Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study
Joint Authors
Molenaers, Guy
Simon-Martinez, Cristina
Mailleux, Lisa
Ortibus, Els
Klingels, Katrijn
Feys, Hilde
Meyer, Sarah
Hoskens, Jasmine
Monbaliu, Elegast
Verheyden, Geert
Verbeke, Geert
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-11-14
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Knowledge on long-term evolution of upper limb function in children with unilateral cerebral palsy (CP) is scarce.
The objective was to report the five-year evolution in upper limb function and identify factors influencing time trends.
Eighty-one children (mean age 9 y and 11 mo, SD 3 y and 3 mo) were assessed at baseline with follow-up after 6 months, 1, and 5 years.
Passive range of motion (PROM), tone, muscle, and grip strength were assessed.
Activity measurements included Melbourne Assessment, Jebsen-Taylor test, Assisting Hand Assessment (AHA), and ABILHAND-Kids.
At 5-year follow-up, PROM (p<0.001) and AHA scores (p<0.001) decreased, whereas an improvement was seen for grip strength (p<0.001), Melbourne Assessment (p=0.003), Jebsen-Taylor test (p<0.001), and ABILHAND-Kids (p<0.001).
Age influenced the evolution of AHA scores (p=0.003), with younger children being stable over time, but from 9 years onward, children experienced a decrease in bimanual performance.
Manual Ability Classification System (MACS) levels also affected the evolution of AHA scores (p=0.02), with stable scores in MACS I and deterioration in MACS II and III.
In conclusion, over 5 years, children with unilateral CP develop more limitations in PROM, and although capacity measures improve, the spontaneous use of the impaired limb in bimanual tasks becomes less effective after the age of 9 years.
American Psychological Association (APA)
Klingels, Katrijn& Meyer, Sarah& Mailleux, Lisa& Simon-Martinez, Cristina& Hoskens, Jasmine& Monbaliu, Elegast…[et al.]. 2018. Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study. Neural Plasticity،Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1210007
Modern Language Association (MLA)
Klingels, Katrijn…[et al.]. Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study. Neural Plasticity No. 2018 (2018), pp.1-9.
https://search.emarefa.net/detail/BIM-1210007
American Medical Association (AMA)
Klingels, Katrijn& Meyer, Sarah& Mailleux, Lisa& Simon-Martinez, Cristina& Hoskens, Jasmine& Monbaliu, Elegast…[et al.]. Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study. Neural Plasticity. 2018. Vol. 2018, no. 2018, pp.1-9.
https://search.emarefa.net/detail/BIM-1210007
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1210007