Relation among the Gross Motor Function, Manual Performance and Upper Limb Functional Measures in Children with Spastic Cerebral Palsy

Park, Eun Sook; Rha, Dong-Wook; Park, Jin Hee; Park, Doug Ho; Sim, Eun Geol

doi:10.3349/ymj.2013.54.2.516

Cited by 10 publications

(13 citation statements)

References 19 publications

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“…Compagnone et al also found a significant statistical association between the Manual Ability Classification System and the Gross Motor Function Classification System specifically limited to the lowest level of function (level V) ( 18 ). Similar conclusions were partially reached by Park et al with reference to the relation between the Gross Motor Function Classification System and the Manual Ability Classification System ( 39 ). In this study, it is shown that the lower levels of the Gross Motor Function Classification System the children were at, the lower levels of the Mini-MACS they were classified ( Figure 2 ), which suggested that Mini-MACS is also correlated to the Gross Motor Function Classification System.…”

Section: Discussionsupporting

confidence: 78%

Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy

Hou

Qiu²,

Liu³

et al. 2022

Front. Rehabilit. Sci.

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BackgroundMini-Manual Ability Classification System (Mini-MACS) was developed for children with cerebral palsy aged 1–4 years, but its validity and reliability in different cultures are unavailable yet. This study was to determine the reliability and validity of Mini-MACS in East Asian children with cerebral palsy and investigate the correlation between Mini-MACS and Gross Motor Function Classification System.MethodsOne hundred and four East Asian children with cerebral palsy aged 12–48 months were classiﬁed by one of their parents, an occupational therapist, and a physical therapist with Mini-MACS. The results were analyzed for inter-rater reliability by using intraclass correlation coefficient (ICC). The Nine-hole Peg Test was used for the criterion-related validity analysis, and parents retested their children after 2 weeks to evaluate test–retest reliability. Gross Motor Function Classification System levels were also collected to investigate the correlation with Mini-MACS.ResultsGood inter-rater reliability among the occupational therapist, physical therapist, and parents was found [ICC = 0.984 (95% confidence interval, CI, 0.976–0.989), 0.973 (95% CI 0.960–0.982), and 0.966 (95% CI 0.950–0.977), respectively; p < 0.01]. The test–retest reliability in parents was almost perfect [ICC = 0.985 (95% CI 0.977–0.990), p < 0.01]. Mini-MACS had consistency with the Nine-hole Peg Test (r = 0.582, 0.581, and 0.566, respectively; p < 0.01). A correlation was found between Gross Motor Function Classification System and Mini-MACS (r = 0.626, 0.596, and 0.598, respectively; p < 0.01).ConclusionThe Mini-MACS demonstrates evidence that it is a valid and reliable tool to classify manual ability in East Asian children with cerebral palsy and is also positively related to the Gross Motor Function Classification System.

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Section: Discussionsupporting

confidence: 78%

Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy

Hou

Qiu²,

Liu³

et al. 2022

Front. Rehabilit. Sci.

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“…Active wrist extension is moderately to highly related to manual abilities [43,64]. In the current study, 12 of 17 participants increased active wrist extension by at least 5 degrees.…”

Section: Body Functionmentioning

confidence: 42%

A biofeedback-enhanced therapeutic exercise video game intervention for young people with cerebral palsy: A randomized single-case experimental design feasibility study

MacIntosh

Desailly²,

Vignais

et al. 2020

PLoS ONE

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Importance/Background Movement-controlled video games have potential to promote home-based practice of therapy activities. The success of therapy gaming interventions depends on the quality of the technology used and the presence of effective support structures. Aim This study assesses the feasibility of a novel intervention that combines a co-created gaming technology integrating evidence-based biofeedback and solution-focused coaching (SFC) strategies to support therapy engagement and efficacy at home. Methods Following feasibility and single-case reporting standards (CONSORT and SCRIBE), this was a non-blind, randomized, multiple-baseline, AB, design. Nineteen (19) young people with cerebral palsy (8-18 years old) completed the 4-week home-based intervention in France and Canada. Participant motivations, personalized practice goals, and relevance of the intervention to daily activities were discussed in a Solution Focused Coaching-style conversation pre-, post-intervention and during weekly check-ins. Participants controlled a video game by completing therapeutic gestures (wrist extension, pinching) detected via electromyography and inertial sensors on the forearm (Myo Armband and custom software). Process feasibility success criteria for recruitment response, completion and adherence rates, and frequency of technical issues were established a priori. Scientific feasibility, effect

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“…Understanding the interrelationships between hand skills and how these are related to MA in children with CP is crucial for planning and implementing the most appropriate rehabilitation interventions. According to previous studies in children and adolescents with CP, MA was not related to passive range of motion ( 15 ), but was moderately to highly related to other hand motor skills (e.g., active range of motion, muscle tone/strength/coordination, dexterity, and quality of movement) ( 3 , 15 – 20 ). Touch-pressure detection and proprioception were weakly or not associated with MA, whereas two-point discrimination and stereognosis were moderately to highly related to MA ( 3 , 15 ).…”

Section: Introductionmentioning

confidence: 87%

Hand Functioning in Children with Cerebral Palsy

2014

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Brain lesions may disturb hand functioning in children with cerebral palsy (CP), making it difficult or even impossible for them to perform several manual activities. Most conventional treatments for hand dysfunction in CP assume that reducing the hand dysfunctions will improve the capacity to manage activities (i.e., manual ability, MA). The aim of this study was to investigate the directional relationships (direct and indirect pathways) through which hand skills influence MA in children with CP. A total of 136 children with CP (mean age: 10 years; range: 6–16 years; 35 quadriplegics, 24 diplegics, 77 hemiplegics) were assessed. Six hand skills were measured on both hands: touch-pressure detection (Semmes–Weinstein esthesiometer), stereognosis (Manual Form Perception Test), proprioception (passive mobilization of the metacarpophalangeal joints), grip strength (GS) (Jamar dynamometer), gross manual dexterity (GMD) (Box and Block Test), and fine finger dexterity (Purdue Pegboard Test). MA was measured with the ABILHAND-Kids questionnaire. Correlation coefficients were used to determine the linear associations between observed variables. A path analysis of structural equation modeling was applied to test different models of causal relationships among the observed variables. Purely sensory impairments did seem not to play a significant role in the capacity to perform manual activities. According to path analysis, GMD in both hands and stereognosis in the dominant hand were directly related to MA, whereas GS was indirectly related to MA through its relationship with GMD. However, one-third of the variance in MA measures could not be explained by hand skills. It can be concluded that MA is not simply the integration of hand skills in daily activities and should be treated per se, supporting activity-based interventions.

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Relation among the Gross Motor Function, Manual Performance and Upper Limb Functional Measures in Children with Spastic Cerebral Palsy

Cited by 10 publications

References 19 publications

Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy

Reliability and validity of the East Asian children's version of mini-MACS in children with cerebral palsy

A biofeedback-enhanced therapeutic exercise video game intervention for young people with cerebral palsy: A randomized single-case experimental design feasibility study

Hand Functioning in Children with Cerebral Palsy

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