Body knowledge in children with congenital lower limb deficiency

Mano, Hiroshi; Fujiwara, Sayaka; Haga, Nobuhiko

doi:10.1111/ped.13757

Cited by 8 publications

(16 citation statements)

References 31 publications

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“…16) Furthermore, children with upper limb deficiencies are reportedly also deficient in visuospatial and lexical-semantic body knowledge of the upper limbs. 17) Therefore, to encourage such children to wear, cognise, and use their prostheses as a body part, administering their first prosthesis at an early age is advantageous.…”

Section: Discussionmentioning

confidence: 99%

Rehabilitation Approach for a Child with Cerebral Palsy and Upper Limb Deficiency

Mano

Inakazu

Noguchi

et al. 2021

PRM

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Background: Congenital limb deficiency is a rare and intractable anomaly of the limbs; however, prostheses can partially complement the motor function and appearance of the missing limbs. The first prosthesis is usually prescribed for children with upper limb deficiencies at approximately 6–8 months of age. In affected children with additional problems associated with motor function, such as limb paralysis, the age for initiating prosthetic therapy and the benefit of prostheses in promoting and expanding their motor function and activities is unknown. Case: In this case presentation, we describe a 25-month-old boy with cerebral palsy and left unilateral congenital upper limb deficiency caused by congenital constriction band syndrome. The patient could stand with assistance and crawl on his hands and knees. However, he was unable to walk with assistance or to stand on his own. A forearm prosthesis with a passive hand was prescribed and issued, and rehabilitation therapy for wearing and using the prosthesis was performed. At 34 months of age, the patient was able to walk forward using a walker with the prosthesis. Without the prosthesis, he still could not walk using a walker. The upper limb prosthesis also improved other movements such as sitting, standing, and tasks performed on a desk or on the floor. Discussion: The prosthesis was apparently effective in improving motor function. Prosthesis prescription should be considered at an appropriate and early age considering individual developmental stages and needs, regardless of the existence of additional problems associated with motor function.

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Section: Discussionmentioning

confidence: 99%

Rehabilitation Approach for a Child with Cerebral Palsy and Upper Limb Deficiency

Mano

Inakazu

Noguchi

et al. 2021

PRM

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“…The participants were asked to draw self-portraits as described previously. 13,14 They were handed a black pencil and a sheet of white paper and were instructed, "Draw a picture of yourself." The portraits were compared between the children with SB and control children in terms of which body parts were drawn.…”

Section: Self-portraits Taskmentioning

confidence: 99%

“…Children with SB showed lower correct response rate for affected body parts (foot) and homologous organ (hand) on the body-part naming task like children with lower or upper limb deficiencies. 13,14 As feet and hands are homologous structures, there may be a cognitive interaction between the comprehension of the lower and upper limbs.…”

Section: Body-part Namingmentioning

confidence: 99%

Body knowledge in children with spina bifida

Mano

Fujiwara²,

Sayumi³

et al. 2021

Pediatrics International

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Background Patients with spina bifida suffer from motor paralysis and sensory disturbance, secondary deformation of the lower extremities, and development of decubitus ulcers. A deep understanding of one's body, such as identifying the names, functions, relationships, homology (e.g. upper and lower limbs) and relative position of body parts, may prevent secondary disorders. The awareness of the body and its characteristics in children with spina bifida has not been fully elucidated. This study aimed to investigate how children with spina bifida perceive their bodies, especially their paralyzed parts and related or homologous ones. Methods Participants included 36 children with spina bifida and 14 control children, aged 5–11 years. They were asked to draw self‐portraits, and to answer questions about the names of body parts. The number of drawn body parts in the pictures and the correct response rates to the questions were quantified and compared between children with spina bifida and control children. Results Children with spina bifida drew fewer hands, legs, and feet than control children. In the verbal tests, children with spina bifida had a lower correct response rate than control children on questions concerning the upper limbs, hands, trunk, and feet. Conclusions Children with spina bifida have diminished visuospatial and lexical‐semantic body knowledge of the paralyzed parts and related organs.

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“…A 2005 review reported greater than 90% of the general population have at least a 1 mm discrepancy in leg length 1 . Numerous factors contribute to LLD, including congenital dysplasia and trauma injuries 2 , 3 . Mechanical imbalance of the lower limbs leads to pelvic tilt and compensatory scoliosis, followed by impaired mobility and hip pain.…”

Section: Introductionmentioning

confidence: 99%

Feasibility of Computer‐Aided Design in Limb Lengthening Surgery: Surgical Simulation and Guide Plates

Cheng

Peng

Yan

et al. 2022

Orthopaedic Surgery

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Objective: To evaluate the feasibility and utility of computer-aided design (CAD) in surgical treatment of leg length discrepancy (LLD) using monorail external fixators. Methods:In the present case series, we retrospectively analyzed seven patients diagnosed with LLD who were surgically treated using a monorail external fixator between June 2018 and August 2020. A personalized surgical emulation of each patient was designed using CAD based on preoperative CT scans to measure limb parameters. Through reverse engineering, a surgical guide plate was then designed to assist with correcting the limb deformity. Patient general information and clinical history, leg length, mechanical lateral distal femoral angle (mLDFA), anatomical anterior distal tibial angle (aADTA), and surgical parameters were recorded during the perioperative period. Three months after external fixator removal, distraction-consolidation time (DCT), healing index (HI), and lower extremity function score (LEFS) were calculated, and statistically analyzed by paired T-test. Results:The mean limb lengthening achieved was 6.41 AE 2.54 (range, 3.30-10.54) cm with either varus or valgus correction. The mean operative duration was 151 AE 41.87 (84-217) minutes and mean blood loss was 53.58 AE 22.51(25-87) ml. The mean distraction-consolidation time was 3.67 AE 1.13 (range, 2.5-6.0) months and mean external fixator duration was 11 AE 2.45 (range, 8-14) months. The mean healing index (HI) was 18.11

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Body knowledge in children with congenital lower limb deficiency

Cited by 8 publications

References 31 publications

Rehabilitation Approach for a Child with Cerebral Palsy and Upper Limb Deficiency

Rehabilitation Approach for a Child with Cerebral Palsy and Upper Limb Deficiency

Body knowledge in children with spina bifida

Feasibility of Computer‐Aided Design in Limb Lengthening Surgery: Surgical Simulation and Guide Plates

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