Bimanual motor performance in everyday life activities of children with hemiplegic cerebral palsy

Wang, Tien‐Ni; Howe, Tsu Hsin; Liang, Kai-Jie; Chang, Teng-Jan; Shieh, Jeng-Yi; Chen, Hao‐Ling

doi:10.23736/s1973-9087.21.06504-7

Cited by 8 publications

(5 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These variables may constitute important indicators since children and adolescents with CP use different motor coordination patterns during daily bimanual activities. Moreover, understanding coordination patterns could guide researchers and clinicians in the development of intervention programs that aim to improve bimanual hand coordination performance [ 6 ]. However, these variables have only been partially validated; reliability and responsiveness have yet to be determined.…”

Section: Discussionmentioning

confidence: 99%

“…They are more complex than unimanual movements since they involve coordination of both ULs, with coupling of the movement amplitude and direction of both hands (spatial and temporal constraints) [ 4 , 5 ]. Difficulty executing bimanual tasks is one of the greatest causes of functional impairment for these children because it impacts their participation and quality of life [ 6 – 8 ]. Furthermore, since new, innovative therapies focus on developing and training bimanual performance to improve participation in daily life activities [ 9 ], validated evaluation of bimanual movements has become crucial.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Bimanual movements in children with cerebral palsy: a systematic review of instrumented assessments

Cacioppo

Loos²,

Lempereur

et al. 2023

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

Background Assessment of bimanual movements, which are frequently impaired in children with cerebral palsy, is highly challenging in clinical practice. Instrumented measures have been developed to evaluate and help to understand impaired upper limb movement during bimanual tasks in these children. The aim of this review was to report instrumented measurement tools (3D motion analysis, sensors, etc.) used for bimanual task movement analysis, and the metrological properties of the measures in children with cerebral palsy. Methods A systematic review was conducted (Prospero CRD42022308517). PubMed, Web of Science, Cochrane and Scopus databases were searched with relevant keywords and inclusion/exclusion criteria. Article quality and biomechanical methods were evaluated with a customized scale and metrological properties with the COSMIN checklist. Results In total, 452 children, mostly with unilateral cerebral palsy, mean age 10.9 (SD 3.2) years, underwent quantitative bimanual assessments in the 31 included studies (mean quality score 22/32 points [SD 4.7]). The tools used were 3D motion analysis (n = 26), accelerometers (n = 2), and other instruments (cube, digitizer, etc.) (n = 3). Children performed 1–5 bimanual tasks in laboratory settings, mostly activities of daily living or game scenarios. Analyses focused mostly on spatiotemporal variables, 6 of which were specifically developed for bilateral measures (task completion time, goal synchronization, movement overlap time, interlimb coupling, continuous relative phase and asynchrony). These instrumented measurements had moderate to good discriminant and convergent validity, but reliability and responsiveness assessments were lacking. Conclusions A large number of quantitative bimanual assessments involving different tools, bimanual tasks and specific variables developed to evaluate bimanual function were found. Development of other relevant variables and validation of these tools are needed to further determine their usefulness, both as research outcomes and to guide therapies in clinical practice. Future research, involving younger children and real-life assessments, will improve our understanding of bimanual function in children with cerebral palsy.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Bimanual movements in children with cerebral palsy: a systematic review of instrumented assessments

Cacioppo

Loos²,

Lempereur

et al. 2023

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

show abstract

“…There is a correlation between manual dexterity, described in the Manual Ability Classification System (MACS), and general mobility, locomotion, communication, socialization and personal care [3]. Impairments in the upper extremity (UE) are a major factor for activity limitation and participation restriction in individuals with CP and may affect up to 50% of CP subjects [4,5]. UE limitations are mostly due to a lack of trunk control, decrease in shoulder girdle motor control and imbalance between spastic and paretic muscles [6].…”

