Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study
Knowledge on long-term evolution of upper limb function in children with unilateral cerebral palsy (CP) is scarce. The objective was to report the five-year evolution in upper limb function and identify factors influencing time trends. Eighty-one children (mean age 9 y and 11 mo, SD 3 y and 3 mo) we...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Neural Plasticity |
| Online Access: | http://dx.doi.org/10.1155/2018/2831342 |
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| author | Katrijn Klingels Sarah Meyer Lisa Mailleux Cristina Simon-Martinez Jasmine Hoskens Elegast Monbaliu Geert Verheyden Geert Verbeke Guy Molenaers Els Ortibus Hilde Feys |
| author_facet | Katrijn Klingels Sarah Meyer Lisa Mailleux Cristina Simon-Martinez Jasmine Hoskens Elegast Monbaliu Geert Verheyden Geert Verbeke Guy Molenaers Els Ortibus Hilde Feys |
| author_sort | Katrijn Klingels |
| collection | DOAJ |
| description | Knowledge on long-term evolution of upper limb function in children with unilateral cerebral palsy (CP) is scarce. The objective was to report the five-year evolution in upper limb function and identify factors influencing time trends. Eighty-one children (mean age 9 y and 11 mo, SD 3 y and 3 mo) were assessed at baseline with follow-up after 6 months, 1, and 5 years. Passive range of motion (PROM), tone, muscle, and grip strength were assessed. Activity measurements included Melbourne Assessment, Jebsen-Taylor test, Assisting Hand Assessment (AHA), and ABILHAND-Kids. At 5-year follow-up, PROM (p<0.001) and AHA scores (p<0.001) decreased, whereas an improvement was seen for grip strength (p<0.001), Melbourne Assessment (p=0.003), Jebsen-Taylor test (p<0.001), and ABILHAND-Kids (p<0.001). Age influenced the evolution of AHA scores (p=0.003), with younger children being stable over time, but from 9 years onward, children experienced a decrease in bimanual performance. Manual Ability Classification System (MACS) levels also affected the evolution of AHA scores (p=0.02), with stable scores in MACS I and deterioration in MACS II and III. In conclusion, over 5 years, children with unilateral CP develop more limitations in PROM, and although capacity measures improve, the spontaneous use of the impaired limb in bimanual tasks becomes less effective after the age of 9 years. |
| format | Article |
| id | doaj-art-783af420c27d46f6b5d445eccf49f20c |
| institution | Kabale University |
| issn | 2090-5904 1687-5443 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Neural Plasticity |
| spelling | doaj-art-783af420c27d46f6b5d445eccf49f20c2025-02-03T01:25:27ZengWileyNeural Plasticity2090-59041687-54432018-01-01201810.1155/2018/28313422831342Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up StudyKatrijn Klingels0Sarah Meyer1Lisa Mailleux2Cristina Simon-Martinez3Jasmine Hoskens4Elegast Monbaliu5Geert Verheyden6Geert Verbeke7Guy Molenaers8Els Ortibus9Hilde Feys10KU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Leuven Biostatistics and Statistical Bioinformatics Centre, Leuven, BelgiumKU Leuven, University of Leuven, Department of Musculoskeletal Sciences, Leuven, BelgiumKU Leuven, University of Leuven, Department of Development and Regeneration, Leuven, BelgiumKU Leuven, University of Leuven, Department of Rehabilitation Sciences, Leuven, BelgiumKnowledge on long-term evolution of upper limb function in children with unilateral cerebral palsy (CP) is scarce. The objective was to report the five-year evolution in upper limb function and identify factors influencing time trends. Eighty-one children (mean age 9 y and 11 mo, SD 3 y and 3 mo) were assessed at baseline with follow-up after 6 months, 1, and 5 years. Passive range of motion (PROM), tone, muscle, and grip strength were assessed. Activity measurements included Melbourne Assessment, Jebsen-Taylor test, Assisting Hand Assessment (AHA), and ABILHAND-Kids. At 5-year follow-up, PROM (p<0.001) and AHA scores (p<0.001) decreased, whereas an improvement was seen for grip strength (p<0.001), Melbourne Assessment (p=0.003), Jebsen-Taylor test (p<0.001), and ABILHAND-Kids (p<0.001). Age influenced the evolution of AHA scores (p=0.003), with younger children being stable over time, but from 9 years onward, children experienced a decrease in bimanual performance. Manual Ability Classification System (MACS) levels also affected the evolution of AHA scores (p=0.02), with stable scores in MACS I and deterioration in MACS II and III. In conclusion, over 5 years, children with unilateral CP develop more limitations in PROM, and although capacity measures improve, the spontaneous use of the impaired limb in bimanual tasks becomes less effective after the age of 9 years.http://dx.doi.org/10.1155/2018/2831342 |
| spellingShingle | Katrijn Klingels Sarah Meyer Lisa Mailleux Cristina Simon-Martinez Jasmine Hoskens Elegast Monbaliu Geert Verheyden Geert Verbeke Guy Molenaers Els Ortibus Hilde Feys Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study Neural Plasticity |
| title | Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study |
| title_full | Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study |
| title_fullStr | Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study |
| title_full_unstemmed | Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study |
| title_short | Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study |
| title_sort | time course of upper limb function in children with unilateral cerebral palsy a five year follow up study |
| url | http://dx.doi.org/10.1155/2018/2831342 |
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