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http://hdl.handle.net/1942/28005
Title: | Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study. | Authors: | KLINGELS, Katrijn Meyer, Sarah Mailleux, Lisa Simon-Martinez, Cristina HOSKENS, Jasmine Monbaliu, Elegast Verheyden, Geert VERBEKE, Geert Molenaers, Guy Ortibus, Els Feys, Hilde |
Issue Date: | 2018 | Source: | Neural Plasticity (Print), (Art N° 2831342) | Abstract: | 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 () and AHA scores () decreased, whereas an improvement was seen for grip strength (), Melbourne Assessment (), Jebsen-Taylor test (), and ABILHAND-Kids (). Age influenced the evolution of AHA scores (), 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 (), 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. | Document URI: | http://hdl.handle.net/1942/28005 | ISSN: | 2090-5904 | e-ISSN: | 1687-5443 | DOI: | 10.1155/2018/2831342 | ISI #: | 000451204800001 | Rights: | Copyright 2018 Katrijn Klingels et al. 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. | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2019 |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
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2831342.pdf | Published version | 2.08 MB | Adobe PDF | View/Open |
Manuscript CP_long term FU_Klingels_revised.pdf | Peer-reviewed author version | 657.07 kB | Adobe PDF | View/Open |
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