scholarly journals Pinch grip strength and fine manual control in children with diplegic cerebral palsy: a cross-sectional study

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Asmaa Ahmed Abd El-samad ◽  
Gehan Hassan El-Meniawy ◽  
Sahar Mohamed Nour El-Din ◽  
Nanees Essam Mohamed
Keyword(s):  
Cerebral Palsy ◽  
Grip Strength ◽  
Functional Limitations ◽  
Manual Control ◽  
Fine Motor ◽  
Pinch Strength ◽  
Spastic Diplegia ◽  
Cross Sectional ◽  
Pinch Grip ◽  
Positive Significant Correlation

Abstract Background In children with spastic diplegia, efficient use of the upper extremity especially the hands play an important role in participation in daily living. Hands can perform heavy activities and also enable to perform extremely gentle, skillful, and precise activities. Inadequate hand strength and fine motor skills may lead to functional limitations. This study was planned to investigate the pinch grip strength and fine manual control in children with spastic diplegic cerebral palsy and to determine if there is a relation between them. Thirty children with diplegic cerebral palsy and 30 normal developed children from both sexes between 5 and 10 years old were included in this study as diplegic and control groups. For all children, pinch grip strength measured by Baseline Mechanical Pinch Gauge and Bruininks-Oseretsky Test of Motor Proficiency, Second Edition used to evaluate fine manual control. Results Children with diplegic cerebral palsy have significant impairment in the pinch grip strength (tip, tripod, and key) and the fine manual control (fine motor precision and integration) compared to their healthy peers of the same age. There was large positive significant correlation (r > 0.5, p < 0.05) between tip and tripod pinch strength, and fine motor precision and medium positive significant correlation (r = 0.47, p < 0.05) between key pinch and fine motor precision in children with spastic diplegia. Also, there was large positive significant correlation between tip pinch and fine motor integration (r = 0.54, p < 0.05). The correlations are small and medium positive between tripod and key pinch strength, and fine motor integration respectively but they are not statistically significant. Conclusions Pinch grip strength and fine manual skills are affected in children with spastic diplegia. Also, there is a significant correlation between the pinch strength and activities require precise control of the hand.

scholarly journals The Precision of the Human Hand: Variability in Pinch Strength and Manual Dexterity

Symmetry ◽  
2022 ◽  
Vol 14 (1) ◽  
pp. 71
Author(s):  
Ameline Bardo ◽  
Katie Town ◽  
Tracy L. Kivell ◽  
Georgina Donati ◽  
Haiko Ballieux ◽  
...  
Keyword(s):  
Hand Function ◽  
Fine Motor ◽  
Pinch Strength ◽  
Human Hand ◽  
Cross Sectional ◽  
Form And Function ◽  
Motor Movement ◽  
Pinch Grip ◽  
Index Ratio ◽  
And Function

Changes in hand morphology throughout human evolution have facilitated the use of forceful pad-to-pad precision grips, contributing to the development of fine motor movement and dexterous manipulation typical of modern humans. Today, variation in human hand function may be affected by demographic and/or lifestyle factors, but these remain largely unexplored. We measured pinch grip strength and dexterity in a heterogeneous cross-sectional sample of human participants (n = 556) to test for the potential effects of sex, age, hand asymmetries, hand morphology, and frequently practiced manual activities across the lifespan. We found a significant effect of sex on pinch strength, dexterity, and different directional asymmetries, with the practice of manual musical instruments, significantly increasing female dexterity for both hands. Males and females with wider hands were also stronger, but not more precise, than those with longer hands, while the thumb-index ratio had no effect. Hand dominance asymmetry further had a significant effect on dexterity but not on pinch strength. These results indicate that different patterns of hand asymmetries and hand function are influenced in part by life experiences, improving our understanding of the link between hand form and function and offering a referential context for interpreting the evolution of human dexterity.

