prevalent in children with USCP and should be taken into account during their rehabilitation process. The present results shed new light on the interpretation of motor impairments in children with USCP as they may be influenced by the frequent presence of visuospatial deficits.

scholarly journals Less-Affected Hand Function in Children With Hemiparetic Unilateral Cerebral Palsy: A Comparison Study With Typically Developing Peers

2017 ◽  
Vol 31 (10-11) ◽  
pp. 965-976 ◽  
Author(s):  
Tonya L. Rich ◽  
Jeremiah S. Menk ◽  
Kyle D. Rudser ◽  
Timothy Feyma ◽  
Bernadette T. Gillick
Keyword(s):  
Cerebral Palsy ◽  
Transcranial Magnetic Stimulation ◽  
Grip Strength ◽  
Magnetic Stimulation ◽  
Hand Function ◽  
Dominant Hand ◽  
Motor Threshold ◽  
Motor Representation ◽  
Unilateral Cerebral Palsy ◽  
The Mean

Background. Neurorehabilitation interventions in children with unilateral cerebral palsy (UCP) target motor abilities in daily life yet deficits in hand skills persist. Limitations in the less-affected hand may affect overall bimanual hand skills. Objective. To compare hand function, by timed motor performance on the Jebsen-Taylor Test of Hand Function (JTTHF) and grip strength of children with UCP to children with typical development (CTD), aged 8 to 18 years old. Exploratory analyses compared hand function measures with regard to neurophysiological outcomes measured by transcranial magnetic stimulation and between group comparisons of hemispheric motor threshold. Methods. Baseline hand skills were evaluated in 47 children (21 UCP; 26 CTD). Single-pulse transcranial magnetic stimulation testing assessed corticospinal tract and motor threshold. Results. The mean difference of the less-affected hand of children with UCP to the dominant hand of CTD on the JTTHF was 21.4 seconds (95% CI = 9.32-33.46, P = .001). The mean difference in grip strength was −30.8 N (95% CI = −61.9 to 0.31, P = .052). Resting motor thresholds between groups were not significant, but age was significantly associated with resting motor threshold ( P < .001; P = .001). Children with UCP ipsilateral pattern of motor representation demonstrated greater mean differences between hands than children with contralateral pattern of motor representation ( P < .001). All results were adjusted for age and sex. Conclusions. The less-affected hand in children with UCP underperformed the dominant hand of CTD. Limitations were greater in children with UCP ipsilateral motor pattern. Rehabilitation in the less-affected hand may be warranted. Bilateral hand function in future studies may help identify the optimal rehabilitation and neuromodulatory intervention.

scholarly journals Improvements in hand function after intensive bimanual training are not associated with corticospinal tract dysgenesis in children with unilateral cerebral palsy

2014 ◽  
Vol 232 (6) ◽  
pp. 2001-2009 ◽  
Author(s):  
Kathleen M. Friel ◽  
Hsing-Ching Kuo ◽  
Jason B. Carmel ◽  
Stefan B. Rowny ◽  
Andrew M. Gordon
Keyword(s):  
Cerebral Palsy ◽  
Corticospinal Tract ◽  
Hand Function ◽  
Bimanual Training ◽  
Unilateral Cerebral Palsy

scholarly journals How does the interaction of presumed timing, location and extent of the underlying brain lesion relate to upper limb function in children with unilateral cerebral palsy?

2017 ◽  
Vol 21 (5) ◽  
pp. 763-772 ◽  
Author(s):  
Lisa Mailleux ◽  
Katrijn Klingels ◽  
Simona Fiori ◽  
Cristina Simon-Martinez ◽  
Philippe Demaerel ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Brain Lesion ◽  
Limb Function ◽  
Upper Limb Function ◽  
Unilateral Cerebral Palsy

scholarly journals Assessment of the hand in cerebral palsy

2011 ◽  
Vol 44 (02) ◽  
pp. 348-356 ◽  
Author(s):  
Praveen Bhardwaj ◽  
S. Raja Sabapathy
Keyword(s):  
Decision Making ◽  
Central Nervous System ◽  
Cerebral Palsy ◽  
Hand Function ◽  
Personal Hygiene ◽  
Self Image ◽  
Musculoskeletal Pathology ◽  
The Given ◽  
The Brain ◽  
Cerebral Insult

ABSTRACTCerebral palsy is the musculoskeletal manifestation of a nonprogressive central nervous system lesion that usually occurs due to a perinatal insult to the brain. Though the cerebral insult is static the musculoskeletal pathology is progressive. Some patients with cerebral palsy whose hands are affected can be made better by surgery. The surgical procedures as such are not very technically demanding but the assessment, decision-making, and selecting the procedures for the given patient make this field challenging. When done well, the results are rewarding not only in terms of improvement in hand function but also in appearance and personal hygiene, which leads to better self-image and permits better acceptance in the society. This article focuses on the clinical examination, patient selection, and decision-making while managing these patients.

Development of hand function during the first year of life in children with unilateral cerebral palsy

2018 ◽  
Vol 61 (5) ◽  
pp. 563-569 ◽  
Author(s):  
Leanne Sakzewski ◽  
Elisa Sicola ◽  
Cornelia H Verhage ◽  
Giuseppina Sgandurra ◽  
Ann‐Christin Eliasson
Keyword(s):  
Cerebral Palsy ◽  
Hand Function ◽  
First Year ◽  
Unilateral Cerebral Palsy ◽  
First Year Of Life
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