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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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Autores principales: Klingels, Katrijn, Meyer, Sarah, Mailleux, Lisa, Simon-Martinez, Cristina, Hoskens, Jasmine, Monbaliu, Elegast, Verheyden, Geert, Verbeke, Geert, Molenaers, Guy, Ortibus, Els, Feys, Hilde
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261393/
https://www.ncbi.nlm.nih.gov/pubmed/30538737
http://dx.doi.org/10.1155/2018/2831342
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author Klingels, Katrijn
Meyer, Sarah
Mailleux, Lisa
Simon-Martinez, Cristina
Hoskens, Jasmine
Monbaliu, Elegast
Verheyden, Geert
Verbeke, Geert
Molenaers, Guy
Ortibus, Els
Feys, Hilde
author_facet Klingels, Katrijn
Meyer, Sarah
Mailleux, Lisa
Simon-Martinez, Cristina
Hoskens, Jasmine
Monbaliu, Elegast
Verheyden, Geert
Verbeke, Geert
Molenaers, Guy
Ortibus, Els
Feys, Hilde
author_sort Klingels, Katrijn
collection PubMed
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.
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spelling pubmed-62613932018-12-11 Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study Klingels, Katrijn Meyer, Sarah Mailleux, Lisa Simon-Martinez, Cristina Hoskens, Jasmine Monbaliu, Elegast Verheyden, Geert Verbeke, Geert Molenaers, Guy Ortibus, Els Feys, Hilde Neural Plast Research Article 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. Hindawi 2018-11-14 /pmc/articles/PMC6261393/ /pubmed/30538737 http://dx.doi.org/10.1155/2018/2831342 Text en Copyright © 2018 Katrijn Klingels et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Klingels, Katrijn
Meyer, Sarah
Mailleux, Lisa
Simon-Martinez, Cristina
Hoskens, Jasmine
Monbaliu, Elegast
Verheyden, Geert
Verbeke, Geert
Molenaers, Guy
Ortibus, Els
Feys, Hilde
Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study
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
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6261393/
https://www.ncbi.nlm.nih.gov/pubmed/30538737
http://dx.doi.org/10.1155/2018/2831342
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