Clinical characteristics of children with cerebral palsy in Chengdu, China: A cross-sectional study

2018 ◽  
Author(s):  
Luo Rong
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Classification System ◽  
Birth Asphyxia ◽  
Developed Countries ◽  
Fine Motor ◽  
Spastic Diplegia ◽  
Cross Sectional ◽  
Fine Motor Function ◽  
Children With Cerebral Palsy

Objective: To describe the subtypes, motor function, and comorbidities of cerebral palsy (CP) in children in Chengdu, China.Methods: A cross-sectional survey of children with CP was performed in 2013 and participants were enrolled from the branches of China Disabled Persons’ Federation in Chengdu. Diagnosis, clinical subtypes, gross and fine motor function outcomes, and comorbidities of CP were determined through caregiver interviews, evaluation of medical records, and thorough physical examinations.Results: Four-hundred and twenty-two children were diagnosed with CP (mean age, 7.7 ± 3.8 years). Spastic diplegia was the predominating subtype (35%). Mild impairments in gross and fine motor function were present in 45% and 52% of the patients, respectively. Cognitive impairment (60%) was the most common comorbidity, and was followed by language disorder (41%) and microcephaly (35%). About 79% of children with cerebral palsy had at least one comorbidity, and the number of cumulative comorbidities was positively correlated with Gross Motor Function Classification System and Manual Ability Classification System scores. Preterm birth (52%) was the most common risk factor, and was followed by low birth weight (42%) and birth asphyxia (27%).Conclusion: Distributions of CP subtypes, motor functions, and comorbidities in a Chinese population were similar to those in developed countries, but different from those in other developing countries. The trend for decreased numbers of children with preterm CP since 2009 indicates an improvement in neonatal care. However, perinatal healthcare should still be improved to reduce the occurrence of birth asphyxia.

An assessment of the effects of variations in the Palmaris longus tendon and the fifth superficial flexor digitorum on pinch and grip strength

2020 ◽  
Vol 33 (5) ◽  
pp. 743-747
Author(s):  
A.R. Sadeghifar ◽  
A. Karbalaeikhani ◽  
A.R. Saied
Keyword(s):  
Grip Strength ◽  
Anatomical Variations ◽  
Cross Sectional Study ◽  
Statistical Testing ◽  
Pinch Strength ◽  
Cross Sectional ◽  
Longus Tendon ◽  
Palmaris Longus ◽  
Palmaris Longus Tendon ◽  
Flexor Digitorum

INTRODUCTION: The effect of the absence or presence of the Palmaris longus tendon on pinch and grip strength was investigated in this study. Similarly, the effect of the presence or absence of the fifth superficial flexor digitorum on grip strength in the hand was studied. The aim of the present study was to assess the combined effect of these anatomical variations on pinch and grip strength. MATERIALS AND METHODS: In this cross-sectional study, 523 volunteers and their 1046 hands were enrolled. Each hand was assessed for the presence or absence of the Palmaris longus tendon and for variations in the fifth superficial flexor digitorum function. Then the grip and pinch power of the hands were measured with the Jammar Dynamometer. RESULTS: The presence or absence of Palmaris longus had no effect on grip strength in the individuals studied. Likewise, variations in fifth superficial flexor digitorum function had no effect on grip and pinch strengths. But the results of statistical testing showed the effect of the presence of Palmaris longus on pinch strength (25.38 lbs in hands with Palmaris present vs 24.43 lbs in hands without Palmaris). Pinch and grip power was higher in men than in women and in the right hand than in the left. CONCLUSION: Based on the findings of the present study, it seems that absence of the Palmaris longus tendon is associated with a reduction in pinch strength but has no effect on grip strength, and the variations in the fifth superficial flexor digitorum (flexor digitorum superficialis, or FDS) have no effect on pinch and grip strengths.

scholarly journals Effect of Smartphone Usage on Neck Muscle Endurance, Hand Grip and Pinch Strength among Healthy College Students: A Cross-Sectional Study

