Joint-Position Sense Accuracy Is Equally Affected by Vision among Children with and without Cerebral Palsy

Mazuchi, Flávia de Andrade e Souza; Mochizuki, Luís; Hamill, Joseph; Franciulli, Patrícia Martins; Bigongiari, Aline; Martins, Isabella Tábata de Almeida; Ervilha, Ulysses Fernandes

doi:10.1080/00222895.2020.1756732

Cited by 4 publications

(10 citation statements)

References 39 publications

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“…The isokinetic dynamometer Kin Com 125 AP Configuration Chattanooga (Chattanooga Group, Chattanooga, TN) [ 24 ] was used in the present study. The device constitutes mechanical parts and software that allows active movements in a stable angular velocity commonly used for proprioceptive examination [ 8 ]. The dominant upper limb of the TD children was determined by using the Annett Hand Preference Questionnaire (AHPQ) [ 25 ].…”

Section: Methodsmentioning

confidence: 99%

“…The foam material was used to minimize the contribution of the skin receptors and secure uniform pressure at the wrist joint. The eyes of the participants were covered during the test [ 8 ].…”

Section: Methodsmentioning

confidence: 99%

“…Children with cerebral palsy (CP) may experience proprioception deficits that may disrupt the integration of movement patterns and satisfactory motor control [ 7 ]. Further, in the presence of spasticity manifested with inappropriate coactivation of antagonistic muscles, quality of movement and accuracy may be restricted [ 8 ]. As a result, manual performance and daily life activities may be adversely affected [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, a significant difference was present between a control group and children with CP at the knee joint without exaggerated reflexes. De Andrade E Souza Mazuchi et al [ 8 ] examined joint position sense at the elbow joint in children with diplegia. According to the researchers, children with and without CP exhibited similar performance in the active joint reproduction test used [ 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…De Andrade E Souza Mazuchi et al [ 8 ] examined joint position sense at the elbow joint in children with diplegia. According to the researchers, children with and without CP exhibited similar performance in the active joint reproduction test used [ 8 ]. Finally, Zarkou et al [ 17 ] reported no significant deficits in kinesthesia at the ankle joints of children with diplegia.…”

Section: Introductionmentioning

confidence: 99%

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Active Joint Position Sense in Children With Unilateral Cerebral Palsy

Chrysagis¹,

Koumantakis²,

Grammatopoulou³

et al. 2021

Cureus

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Objective The aim of the study was to examine the differences in joint position sense at the elbow joint between 15 children with unilateral cerebral palsy (CP) and 15 typically developing (TD) controls without neurological or other health deficits. Methodology Joint position sense, a major proprioceptive component, was evaluated actively using a Kin Com 125 AP isokinetic dynamometer (Chattanooga Group, Chattanooga, TN). Results A significant interaction was found (p<0.05) between disability and side, with respect to the active reproduction movement scores. Post-hoc independent t-tests, with Bonferroni adjustments, revealed significant differences for the dominant (t=-3.63, p=0.001) and non-dominant sides respectively (t=-6.19, p=0.000). Repeated measures t-test revealed wider errors with the non-dominant (affected side) in the active reproduction test, compared to the dominant (nonaffected) side for the CP group of children (t=-4.73, p=0.000). A positive correlation was evident between the level of spasticity and joint position sense (Rho=0.71, p=0.003). Conclusions Based on our findings, joint position sense is impaired at the elbow joint in children with spastic hemiplegia. The proprioceptive deficit is present at both the affected and unaffected sides and is related to the level of spasticity.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Active Joint Position Sense in Children With Unilateral Cerebral Palsy

Chrysagis¹,

Koumantakis²,

Grammatopoulou³

et al. 2021

Cureus

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Rehabilitation Technologies for Sensory-Motor-Cognitive Impairments

Giannoni

2022

Cerebral Palsy

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Somatosensory deficits and neural correlates in cerebral palsy: a scoping review

Brun

Traverse

Granger³

et al. 2021

Develop Med Child Neuro

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Aim To synthetize studies assessing somatosensory deficits and alterations in cerebral responses evoked by somatosensory stimulation in individuals with cerebral palsy (CP) compared to typically developing individuals. Method A scoping review of the literature was performed in the MEDLINE, Embase, PsycInfo, CINAHL, Evidence‐Based Medicine Reviews, and Web of Science databases (last search carried out on 6th and 7th August 2020) with a combination of keywords related to CP and somatosensory functions. Somatosensory deficits were measured with clinical tests and alterations in cerebral responses were measured with functional magnetic resonance imaging, electroencephalography, and magnetoencephalography. Results Forty‐eight articles were included. Overall, 1463 participants with CP (mean [SD] age 13y 1mo [4y 11mo], range 1–55y; 416 males, 319 females, sex not identified for the remaining participants) and 1478 controls (mean [SD] age 13y 1mo [5y 8mo], range 1–42y; 362 males, 334 females, sex not identified for the remaining participants) were included in the scoping review. For tactile function, most studies reported registration (8 out of 13) or perception (21 out of 21) deficits in participants with CP. For proprioception, most studies also reported registration (6 out of 8) or perception (10 out of 15) deficits. Pain function has not been studied as much, but most studies reported registration (2 out of 3) or perception (3 out of 3) alterations. Neuroimaging findings (18 studies) showed alterations in the somatotopy, morphology, latency, or amplitude of cortical responses evoked by somatosensory stimuli. Interpretation Despite the heterogeneity in the methods employed, most studies reported somatosensory deficits. The focus has been mainly on tactile and proprioceptive function, whereas pain has received little attention. Future research should rigorously define the methods employed and include a sample that is more representative of the population with CP. Most of the papers reviewed found tactile registration and perception deficits in the upper limbs. Proprioceptive deficits were generally observed in cerebral palsy but results were heterogeneous. Pain has received little attention compared to tactile and proprioceptive functions. Neuroimaging studies supported behavioral observations. Alterations were observed for both the most and least affected limb.

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Joint-Position Sense Accuracy Is Equally Affected by Vision among Children with and without Cerebral Palsy

Cited by 4 publications

References 39 publications

Active Joint Position Sense in Children With Unilateral Cerebral Palsy

Active Joint Position Sense in Children With Unilateral Cerebral Palsy

Rehabilitation Technologies for Sensory-Motor-Cognitive Impairments

Somatosensory deficits and neural correlates in cerebral palsy: a scoping review

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