Relevant factors of self-care in children and adolescents with spastic cerebral palsy

Kusumoto, Yasuaki; Takaki, Kenji; Matsuda, Tadamitsu; Nitta, Osamu

doi:10.1371/journal.pone.0254899

Cited by 3 publications

(3 citation statements)

References 43 publications

(59 reference statements)

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“…Furthermore, added to the assessment of grasping and manual dexterity, it involves visual-motor coordination, a function that can also be affected in children with CP. The BBT has shown a significant correlation with the performance of children with CP evaluated with the PEDI [ 18 ].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy

Zapata-Figueroa

Ortiz–Corredor

2022

Occupational Therapy International

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Objective. The aim of this study was to determine the correlation between manual dexterity evaluated with the Box and Block Test (BBT) and the performance of daily activities in children with bilateral cerebral palsy (CP). Methods. The BBT was applied to 162 children with cerebral palsy of bilateral distribution aged 6 to 13 years. The level of performance was evaluated according to the Manual Ability Classification System (MACS), Gross Motor Function Classification System (GMFCS), and Pediatric Evaluation of Disability Inventory (PEDI) in the domains of self-care, mobility, and social function. Correlations between the findings of the BBT and the PEDI were determined, and additionally, some specific toileting tasks of the PEDI were evaluated. Results. The results of the BBT were lower in the lowest functional levels of the MACS ( p ≤ 0.001 ). The BBT showed a strong correlation with the domains’ self-care ( r = 0.8 ), mobility ( r = 0.7 ), and social function ( r = 0.6 ) of the PEDI. The BBT was different between children who were able and children who were not able to perform the toileting tasks that were evaluated. A lower capacity in the BBT obtained in children with functional status GMFCS III, IV, and V was associated with poor performance in toileting tasks evaluated in the PEDI. Conclusion. The results of the BBT are correlated with the activities of daily living of children with bilateral CP. The data obtained from this test is used to predict the performance of daily activities of these patients in settings such as school and home and helps to identify contextual factors that influence the level of independence in children with bilateral CP.

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Section: Introductionmentioning

confidence: 99%

Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy

Zapata-Figueroa

Ortiz–Corredor

2022

Occupational Therapy International

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“…Looking at the research focus, the ICF component of activities, part of the AP component, was the most frequent area of interest in studies. These studies used tools or methods of assessment to analyze AYA capacities or performance in activities such as mobility [ 48 ], hand use [ 49 ], and activities of daily life [ 50 ]. Functional classification systems such as GMFCS, MACS, and CFCS are frequently used to categorize AYA capacity level or to analyze the relationship between the capacity level and other variables.…”

Section: Discussionmentioning

confidence: 99%

Looking beyond Body Structure and Function: ICF Foci and Who Is Being Assessed in Research about Adolescents and Young Adults with Cerebral Palsy—A Scoping Review

Santana,

Rosenbaum,

van der Kemp

et al. 2024

IJERPH

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Purpose: The purpose of this study is to summarize the ICF foci, looking beyond body structures and function, and to analyze who has been assessed in research about adolescents and young adults (AYAs) with CP in the phase of transition to adulthood. Method: Medline, EMBASE, PsycINFO, and CINAHL databases were searched using terms related to cerebral palsy, adolescents/young adults, health development, participation, and independence. Studies including youth with CP (13–30 years old) published in English from 2014 to 2021 were considered. The methods of assessment reported in the included studies were used to identify the ICF foci and who was assessed. Results: In this study, 86 studies were reviewed. The main ICF foci are activity and participation (51% of the studies), personal factors (23%), ICF not covered (14%), ICF not defined (9%), with environmental factors being the least focused ICF component (3%). Most studies assessed AYAs directly (49% of studies). Conclusions: Activity- and participation-related constructs are the leading research focus of studies, and more attention is needed concerning environmental factors. AYAs are the main source of information, and the perspectives of other key figures are also being valued. To bridge the gap between child and adult health care, a broader view of health development and approaches to explore AYA developmental issues must be taken.

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“…Motor issues in CP tend to affect trunk control and upper limb function, but their relationship has been studied principally in children and young people with CP [2,3]. Kusumoto et al [4] reported that better trunk control and, therefore, greater proximal stabilisation could improve upper limb function, suggesting a positive impact on self-care tasks in children and adolescents with spastic CP. However, little is known about this relationship in adulthood.…”

Section: Introductionmentioning

confidence: 99%

What Is the Relationship between Trunk Control Function and Arm Coordination in Adults with Severe-to-Moderate Quadriplegic Cerebral Palsy?

Cornejo

Roldán

Reina

2022

IJERPH

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Adults with tetraparesis cerebral palsy (i.e., wheelchair users) tend to experience more accelerated ageing, resulting in physical deterioration that increases the impact of the disability, leading to a loss of mobility that interferes with people’s daily activities and participation in the community. The aim of this work is to study the relationship between trunk control and the function of the less-affected arm in this population. For this purpose, 41 para-athletes were invited to participate in this study, performing five tests to assess upper limb coordination, two tests to assess manual dexterity [i.e., Box and Block Test (BBT) and Box and Ball Test (BBLT)] and three tests to assess intra-limb coordination in different planes. Trunk control was assessed in both static and dynamic sitting conditions. The results show moderate correlations between static postural control and manual dexterity tests in the BBT (r = −0.553; p = 0.002) and BBLT (r = −0.537; p = 0.004). Large correlations were also found between static postural control and intra-limb tasks in horizontal (r = 0.769; p = 0.001) and vertical movements (r = 0.739; p = 0.009). Better static trunk control is related to a better upper limb function in the sagittal plane. Considerations and implications are explained in the manuscript.

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Relevant factors of self-care in children and adolescents with spastic cerebral palsy

Cited by 3 publications

References 43 publications

Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy

Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy

Looking beyond Body Structure and Function: ICF Foci and Who Is Being Assessed in Research about Adolescents and Young Adults with Cerebral Palsy—A Scoping Review

What Is the Relationship between Trunk Control Function and Arm Coordination in Adults with Severe-to-Moderate Quadriplegic Cerebral Palsy?

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