2021 ◽  
Vol 18 (12) ◽  
pp. 6290
Author(s):  
Adel Alshahrani ◽  
Mohamed Samy Abdrabo ◽  
Sobhy M. Aly ◽  
Mastour Saeed Alshahrani ◽  
Raee S. Alqhtani ◽  
...  
Keyword(s):  
College Students ◽  
Grip Strength ◽  
Pinch Strength ◽  
Muscle Endurance ◽  
Smartphone Addiction ◽  
Neck Muscle ◽  
Endurance Test ◽  
Endurance Time ◽  
Pinch Grip ◽  
Hand Grip

In recent years, there has been a significant increase in global smartphone usage driven by different purposes. This study aimed to explore the effect of smartphone usage on neck muscle (flexors and extensors) endurance, hand grip, and pinch strength among young, healthy college students. In total, 40 male students were recruited for this study; 20 of them belonged to the smartphone-addicted group, while the other 20 were in the non-addicted group based on their smartphone addiction scale—short version (SAS-SV) scores (the threshold for determining smartphone addiction: 31/60). Neck flexor endurance time, the ability to perform a neck extensor muscle endurance test, and hand and pinch grip strength were assessed. Multivariate analysis of variance (MANOVA) was used to assess between-group differences in the mean values of neck flexor endurance time, hand grip, and pinch grip. A significant group effect (Wilks’ lambda = 0.51, F (5,34) = 6.34, p = 0.001, partial eta squared = 0.48) was found. A decrease in neck flexor endurance time was observed in the smartphone-addicted group compared with that of the non-addicted group (p < 0.001). However, there was no notable difference in the neck extensor muscle endurance test or in hand grip and pinch grip strength of both hands between groups (p > 0.05). Using a smartphone for a prolonged time might affect neck flexor muscle endurance; however, more research is needed to explore the long-term effects of using smartphones on neck muscle endurance and hand/pinch grip strength and the risk of developing upper limb neuromusculoskeletal dysfunction.

scholarly journals ASSESSMENT OF SENSORY PROCESSING CHARACTERISTICS IN CEREBRAL PALSY CHILDREN

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Mehreen Zahid
Keyword(s):  
Cerebral Palsy ◽  
Sensory Processing ◽  
Sampling Technique ◽  
Sensory Profile ◽  
Spastic Diplegia ◽  
Cross Sectional ◽  
Rehabilitation Team ◽  
Sensory Deficits ◽  
Short Sensory Profile ◽  
Movement Sensitivity

ABSTRACT AIMS & OBJECTIVES Children with cerebral palsy present with the complain of motor and sensory deficits. The movement and posture difficulties are well addressed by the rehabilitation team; however, sensory deficits remain unaddressed. Therefore, this study aims to assess the sensory processing characteristics in Spastic Diplegic children using Short Sensory Profile. METHODOLOGY This cross-sectional study was conducted at special education institutes/schools of Karachi. The Cerebral Palsy children with Spastic Diplegia aged 4-15 years were enrolled through Non-Probability Convenience Sampling Technique. Data was collected from parents/guardians of the participants using Short Sensory Profile questionnaire. RESULTS A sample of 70 participants was obtained out of 133 with a highest reported mean score of 17.38 in Tactile Sensitivity, while lowest in Taste/Smell and Movement Sensitivity i.e. 8.77 and 6.12 respectively. Moreover, a significant weak correlation was determined between Tactile and Movement Sensitivity (p<0.05). CONCLUSION It was found that all CP children enrolled in the study were showing Atypical sensory performance on Short Sensory Profile. Further investigation is required to establish psychometric properties of Short Sensory Profile on CP population and understand the correlation of sensory modulation impairments with functional performance for better intervention outcome for CP children.

scholarly journals Association between type of cerebral palsy and the cognitive levels

