Hand impairments and their relationship with manual ability in children with cerebral palsy.
(2007) Journal of Rehabilitation Medicine — Vol. 39, n° 9, p. 708-714 (2007)
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- Authors
Thonnard, Jean-Louis 
- Abstract
- OBJECTIVE: To study hand impairments and their relationship with manual ability in children with cerebral palsy. DESIGN: Cross-sectional survey. PATIENTS: A total of 101 children with cerebral palsy (mean age 10 years, age range 6-15 years) were assessed. METHODS: Three motor and 3 sensory impairments were measured on both hands. Motor impairments included grip strength (Jamar dynamometer), gross manual dexterity(Box and Block Test) and fine finger dexterity (Purdue Peg-board Test). Sensory impairments included tactile pressure detection (Semmes-Weinstein aesthesiometer), stereognosis(Manual Form Perception Test) and proprioception (passive mobilization of the metacarpophalangeal joints). Manual ability was measured with the ABILHAND-Kids questionnaire.The relationship between hand impairments and manual ability was studied through correlation coefficients and a multiple linear forward stepwise regression analysis. RESULTS: Motor impairments were markedly more prevalent than sensory ones. Gross manual dexterity on the dominant hand and grip strength on the non-dominant hand were the best independent predictors of the children's manual ability,predicting 58% of its variance. CONCLUSION: Hand impairments and manual ability are not related in a predictable straightforward relationship. It is important that, besides hand impairments, manual ability is also measured and treated, as it is not simply the integration of hand functions in daily activities.
- Affiliations
Citations
Arnould, C., Penta, M., & Thonnard, J.-L. (2007). Hand impairments and their relationship with manual ability in children with cerebral palsy. Journal of Rehabilitation Medicine, 39(9), 708-714. https://doi.org/10.2340/16151977-0111 (Original work published 2007)