Hand function and self‐care in children with cerebral palsy

Burgess, Andrea; Boyd, Roslyn N.; Chatfield, Mark D.; Ziviani, Jenny; Wotherspoon, Jane; Sakzewski, Leanne

doi:10.1111/dmcn.14783

Cited by 14 publications

(33 citation statements)

References 41 publications

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“…As far as the current situation of community rehabilitation in China is concerned, community health service centers or community rehabilitation stations can only provide parents with some guidance on professional skills and the update of the latest theoretical knowledge. However, long-term continuous rehabilitation training still depends more on family rehabilitation [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Hospital-Family Rehabilitation Intervention on Walking Function and Lower Limb Surface Electromyography in Children with Cerebral Palsy

Wang

Yue

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

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Objective. To explore the effect of hospital-family rehabilitation intervention on walking function and lower limb surface electromyography in children with cerebral palsy (CP). Methods. About 100 children with CP treated in our hospital from February 2019 to April 2021 were enrolled. The patients were randomly assigned into control group and study group. The control group received routine intervention, and the study group received hospital-family rehabilitation intervention. The intervention effect, GMFM88 scale score, IMMG value, CR value, lower limb surface EMG value, and compliance of gastrocnemius muscle and tibialis anterior muscle were compared. Results. First of all, we compared the intervention effects. In the study group, 43 cases were markedly effective, 5 cases were effective, 1 case was improved, 1 case was ineffective, and the effective rate was 98.00%. In the control group, 22 cases were markedly effective, 14 cases were effective, 7 cases were improved, 7 cases were ineffective, and the effective rate of 86.00%. The intervention effect of the study group was better compared to the control group ( P < 0.05 ). Secondly, we compared the scores of the GMFM88 scale. The scores of D area and E area and total score of the study group were higher compared to the control group ( P < 0.05 ). The IEMG values of gastrocnemius muscle and tibialis anterior muscle were compared, and the IMMG values of passive and active gastrocnemius muscle and tibialis anterior muscle in the study group were higher compared to the control group ( P < 0.05 ). There exhibited no significant difference in CR value before intervention ( P > 0.05 ). After intervention, the CR values of gastrocnemius muscle and tibialis anterior muscle in the study group were significantly lower compared to the control group ( P < 0.05 ). In terms of the surface EMG of lower limbs, the EMG value of passive activity (gastrocnemius muscle, tibialis anterior muscle) in the study group was higher compared to the control group, and the EMG value of active activity was significantly lower compared to the control group ( P < 0.05 ). Finally, we compared the compliance. In the study group, there were 43 cases of complete compliance, 7 cases of compliance, and 0 cases of noncompliance, with a compliance rate of 100.00%. In the control group, there were 32 cases of complete compliance, 11 cases of compliance, and 7 cases of noncompliance with a compliance rate of 86.00%. The compliance rate of the study group was better compared to the control group ( P < 0.05 ). Conclusion. The intervention of hospital-family rehabilitation model is helpful to improve the self-care ability, cognitive function, and daily activities of children with CP, enhance the walking function and lower limb surface electromyography of children with SCP, and strengthen their qualities of life.

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Section: Discussionmentioning

confidence: 99%

Effect of Hospital-Family Rehabilitation Intervention on Walking Function and Lower Limb Surface Electromyography in Children with Cerebral Palsy

Wang

Yue

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

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“…18 Although self-care skills are related to manual abilities, they are also dependent on other constructs, such as gross motor function and cognition. 1,19 Thus, self-care skills represent a broad construct, conceptualized in the ICF activities and participation domain. 18 The PEDI is recommended to assess self-care skills in children of elementary school age or younger and may therefore be used to explore the divergent validity of the BoHA.…”

Section: Discussionmentioning

confidence: 99%

“…In the former study, the newly developed computer adaptive test version of the PEDI, validated from birth up to 20 years, was used. 19 A Norwegian version of the computer adaptive test version of the PEDI was not available when the current study was performed. Thus, to confirm our results, future studies should investigate the correlation between the BoHA and self-care skills using the computer adaptive test version of the PEDI and include children from 18 months to 12 years of age.…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to instruments measuring hand function, the Pediatric Evaluation of Disability Inventory (PEDI) is commonly used to measure children’s capabilities and independence in self‐care activities 18 . Although self‐care skills are related to manual abilities, they are also dependent on other constructs, such as gross motor function and cognition 1,19 . Thus, self‐care skills represent a broad construct, conceptualized in the ICF activities and participation domain 18 .…”

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confidence: 99%

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External validity of the Both Hands Assessment for evaluating bimanual performance in children with bilateral cerebral palsy

Elvrum

Johansen

Vik

et al. 2021

Develop Med Child Neuro

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To investigate the external validity of the Both Hands Assessment (BoHA), a new test evaluating bimanual performance in children with bilateral cerebral palsy (CP), by analysing its relationship to established measurements of hand function and self-care skills.METHOD In this cross-sectional study, we recruited children with bilateral CP and manual ability corresponding to Manual Ability Classification System (MACS) levels I to III attending three habilitation units in Norway. All participants completed the BoHA. Unimanual capacity was assessed using the Bimanual Fine Motor Function (BFMF) classification, the Box and Block Test (BBT), and the Melbourne Assessment 2 (MA2). Self-care skills were assessed with the Pediatric Evaluation of Disability Inventory (PEDI).RESULTS Thirty-nine children (19 males, 20 females; mean age 8y 2mo, SD 2y 8mo; age range 2y 8mo-12y 6mo) were included. Spearman's correlation coefficient (q) suggested high correlation between the BoHA and MACS (p=0.89; 95% confidence interval [CI] 0.79-0.94), BFMF classification (p=0.84; 95% CI 0.71-0.91), and BBT for the non-dominant (p=0.85; 95% CI 0.68-0.95) and dominant hand (p=0.72; 95% CI 0.53-0.85). The Spearman's q between the BoHA and the MA2 subscales varied between 0.48 and 0.83, while the PEDI's q was 0.51 (95% CI 0.33-0.67).

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“…They use the graphical representation of causal effects provided by directed acyclic graphs (DAGs) to lay out their assumptions on the effects between self‐care, bimanual performance, and all further relevant variables. This requires clinical expert knowledge, which the authors support by references, in order to identify all relevant variables and their relations 5 . Constructing such a DAG is very helpful and strongly recommended for every empirical study.…”

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confidence: 99%