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upper limb function in cerebral palsy

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https://www.readbyqxmd.com/read/29871566/pronator-teres-selective-neurectomy-in-children-with-cerebral-palsy
#1
Marion Helin, Manon Bachy, Claire Stanchina, Frank Fitoussi
The objective of this study was to evaluate the results after selective pronator teres (PT) neurectomy in children with spastic hemiplegia. Patients with PT spasticity without contracture and an active supination improvement after PT botulinum toxin injection were included. Hand function and deformities were evaluated with the House score, Gschwind and Tonkin pronation deformity classification and Zancolli's classification. Twenty-two patients (mean age 11.6 years) were included in this study. The average follow-up was 32...
January 1, 2018: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29859722/effect-of-risperidone-on-the-motor-and-functional-disability-in-children-with-choreoathetoid-cerebral-palsy
#2
Mahesh Kamate, Nishant Mittal, Deepa Metgud
BACKGROUND: Therapeutic options for management of choreoathetoid cerebral palsy, which is a permanent disorder, are very limited. Available medications either have significant side effects or are unsuitable for long-term use. Risperidone has shown promise in the management of chorea and has been found to be safe in children less than five years. METHODS: Children with choreoathetoid cerebral palsy were enrolled after parental consent and given risperidone for six-month period along with standard care...
April 20, 2018: Pediatric Neurology
https://www.readbyqxmd.com/read/29763510/trihexyphenidyl-for-dystonia-in-cerebral-palsy
#3
REVIEW
Adrienne R Harvey, Louise B Baker, Dinah Susan Reddihough, Adam Scheinberg, Katrina Williams
BACKGROUND: Cerebral palsy occurs in up to 2.1 of every 1000 live births and encompasses a range of motor problems and movement disorders. One commonly occurring movement disorder amongst those with cerebral palsy is dystonia: sustained or intermittent involuntary muscle spasms and contractions that cause twisting, repetitive movements and abnormal postures. The involuntary contractions are often very painful and distressing and cause significant limitations to activity and participation...
May 15, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29739443/cognition-and-bimanual-performance-in-children-with-unilateral-cerebral-palsy-protocol-for-a-multicentre-cross-sectional-study
#4
Brian Hoare, Michael Ditchfield, Megan Thorley, Margaret Wallen, Jenny Bracken, Adrienne Harvey, Catherine Elliott, Iona Novak, Ali Crichton
BACKGROUND: Motor outcomes of children with unilateral cerebral palsy are clearly documented and well understood, yet few studies describe the cognitive functioning in this population, and the associations between the two is poorly understood. Using two hands together in daily life involves complex motor and cognitive processes. Impairment in either domain may contribute to difficulties with bimanual performance. Research is yet to derive whether, and how, cognition affects a child's ability to use their two hands to perform bimanual tasks...
May 8, 2018: BMC Neurology
https://www.readbyqxmd.com/read/29710760/effects-of-live-and-video-form-action-observation-training-on-upper-limb-function-in-children-with-hemiparetic-cerebral-palsy
#5
Do Hyun Kim, Duk-Hyun An, Won-Gyu Yoo
PURPOSE: The purpose of this study was to investigate the effects of live and video form action observation training (AOT) on upper limb (UL) movement acceleration and function in children with cerebral palsy (CP). METHODS: In total, 12 children (7 boys, 5 girls) with CP participated in this study. The children were allocated randomly to live (experimental) and video (control) AOT groups. All children completed 20 treatment sessions, each 30 minutes in duration, 5 days per week for a month...
April 20, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29664754/self-reported-upper-limb-functioning-of-pupils-with-cerebral-palsy-by-the-international-classification-of-functioning-disability-and-health
#6
Zoltán Lénárt, Eszter Szabó-Szemenyei, Adrienn A Tóth, Lajos Kullmann
International Classification of Functioning, Disability, and Health: Children and Youth Version has shown an increasing role in the assessment of children with cerebral palsy (CP), but just a few researchers use it for individuals' self-assessment. In this study, we present the self-assessment of functioning of students with CP and changes by the end of a school year. Thirty-seven pupils with spastic CP involving upper limbs, 24 pupils with typical development, and 20 pupils with speech and language disorders were studied by International Classification of Functioning, Disability, and Health core sets for CP...