Section: Introductionmentioning

confidence: 99%

“…That makes it difficult for people with CP to perform UE-specific tasks, such as reaching, grasping and manipulation [4], and it leads to the significant involvement of the positioning and functioning of the elbows, wrists and hands [7]. Moreover, a lack of autonomy and dependence on other people may affect the individuals' quality of life [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Kinesiotape to Improve Upper-Extremity Function in Children and Adolescents with Cerebral Palsy: A Systematic Review

Calvo-Fuente,

Soto-Vidal,

Ramón-Corcoba

et al. 2024

Children

View full text Add to dashboard Cite

Background: Cerebral palsy (CP) is one of the primary causes of physical disabilities in children that affects posture and movement. Upper-extremity (UE) function is frequently impaired, which may result in activity and participation limitations in people with CP. The use of kinesiotape (KT) has increased in the treatment of CP for various purposes. The aim of this systematic review was to assess the efficacy of KT for improving UE function in children and adolescents with CP. Methods: The literature search was carried out in PubMed, Cochrane, PEDro, Web of Science and SCOPUS databases. The methodological quality was analyzed with the PEDro scale. Review Manager (RevMan 5.4.1) was used for data extraction and risk of bias assessment. Results: A total of five randomized clinical trials were included. The use of KT showed improvement in UE functionality in three studies, with significant outcomes for range of motion (ROM) (three studies), fine motor skills (two studies), grip strength (one study) and manual dexterity (one study). Moreover, it also showed significant improvements in spasticity and gross motor function (one study). Overall, methodological quality was moderate, and the risk of bias was high in the domains related to blinding. Conclusion: The use of KT showed improvement in UE function in children and adolescents with CP. However, further research is needed to reinforce the conclusions on the efficacy of KT as a therapeutic tool.

show abstract

“…Difficulty performing bimanual tasks limits activities and participation in children with unilateral cerebral palsy (uCP) [1]. Interventions to prevent and manage upper limb (UL) impairments mainly include botulinum toxin injections (BoNT), surgery, casting, and an increasing number of training-based interventions, including bimanual training and constraint-induced movement therapy (CIMT).…”

Section: Introductionmentioning

confidence: 99%

Detecting Movement Changes in Children with Hemiparesis after Upper Limb Therapies: A Responsiveness Analysis of a 3D Bimanual Protocol

Cacioppo

Lempereur

Houx

et al. 2023

Sensors

View full text Add to dashboard Cite

The “Be an Airplane Pilot” (BE API) protocol was developed to evaluate upper limb (UL) kinematics in children with unilateral cerebral palsy (uCP) during bimanual tasks. The aim of this study was to investigate the responsiveness of this protocol to changes in kinematics and movement quality after UL therapies, using individual and group analyses, and to analyse the relationships between kinematic and functional changes in these children. Twenty children with uCP (5–15 years old) either participated in bimanual intensive therapy or received UL botulinum toxin injections. All the children performed the BE API protocol and functional assessments (Assisting Hand Assessment [AHA]) before and after the interventions. The individual analyses found kinematic changes in 100% of the children after therapy. The group analysis found significantly higher trunk and shoulder deviations after the intensive therapy. No significant changes were found for smoothness or trajectory straightness. The changes in the kinematic deviations were moderately correlated with the changes in the AHA scores. This study confirmed the responsiveness of the BE API protocol to change after therapy; therefore, the protocol is now fully validated and can be implemented in clinical practice. Its use should help in the accurate identification of impairments so that individualized treatments can be proposed.

show abstract

Bimanual motor performance in everyday life activities of children with hemiplegic cerebral palsy

Cited by 8 publications

References 34 publications

Bimanual movements in children with cerebral palsy: a systematic review of instrumented assessments

Bimanual movements in children with cerebral palsy: a systematic review of instrumented assessments

Efficacy of Kinesiotape to Improve Upper-Extremity Function in Children and Adolescents with Cerebral Palsy: A Systematic Review

Detecting Movement Changes in Children with Hemiparesis after Upper Limb Therapies: A Responsiveness Analysis of a 3D Bimanual Protocol

Contact Info

Product

Resources

About