Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics

Show simple item record Mackey, AH en Walt, Sharon en Stott, Ngaire en 2012-03-01T22:10:55Z en 2006 en
dc.identifier.citation Archives of Physical Medicine and Rehabilitation 87(2):207-215 Feb 2006 en
dc.identifier.issn 0003-9993 en
dc.identifier.uri en
dc.description.abstract Objective: To define upper-limb movement deficits in children with hemiplegia using 3-dimensional (3-D) kinematic analysis of functional tasks. Design: Cohort study. Setting: University gait laboratory. Participants: Ten children with hemiplegic cerebral palsy (mean age, 13.3y; range, 10–17y) and 10 control children (mean age, 9.8y; range, 6–12y). Interventions: Not applicable. Main Outcome Measure: 3-D upper-limb movement analysis. Results: 3-D kinematics detected clinically significant between- group differences. Children with hemiplegia were significantly slower than control children in time taken to complete tasks (P .05) and achieved slower movement velocities (P .05). Group differences in range of motion (ROM) occurred in all 3 tasks examined (hand to mouth, hand to head, reach). Children with hemiplegia had significantly less supination (P .03) and shoulder flexion (P .03) and increased compensatory trunk flexion (P .01) compared with control data (hand-to-mouth task). The reach task highlighted restriction of elbow extension in children with hemiplegia (minimum elbow extension: hemiplegia, 24 18o; control, 3 7o). Completing tasks bilaterally did not alter performance of the tasks in children with hemiplegia. Conclusions: 3-D kinematics detected deficits in timing, ROM, and proximal compensatory strategies during upperlimb functional task performance in children with hemiplegia. en
dc.publisher W.B. Saunders Co. en
dc.relation.ispartofseries Archives of Physical Medicine and Rehabilitation en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from: en
dc.rights.uri en
dc.title Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics en
dc.type Journal Article en
dc.identifier.doi 10.1016/j.apmr.2005.10.023 en
pubs.issue 2 en
pubs.begin-page 207 en
pubs.volume 87 en
dc.rights.holder Copyright: W.B. Saunders Co. en
dc.identifier.pmid 16442974 en
pubs.end-page 215 en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 68345 en Medical and Health Sciences en School of Medicine en Surgery Department en
pubs.record-created-at-source-date 2010-09-01 en
pubs.dimensions-id 16442974 en

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