April 16, 2018: International Journal of Rehabilitation Research. Revue Internationale de Recherches de Réadaptation
https://www.readbyqxmd.com/read/29587833/use-of-hybrid-assistive-limb-hal-%C3%A2-for-a-postoperative-patient-with-cerebral-palsy-a-case-report
#7
Yuki Mataki, Hiroshi Kamada, Hirotaka Mutsuzaki, Yukiyo Shimizu, Ryoko Takeuchi, Masafumi Mizukami, Kenichi Yoshikawa, Kazushi Takahashi, Mayumi Matsuda, Nobuaki Iwasaki, Hiroaki Kawamoto, Yasuyoshi Wadano, Yoshiyuki Sankai, Masashi Yamazaki
BACKGROUND: The Hybrid Assistive Limb (HAL® ) is an exoskeleton wearable robot suit that assists in voluntary control of knee and hip joint motion. There have been several studies on HAL intervention effects in stroke, spinal cord injury, and cerebral palsy. However, no study has investigated HAL intervention for patients with cerebral palsy after surgery. CASE PRESENTATION: We report a case of using HAL in a postoperative patient with cerebral palsy. A 15-year-old boy was diagnosed with spastic diplegia cerebral palsy Gross Motor Function Classification System level IV, with knee flection contracture, equinus foot, and paralysis of the right upper extremity with adduction contracture...
March 27, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29578452/influence-of-upper-limb-movement-patterns-on-accelerometer-measurements-a-pediatric-case-series
#8
Jessica Trac, Jaclyn Dawe, Jirapat Likitlersuang, Kristin Musselman, José Zariffa
OBJECTIVE: Previous studies showed success using wrist-worn accelerometers to monitor upper-limb activity in adults and children with hemiparesis. However, a knowledge gap exists regarding which specific joint movements are reflected in accelerometry readings. We conducted a case series intended to enrich data interpretation by characterizing the influence of different pediatric upper-limb movements on accelerometry data. APPROACH: The study recruited six typically developing children and five children with hemiparetic cerebral palsy...
April 26, 2018: Physiological Measurement
https://www.readbyqxmd.com/read/29552921/a-randomized-controlled-trial-to-compare-two-methods-of-constraint-induced-movement-therapy-to-improve-functional-ability-in-the-affected-upper-limb-in-pre-school-children-with-hemiplegic-cerebral-palsy-catch-trial
#9
Pauline M Christmas, Catherine Sackley, Max G Feltham, Carole Cummins
OBJECTIVE: To determine the feasibility and short-term efficacy of caregiver-directed constraint-induced movement therapy to improve upper limb function in young children with hemiplegic cerebral palsy. DESIGN: Randomized controlled trial with masked assessment. SETTING: Community paediatric therapy services. SUBJECTS: Pre-school children with hemiplegic cerebral palsy. INTERVENTIONS: Caregiver-directed constraint-induced movement therapy administered using either 24-hour short-arm restraint device (prolonged) or intermittent holding restraint during therapy (manual)...
March 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29504548/measurement-of-upper-limb-movement-acceleration-and-functions-in-children-with-cerebral-palsy
#10
Do Hyun Kim, Duk-Hyun An, Won-Gyu Yoo
OBJECTIVE: The main purpose of this study was to measure the peak acceleration of the upper limb (UL) during reaching, and to calculate correlations between peak acceleration data and functional test results in children with cerebral palsy (CP). METHODS: We recruited 15 children with CP (10 boys and 5 girls) and measured peak acceleration and function as revealed by the Jebsen Taylor Hand Function Test (JTHF), the Quality of Upper Extremity Skills Test (QUEST), the Box and Blocks Test (BBT), and the ABILHAND-Kids questionnaire...
