scholarly journals Impact of Sensory Deficits on Upper Limb Motor Performance in Individuals with Cerebral Palsy: A Systematic Review

2021 ◽  
Vol 11 (6) ◽  
pp. 744
Author(s):  
Isabelle Poitras ◽  
Ophélie Martinie ◽  
Maxime T. Robert ◽  
Alexandre Campeau-Lecours ◽  
Catherine Mercier
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Upper Limb ◽  
Level Of Evidence ◽  
High Association ◽  
Visual Functions ◽  
Sensory Deficits ◽  
Relative Contribution ◽  
Complex Motor ◽  
Sensory Functions

People living with cerebral palsy (CP) exhibit motor and sensory impairments that affect unimanual and bimanual functions. The importance of sensory functions for motor control is well known, but the association between motor and sensory functions remains unclear in people living with CP. The objective of this systematic review was to characterize the relationship between sensory deficits and upper limb motor function in individuals living with CP. Methods: Five databases were screened. The inclusion criteria were: (1) including people living with CP, (2) reporting measurements of upper limb motor and sensory functions. A qualitative analysis of the studies’ level of evidence was done. Results: Thirty-three articles were included. Twenty-five articles evaluated tactile functions, 10 proprioceptive functions and 7 visual functions; 31 of the articles reported on unimanual functions and 17 of them reported on bimanual functions. Tactile functions showed a moderate to high association; it was not possible to reach definitive conclusions for proprioceptive and visual functions. Conclusions: The heterogeneity of the results limits the ability to draw definitive conclusions. Further studies should aim to perform more comprehensive assessments of motor and sensory functions, to determine the relative contribution of various sensory modalities to simple and more complex motor functions.

Rationale for prescription, and effectiveness of, upper limb orthotic intervention for children with cerebral palsy: a systematic review

2017 ◽  
Vol 40 (12) ◽  
pp. 1361-1371 ◽  
Author(s):  
Simon Garbellini ◽  
Yvette Robert ◽  
Melinda Randall ◽  
Catherine Elliott ◽  
Christine Imms
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Upper Limb ◽  
Children With Cerebral Palsy

scholarly journals A systematic review of upper limb activity measures for 5‐ to 18‐year‐old children with bilateral cerebral palsy

2019 ◽  
Vol 66 (5) ◽  
pp. 552-567 ◽  
Author(s):  
Andrea Burgess ◽  
Roslyn N. Boyd ◽  
Jenny Ziviani ◽  
Leanne Sakzewski
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Upper Limb ◽  
Activity Measures

scholarly journals Upper Extremity Strength Measurement for Children With Cerebral Palsy: A Systematic Review of Available Instruments

2014 ◽  
Vol 94 (5) ◽  
pp. 609-622 ◽  
Author(s):  
Koen J.F.M. Dekkers ◽  
Eugene A.A. Rameckers ◽  
Rob J.E.M. Smeets ◽  
Yvonne J.M. Janssen-Potten
Keyword(s):  
Cerebral Palsy ◽  
Muscle Strength ◽  
Upper Extremity ◽  
Upper Limb ◽  
Measurement Instruments ◽  
Strength Measurement ◽  
Level Of Evidence ◽  
Best Evidence Synthesis ◽  
Children With Cerebral Palsy