2009 ◽  
Vol 49 (3) ◽  
pp. 186
Author(s):  
Ratna Dewi Kusumaningrum ◽  
Elizabeth Siti Herini ◽  
Djauhar Ismail
Keyword(s):  
Cerebral Palsy ◽  
Mental Retardation ◽  
Cross Sectional Study ◽  
Spastic Diplegia ◽  
Chi Square ◽  
Cross Sectional ◽  
Cognitive Levels ◽  
Chi Square Test ◽  
Borderline Iq

Background Cerebral palsy is the main cause of physical disabilityduring childhood. Assessment is necessary to acknowledge thelevel of intelligence of the patients and to prevent impairmentsin order to plan the prompt intervention.Objectives To evaluate the cognitive levels of cerebral palsy andassociation between cognitive levels and its types.Methods We conducted a cross-sectional study on subjectsfrom Sekolah Luar Biasa Negeri 3 Yogyakarta. Intelligence wasmeasured using the Stanford-Binet intelligence scales, whereasdiagnosis of cerebral palsy was based on criteria of the AmericanAcademy for Cerebral Palsy (AACP). Data were analyzed usingchi-square test.Results There were 35 subjects, comprising of 21 boys and 14girls aged 5-18 years. The results show that in general, childrenwith cerebral palsy had mental retardation in several cognitivelevels. Children with hemiplegia type (1 subject) had IQ level that equals to mental retardation. Children with spastic diplegia type (6 subjects) showed borderline IQ (1) and mental retardation (5). Children with quadriplegia type ( 15 subjects) had superior IQ (1), borderline (7) and mental retardation (7). Out of 13 subjects with athetoid type 2, had borderline IQ (2), and mental retardation (11). The statistical analysis with chi-square test resulted in P = 0.114 (P < 0.05).Conclusion Our data showed that most patients with cerebral palsy had mental retardation of several cognitive level but there was no significant association between each type of cerebral palsy with cognitive levels.

Correlation between selective motor control and upper extremity function in children with hemiparesis

2021 ◽  
Vol 15 (6) ◽  
pp. 1709-1712
Author(s):  
Radwa Gomaa Abd El-Aziz Said ◽  
Amira M. Abd- Elmonem ◽  
Maya G. Aly
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Grip Strength ◽  
Upper Extremity ◽  
Hand Grip Strength ◽  
Hand Grip ◽  
Extremity Function ◽  
Selective Control ◽  
Upper Extremity Function ◽  
Positive Significant Correlation

Background: Impairedselective motor control is a common problem in children with hemiparesis; it interferes with upper extremity function and grip strength of the affected side. Aim: To study the relationship between selective motor control and upper extremity function in children with hemiparesis. Methods: This study included a convenient sample of 48 children with hemiparesis (age; four to eight years). The test of arm selective control, quality of upper extremity skill test, and hand held dynamometers were used to assess the selective motor control, upper extremityfunction and hand grip strength respectively. Results: The results showed positive significant correlation (p> 0.05) between test of arm selective control with upper extremityfunction (r=0.85) and hand grip strength (r=0.77). Moreover, there was positive significant correlation between upper extremityfunction and hand grip strength (r=0.72). Conclusion: Selective motor control is positively correlated with upper extremityfunction and hand grip strength in children with hemiparesis. The results help in the development of appropriate treatment programs for the rehabilitation of children with hemiplegia. Keywords: Cerebral palsy; Hand grip strength; Selective motor control; Unilateral cerebral palsy; Upper extremity function.

scholarly journals Upper Extremity Muscle Strength in Children With Unilateral Spastic Cerebral Palsy: A Bilateral Problem?