February 9, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29504546/the-relationship-between-trunk-control-and-upper-limb-function-in-children-with-cerebral-palsy
#11
Do Hyun Kim, Duk-Hyun An, Won-Gyu Yoo
BACKGROUND: Trunk control ability greatly influences functional movement of the upper limbs. PURPOSE: Our primary aims were to assess trunk control ability, sway, and upper limb functions in children with cerebral palsy (CP), and to investigate the relationship between trunk control ability and upper limb function. METHODS: We included 15 children (10 boys and 5 girls) with CP. We used the Trunk Control Measurement Scale (TCMS) to evaluate trunk control ability and sway...
February 9, 2018: Technology and Health Care: Official Journal of the European Society for Engineering and Medicine
https://www.readbyqxmd.com/read/29484877/neurologic-music-therapy-in-upper-limb-rehabilitation-in-children-with-severe-bilateral-cerebral-palsy-a-randomized-controlled-trial
#12
Eugenio Marrades-Caballero, Clara S Santonja-Medina, Jose M Sanz-Mengibar, Fernando Santonja-Medina
BACKGROUND: After receiving neurologic music therapy, functional improvements in children with severe bilateral cerebral palsy have not been found in the literature. Musical training with instruments allows interrelationships between movement, emotions and cognition for task-based learning, in order to improve motor control. AIM: To understand whether neurologic music therapy has an impact on the functionality of children with severe cerebral palsy. DESIGN: A randomized controlled assessor-blind trial was carried out...
February 26, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29413879/optimization-of-fmri-methods-to-determine-laterality-of-cortical-activation-during-ankle-movements-of-children-with-unilateral-cerebral-palsy
#13
A J Hilderley, M J Taylor, D Fehlings, J L Chen, F V Wright
Measurement of laterality of motor cortical activations may provide valuable information about lower limb control in children with unilateral cerebral palsy (UCP). Evidence from upper limb research suggests that increased contralateral activity may accompany functional gains. However, lower limb areas of activation and associated changes have been underexplored due to challenges with imaging motor cortical leg representations. In this study, methods for a task-based functional magnetic resonance imaging (fMRI) ankle dorsiflexion paradigm were refined with three pilot groups of participants: (i) adults (n = 5); (ii) typically developing (TD) children (n = 5) and; (iii) children with UCP (n = 4)...
May 2018: International Journal of Developmental Neuroscience
https://www.readbyqxmd.com/read/29383702/the-validity-and-reliability-of-the-test-of-arm-selective-control-for-children-with-cerebral-palsy-a-prospective-cross-sectional-study
#14
Theresa Sukal-Moulton, Deborah Gaebler-Spira, Kristin J Krosschell
AIM: This study examined the reliability and validity of the Test of Arm Selective Control (TASC) to examine upper extremity selective voluntary motor control in children and adolescents with all types of spastic cerebral palsy (CP). METHOD: Fifty-six participants with CP, ranging in age from 5 years 9 months to 18 years 11 months (average 11y 7mo, SD 3y 9mo; 25 males, 31 females), participated in this prospective cross-sectional study. They were evaluated using the TASC and several clinical measures...
April 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29282739/clinical-acceptability-of-the-sense_assess%C3%A2-kids-children-and-youth-perspectives
#15
Susan Taylor, Belinda McLean, Eve Blair, Leeanne Mary Carey, Jane Valentine, Sonya Girdler, Catherine Elliott
BACKGROUND: The sense_assess© kids is a standardised, norm-referenced assessment designed to measure the functional somatosensation capacity of the upper limb of children with cerebral palsy. The objective of the current study was to determine if the sense_assess© kids was clinically acceptable to children and youth. METHODS: A questionnaire was completed by participants following administration of the sense_assess© kids by a trained occupational therapist. Twenty-six children with spastic hemiplegic cerebral palsy (aged 6-15 years six months; mean 10 years eight months; 16 boys) were recruited...
