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

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

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 GROSS MOTOR FUNCTION CLASSIFICATION SYSTEM AND MANUAL ABILITY CLASSIFICATION IN CEREBRAL PALSY EVALUATION

2016 ◽  
Vol 65 (2) ◽  
pp. 170-173
Author(s):  
Ioana Grigore ◽  
◽  
Georgeta Diaconu ◽  
Catalin Prazaru ◽  
Alexandra Mania ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
First Year ◽  
Cerebral Disease ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Neurological Exam ◽  
Motor Problems ◽  
First Year Of Life

Cerebral palsy (CP) is a chronically cerebral disease, which is defined like a group of non-progressives motor diseases that onset in the first year of life and are the secondary lesions for a developed brain. At pediatric age CP is the most frequent cause of severe and infirmity motor problems. Aim of the study. Comparative framing in various degrees of severity for CP at child applying two classifications: Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS). Material and Methods. The study group included 129 children (43 girls and 86 boys) aged 2-18 years, diagnosed with various forms of CP. The study protocol included general clinical examination, neurological exam. Results. Of patients with CP watch, 24 (18,60%) were employed in both the grade I classification GMFCS and MACS. Also, of the 69 children who could walk independently (GMFCS I+II), 60 had good manual dexterity or very good (MACS I+II). Of the 35 patients with severe forms of PC (GMFCS V), 32 could not wield the objects being impressed into MACS V and 3 could handle only certain items being included in MACS IV. Conclusions. The gross motor function and the manual ability evolve on different levels of severity depending on type of CP. In diakinetic CP, ataxic CP and mixed forms of CP was noticed a higher correlation between the grades of the two classifications.

scholarly journals Longitudinal development of hand function in children with unilateral cerebral palsy

2010 ◽  
Vol 52 (4) ◽  
pp. 352-357 ◽  
Author(s):  
MARIE HOLMEFUR ◽  
LENA KRUMLINDE-SUNDHOLM ◽  
JAKOB BERGSTRÖM ◽  
ANN-CHRISTIN ELIASSON
Keyword(s):  
Cerebral Palsy ◽  
Hand Function ◽  
Longitudinal Development ◽  
Unilateral Cerebral Palsy

scholarly journals Prevalence and risk factors for epilepsy in children with spastic cerebral palsy

2016 ◽  
Vol 50 (1) ◽  
pp. 11
Author(s):  
Dedy Rahmat ◽  
Irawan Mangunatmadja ◽  
Bambang Tridjaja ◽  
Taralan Tambunan ◽  
Rulina Suradi
Keyword(s):  
Risk Factors ◽  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Central Nervous System Infection ◽  
First Year ◽  
Genetic Syndrome ◽  
Female Ratio ◽  
Increased Risk ◽  
First Year Of Life

Background Epilepsy in cerebral palsy (CP) is usually difficult to treat and can lead to poor prognosis due to increased risk for motor and cognitive disorders. The prevalence and risk factors of epilepsy in children with CP vary among studies.Objective To determine the prevalence and risk factors for epilepsy in spastic CP.Methods We performed a retrospective study using medical records of patients with spastic CP at the Departement of Child Health, Cipto Mangunkusumo Hospital from January 2003 until December 2008. Prevalence ratio was calculated by comparing the prevalence of epilepsy in subjects with and without risk factors. We excluded patients with metabolic disorder, genetic syndrome, and onset of CP after 3 years of age.Results Two hundred thirty six out of 238 spastic CP patients were analyzed. The mean age at diagnosis of spastic CP was 28.8 months. Male to female ratio was 1.4:1. The prevalence of epilepsy in spastic CP was 39%. The risk factors for epilepsy in spastic CP were central nervous system infection, the ocurrence of seizure in the first year of life, and abnormality of EE G.Conclusions The prevalence of epilepsy in spastic CP is 39%. The risk factors for epilepsy in spastic CP are post central nervous system infection, and ocurrence of seizure in the first year of life. [Paediatr Indones. 2010;50:11-7].

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