Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/16612
Title: Arm hand skilled performance in cerebral palsy: activity preferences and their movement components
Authors: Lemmens, Ryanne
Janssen-Potten, Yvonne
TIMMERMANS, Annick 
Defesche, Anke
Smeets, Rob
Seelen, Henk
Issue Date: 2014
Source: BMC Neurology, 14, (ART N° 52)
Abstract: Background Assessment of arm-hand use is very important in children with cerebral palsy (CP) who encounter arm-hand problems. To determine validity and reliability of new instruments to assess actual performance, a set of standardized test situations including activities of daily living (ADL) is required. This study gives information with which such a set for upper extremity skill research may be fine-tuned, relative to a specific research question. Aim of this study is to a) identify upper extremity related ADL children with CP want to improve on, b) determine the 10 most preferred goals of children with CP, and c) identify movement components of all goals identified. Method The Canadian Occupational Performance Measure was used to identify upper extremity-related ADL preferences (goals) of 53 children with CP encountering arm-hand problems (mean age 9 ± 4.5 year). Goals were ranked based on importance attributed to each goal and the number of times a goal was mentioned, resulting in a gross list with goals. Additionally, two studies were performed, i.e. study A to determine the 10 most preferred goals for 3 age groups (2.5-5 years; 6-11 years, 12-19 years), based on the total preference score, and study B to identify movement components, like reaching and grasping, of all goals identified for both the leading and the assisting arm-hand. Results Seventy-two goals were identified. The 10 most preferred goals differed with age, changing from dressing and leisure-related goals in the youngest children to goals regarding personal care and eating for children aged 6-11 years. The oldest children preferred goals regarding eating, personal care and computer use. The movement components ‘positioning’, ‘reach’, ‘grasp’, and ‘hold’ were present in most tasks. ‘Manipulating’ was more important for the leading arm-hand, whereas ‘fixating’ was more important for the assisting arm-hand. Conclusion This study gave insight into the preferences regarding ADL children with CP would like to improve on, and the movement components characterizing these activities. This information can be used to create a set of standardized test situations, which can be used to assess the validity and reliability of new measurement instruments to gauge actual arm-hand skilled performance.
Notes: Lemmens, RJM (reprint author), Maastricht Univ, Res Sch CAPHRI, Dept Rehabil Med, Maastricht, Netherlands, ryanne.lemmens@maastrichtuniversity.nl
Keywords: cerebral palsy; children; adolescents; activities of daily living; upper extremity; treatment goals; training preferences; Canadian occupational performance measure; movement components; rehabilitation
Document URI: http://hdl.handle.net/1942/16612
Link to publication: http://www.biomedcentral.com/1471-2377/14/52
e-ISSN: 1471-2377
DOI: 10.1186/1471-2377-14-52
ISI #: 000334610800001
Rights: © 2014 Lemmens et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
Category: A1
Type: Journal Contribution
Validations: ecoom 2015
Appears in Collections:Research publications

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