April 2018: Australian Occupational Therapy Journal
https://www.readbyqxmd.com/read/29193460/corticospinal-tract-diffusion-properties-and-robotic-visually-guided-reaching-in-children-with-hemiparetic-cerebral-palsy
#16
Andrea M Kuczynski, Sean P Dukelow, Jacquie A Hodge, Helen L Carlson, Catherine Lebel, Jennifer A Semrau, Adam Kirton
Perinatal stroke is the leading cause of hemiparetic cerebral palsy (CP), resulting in life-long disability. In this study, we examined the relationship between robotic upper extremity motor impairment and corticospinal tract (CST) diffusion properties. Thirty-three children with unilateral perinatal ischemic stroke (17 arterial, 16 venous) and hemiparesis were recruited from a population-based research cohort. Bilateral CSTs were defined using diffusion tensor imaging (DTI) and four diffusion metrics were quantified: fractional anisotropy (FA), mean (MD), radial (RD), and axial (AD) diffusivities...
March 2018: Human Brain Mapping
https://www.readbyqxmd.com/read/29183328/initial-psychometric-validation-of-the-questionnaire-on-pain-caused-by-spasticity-qps
#17
MULTICENTER STUDY
Thorin L Geister, Donald M Bushnell, Jie Yang, Yuqiong Zhang, Mona L Martin, Alev Heilbronn, Zhenhuan Liu
BACKGROUND: The Questionnaire on Pain caused by Spasticity (QPS) is a modular patient- and observer-reported outcome measure of spasticity-related pain (SRP) in children with cerebral palsy (CP). Originally developed for an English-speaking population, we conducted a psychometric validation of a recently developed Chinese language version of the QPS. METHODS: This was a prospective, observational study involving 137 children/adolescents with CP and upper and/or lower limb spasticity and their parents at three sites in China...
November 28, 2017: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/29176957/manual-dexterity-and-intralimb-coordination-assessment-to-distinguish-different-levels-of-impairment-in-boccia-players-with-cerebral-palsy
#18
Alba Roldan, Rafael Sabido, David Barbado, Carla Caballero, Raúl Reina
Background: Boccia is a paralympic sport played by athletes with severe neurological impairments affecting all four limbs. Impaired manual dexterity (MD) and intralimb coordination (ILC) may limit individuals' ability to perform certain activities such as grasping, releasing, or manipulating objects, which are essential tasks for daily life or to participate in para sports such as boccia. However, there are currently no specific instruments available to assess hand-arm coordination in boccia players with severe cerebral palsy (CP)...
2017: Frontiers in Neurology
https://www.readbyqxmd.com/read/29116382/selective-dorsal-rhizotomy-for-the-treatment-of-severe-spastic-cerebral-palsy-efficacy-and-therapeutic-durability-in-gmfcs-grade-iv-and-v-children
#19
Daniel D'Aquino, Ahmad A Moussa, Amr Ammar, Harshal Ingale, Michael Vloeberghs
BACKGROUND: Selective dorsal rhizotomy (SDR) has been established as an effective surgical treatment for spastic diplegia. The applicability of SDR to the full spectrum of spastic cerebral palsy and the durability of its therapeutic effects remain under investigation. There are currently limited data in the literature regarding efficacy and outcomes following SDR in Gross Motor Function Classification System (GMFCS) IV and V patients. Intrathecal baclofen has traditionally been the surgical treatment of choice for these patients...
April 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29089196/immediate-effect-of-a-functional-wrist-orthosis-for-children-with-cerebral-palsy-or-brain-injury-a-randomized-controlled-trial
#20
Michelle Jackman, Iona Novak, Natasha Lannin, Claire Galea
STUDY DESIGN: Two-group randomized controlled trial. INTRODUCTION: Upper limb orthoses worn during functional tasks are commonly used in pediatric neurologic rehabilitation, despite a paucity of high-level evidence. PURPOSE OF THE STUDY: The purpose of this study was to investigate if a customized functional wrist orthosis, when placed on the limb, leads to an immediate improvement in hand function for children with cerebral palsy or brain injury...
October 28, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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