Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/37869
Title: | Sensory function influences unimanual and bimanual dexterity in unilateral cerebral palsy | Authors: | DECRAENE, Lisa Feys, Hilde KLINGELS, Katrijn Basu, Anna Ortibus, Els Mailleux, Lisa Simon-Martinez, Cristina |
Issue Date: | 2021 | Source: | European Academy Of Childhood Disability (EACD) 2021, Online, september 2021 | Abstract: | The recently developed Tyneside Pegboard Test (TPT) assesses both unimanual and bimanual dexterity in children with unilateral cerebral palsy (uCP). Our aim was to explore the TPT psychometric properties and the impact of sensorimotor impairments on unimanual and bimanual dexterity. Forty-nine children with uCP (mean age 9y8m, SD 1y11m, 30 males, 23 right-sided uCP) performed the unimanual and bimanual TPT providing task duration. For the psychometric properties, known-group validity was evaluated using ANCOVA (between MACS levels) and concurrent and construct validity with Spearman's correlations (r) with known and valid tests (Jebsen-Taylor Hand Function test (JTHFT), Assisting Hand Assessment (AHA), ABILHAND-Kids and Children's Hand Use Experience Questionnaire (CHEQ). The impact of sensorimotor impairments (spasticity, grip force, stereognosis and mirror movements) was investigated using multiple linear regression (α<0.05, R 2). Unimanual and bimanual dexterity differed between MACS levels (known-group validity) (p<0.001). The TPT tasks correlated to the JTHFT (concurrent validity, r=0.86-0.88), the AHA, ABILHAND-Kids and CHEQ (construct validity, r=-0.38-(-0.78)). Stereognosis was the main factor influencing all tasks (p<0.001, R²=37%-50%). Unimanual dexterity was further explained by grip strength (p<0.05, R 2 =8%-9%) and mirror movements in the more-impaired hand (p<0.05, R 2 =4%-8%), while bimanual dexterity was additionally explained by mirror movements in the more-impaired hand (p<0.01, R 2 =10%-16%) and spasticity (p=0.04, R 2 =5%). The TPT is a valid assessment to measure unimanual and bimanual dexterity. This study further highlights that stereognosis is the main determinant for unimanual and bimanual dexterity in children with uCP. | Document URI: | http://hdl.handle.net/1942/37869 | Category: | C2 | Type: | Conference Material |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Abstract - Sensory function influences unimanual and bimanual dexterity in unilateral cerebral palsy.pdf Restricted Access | Conference material | 412.74 kB | Adobe PDF | View/Open Request a copy |
Google ScholarTM
Check
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.