2020 ◽  
Vol 100 (12) ◽  
pp. 2205-2216
Author(s):  
Koen J F M Dekkers ◽  
Eugene A A Rameckers ◽  
Rob J E M Smeets ◽  
Andrew M Gordon ◽  
Lucianne A W M Speth ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Muscle Strength ◽  
Elbow Flexion ◽  
Cross Sectional Study ◽  
Spastic Cerebral Palsy ◽  
Pinch Strength ◽  
Wrist Flexion ◽  
Cross Sectional ◽  
Flexion Extension ◽  
Arm Strength

Abstract Objective The objective was to investigate whether muscle strength in the nonaffected and affected upper extremities (UEs) in children (7–12 years) with unilateral spastic cerebral palsy (USCP) differs from that in children with typical development (TD). Methods A cross-sectional study design was used. Isometric arm strength (wrist flexion, wrist extension with flexed and extended fingers, elbow flexion/extension) was assessed in 72 children (mean age = 9.3 [SD = 1.9] years) with USCP, and isometric grip/pinch strength was assessed in 86 children (mean age = 9.3 [SD = 1.8] years) with USCP. Arm/grip/pinch strength was assessed in 120 children (mean age = 9.5 [SD = 1.7] years) with TD. Arm strength was measured with a hand-held dynamometer, and grip/pinch strength was measured with a calibrated, modified (digitized) grip dynamometer and a pinch meter. The nonaffected UE of children with USCP was compared with the preferred UE of children with TD because both sides represent the preferred UE. The affected UE was compared with the nonpreferred UE of children with TD, as both sides represent the nonpreferred UE. Results In all measurements except for grip strength of the preferred UE, children with USCP were weaker than children with TD. Conclusions In children with USCP, muscle strength weakness exists in both UEs. Impact When unimanual or bimanual ability limitations are present in children with unilateral cerebral palsy, investigation of the muscle strength of the nonaffected UE should be part of the assessment.

scholarly journals Upper extremity motor quality evaluation in children with Cerebral Palsy

2017 ◽  
Vol 30 (suppl 1) ◽  
pp. 277-284 ◽  
Author(s):  
Haryelle Náryma Confessor Ferreira ◽  
Gabriele Natane de Medeiros Cirne ◽  
Silvana Alves Pereira ◽  
Núbia Maria Freire Vieira Lima ◽  
Roberta de Oliveira Cacho ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Upper Extremity ◽  
Classification System ◽  
Functional Limitations ◽  
Weight Bearing ◽  
Functional Abilities ◽  
Cross Sectional ◽  
High Positive Correlation ◽  
Progressive Disorder

Abstract Introduction: Cerebral Palsy (CP) is a non-progressive disorder that may compromise functional abilities of the upper limbs due to motor and sensitive loss, that are still poorly evaluated and described by reliable tools. Objective: This study aimed to evaluate motor quality and skills of the upper extremity in children with CP in regions of Trairi and Seridó from Rio Grande do Norte state (Brazil). Methods: It is a cross-sectional exploratory study, with a qualitative approach, with 17 children with CP, aged between four and eight years. The following instruments were used for upper extremity evaluation: Manual Ability Classification System (MACS), Quality of Upper Extremity Skills Test (QUEST) and Gross Motor Function Classification System (GMFCS). Results: Mean and standard deviation (sd) of QUEST total score and the domains dissociated movement, grasp, weight bearing and extensive protection were, respectively, 41.06/37.08; 53.12/34.50; 15.51/62.98; 37.76/37.52; 42.48/47.26. MACS and GMFCS median scores were, respectively, 3 (three) and 5 (five); high positive correlation was observed between MACS and GMFCS (rs=0.83) and high negative correlation between GMFCS and total QUEST (rs=-0.83), as well as between MACS and QUEST (rs=-0.84); and MACS and all QUEST domains (rs=-0.73; rs=-0.82; rs=-0.76; rs=-0.79), p<0.001. Conclusion: Children with CP showed deficit in motor quality and skills of the upper limb, allowing to infer functional limitations regarding manipulation of objects and consequent dependence during life activities.

Sign in / Sign up

Export Citation Format

Share Document