Background In order to make inferences about strength related to development or treatment interventions, it is important to use measurement instruments that have sound clinimetric properties. Purpose The objective of this review is to systematically evaluate the level of evidence of the clinimetric properties of instruments for measuring upper extremity muscle strength at the “body functions & structures” level of the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) for children with cerebral palsy (CP). Data Sources A systematic search of the PubMed, EMBASE, OTseeker, CINAHL, PEDro, and MEDLINE databases up to November 2012 was performed. Study Selection Two independent raters identified and examined studies that reported the use of upper extremity strength measurement instruments and methods for children and adolescents with CP aged 0 to 18 years. Data Extraction The COSMIN (COnsensus-based Standards for the selection of health status Measurement INstruments) checklist with 4-point rating scale was used by 2 independent raters to evaluate the methodological quality of the included studies. Best evidence synthesis was performed using COSMIN outcomes and the quality of the clinimetric properties. Data Synthesis Six different measurement instruments or methods were identified. Test-retest, interrater, and intrarater reliability were investigated. Two test-retest reliability studies were rated as “fair” for the level of evidence. All other studies were rated as “unknown” for the level of evidence. Limitations The paucity of literature describing clinimetric properties, especially other than reliability, of upper limb strength measurement instruments for children with CP was a limitation of the study. Conclusions For measuring grip strength, the Jamar dynamometer is recommended. For other muscle groups, handheld dynamometry is recommended. Manual muscle testing (MMT) can be used in case of limited (below MMT grade 4) wrist strength or for total upper limb muscle strength. Based on lacking information regarding other clinimetric properties, caution is advised regarding interpretation of the results.

scholarly journals Upper limb function evaluation scales for individuals with cerebral palsy: a systematic review

2015 ◽  
Vol 27 (5) ◽  
pp. 1617-1620 ◽  
Author(s):  
Cibele Almeida Santos ◽  
Renata Calhes Franco de Moura ◽  
Roberta Delasta Lazzari ◽  
Arislander Jonathan Lopes Dumont ◽  
Luiz Alfredo Ferreira Braun ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Upper Limb ◽  
Function Evaluation ◽  
Limb Function ◽  
Upper Limb Function

scholarly journals Effect of oromotor exercises on feeding in children with cerebral palsy: systematic review

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Rania El Nagar ◽  
Alaa AL-Nemr ◽  
Faten Abdelazeim
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Descriptive Analysis ◽  
Sensory Stimulation ◽  
Cochrane Library ◽  
Feeding Problems ◽  
Level Of Evidence ◽  
Weak Evidence ◽  
Children With Cerebral Palsy ◽  
Meta Analyses

Abstract Background Feeding problems are prevalent in children with cerebral palsy (CP). Oromotor exercises (OME) should be started as soon as possible to enhance chewing and drooling. Oromotor exercises consist of active exercises, passive exercises, and sensory stimulation. The purpose of this review is to evaluate the effectiveness of oromotor exercises on feeding, chewing, and drooling in children with CP. Body The American Academy for Cerebral Palsy and Developmental Medicine and Preferred Reporting Items for Systematic Reviews and Meta-Analyses methodology were used to conduct a systematic review. Four databases (PubMed, Cochrane Library, PEDro, and Google Scholar) were searched; this review includes seven articles, participants were 173 participants ranging in age from 18 months to 18 years. Articles were assessed according to their level of evidence and quality assessment was done by AACPDM, PEDro scale, and JBI scale. Due to the heterogeneity across included studies, descriptive analysis was performed on all of them. Primary outcomes were chewing and drooling. Results showed the effectiveness of OME in improving drooling, but with weak evidence while not effective in improving chewing. Conclusion High-quality studies are required to develop a firm judgment on the influence of oromotor exercises on feeding. The current level of evidence to support the effectiveness of oromotor exercises in children with CP is currently insufficient.

scholarly journals What is the threshold dose of upper limb training for children with cerebral palsy to improve function? A systematic review

2020 ◽  
Vol 67 (3) ◽  
pp. 269-280 ◽  
Author(s):  
Michelle Jackman ◽  
Natasha Lannin ◽  
Claire Galea ◽  
Leanne Sakzewski ◽  
Laura Miller ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Upper Limb ◽  
Threshold Dose ◽  
Children With Cerebral Palsy

scholarly journals Kinematic upper limb evaluation of children and adolescents with cerebral palsy: a systematic review of the literature

2016 ◽  
Vol 28 (2) ◽  
pp. 695-700 ◽  
Author(s):  
Renata Calhes Franco de Moura ◽  
Cibele Santos Almeida ◽  
Arislander Jonatan Lopes Dumont ◽  
Roberta Delasta Lazzari ◽  
Jamile Benite Palma Lopes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Children And Adolescents ◽  
Upper Limb ◽  
Review Of The Literature
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