TY  - JOUR
T1  - THE RELATIONSHIP OF UNIMANUAL AND BIMANUAL CAPACITY WITH PERCEIVED BIMANUAL PERFORMANCE IN CHILDREN WITH UNILATERAL CEREBRAL PALSY
TT  - UNİLATERAL SEREBRAL PALSİLİ ÇOCUKLARDA UNİMANUEL VE BİMANUEL KAPASİTENİN ALGILANAN BİMANUEL PERFORMANSLA İLİŞKİSİ
AU  - Can, Hilal Başak
AU  - Acar, Gönül
AU  - Torna, Gaye
AU  - Çekmece, Çiğdem
AU  - Bilgili, Fuat
PY  - 2024
DA  - December
Y2  - 2024
DO  - 10.52538/iduhes.1510201
JF  - Izmir Democracy University Health Sciences Journal
JO  - IDUHES
PB  - Izmir University of Democracy
WT  - DergiPark
SN  - 2651-4575
SP  - 262
EP  - 271
VL  - 7
IS  - 3
LA  - en
AB  - The aim of this investigation was to examine the correlation between unimanual and bimanual capacities as well as the perceived bimanual performance among children diagnosed with unilateral cerebral palsy (CP), aged between 6 and 12 years. A total of 34 children, consisting of 15 girls and 19 boys with a mean age of 9.47±1.62 years, participated. The Box and Block Test to quantify the unimanual capacity of both hands and the placing and turning tests, which are subtests of the Minnesota Manual Dexterity Test (MMDT), to evaluate unimanual and bimanual capacities, respectively, were used. Parents evaluated perceived bimanual performance through the Children's Hand-Use Experience Questionnaire (CHEQ) and ABILHAND-Kids. The capacity of the affected hand was found to be significantly correlated with the CHEQ subscales at a low to moderate level (R2 = 15-35%) and with ABILHAND-Kids at a low level (R2 = 16-17%). Bimanual capacity demonstrated a significant correlation ranging from low to moderate with the CHEQ subscales (R2 = 15-33%), and exhibited a weak correlation with ABILHAND-Kids (R2 = 13%). It was observed that the capacity of the contralateral hand, as measured by the MMDT placing test, exhibited a low level of significant correlation with the CHEQ subscale feeling bothered. The results indicated that the affected hand capacity and bimanual capacity had a low to moderate relationship with perceived bimanual performance. Furthermore, the predictability of perceived bimanual performance by the affected hand capacity and bimanual capacity was low.
KW  - Bimanual capacity
KW  - Bimanual performance
KW  - Unimanual capacity
KW  - Unilateral cerebral palsy
N2  - Çalışmada 6-12 yaş aralığındaki unilateral Serebral Palsi’li (SP) çocuklarda unimanuel ve bimanuel kapasitenin algılanan bimanuel performansla ilişkisini araştırmak amaçlandı. Çalışmaya yaş ortalaması 9,47±1,62 yıl olan, 15'i kız ve 19'u erkek olmak üzere toplam 34 çocuk katıldı. Her iki elin unimanuel kapasitesini ölçmek için Kutu ve Blok Testi kullanıldı; unimanuel ve bimanuel kapasiteyi değerlendirmek için ise sırasıyla Minnesota El Becerisi Testi'nin (MMDT) alt testleri olan yerleştirme ve döndürme testleri kullanıldı. Ebeveynler, Çocukların El Kullanım Deneyimi Anketi (CHEQ) ve ABILHAND-Kids aracılığıyla algılanan bimanüel performansı değerlendirdi. Etkilenen elin kapasitesinin CHEQ alt skalaları ile düşük-orta düzeyde (R2=%15-35) ve ABILHAND-Kids ile düşük düzeyde (R2=%16-17) anlamlı ilişkili olduğu; bimanuel kapasitenin CHEQ alt skalaları ile düşük-orta (R2=%15-33) ve ABILHAND-Kids ile düşük düzeyde (R2=%13) anlamlı ilişkili olduğu bulundu. Kontralateral elin MMDT’nin yerleştirme alt testi ile ölçülen kapasitesinin CHEQ’in hissedilen rahatsızlık alt skalası ile düşük düzeyde anlamlı ilişkisi olduğu saptandı. Sonuç olarak etkilenen elin kapasitesi ve bimanuel kapasite algılanan bimanuel performansla düşük-orta düzeyde ilişkiliydi ve algılanan bimanuel performansın etkilenen elin kapasitesi ve bimanuel kapasite tarafından tahmin edilebilirliği düşüktü.
CR  - Amer, A., Eliasson, A. C., Peny-Dahlstrand, M., Hermansson, L. (2016). Validity and test-retest reliability of Children's Hand-use Experience Questionnaire in children with unilateral cerebral palsy. Dev Med Child Neurol, 58(7), 743-749. doi:10.1111/dmcn.12991
CR  - Arnould, C., Penta, M., Renders, A., Thonnard, J. L. (2004). ABILHAND-Kids: a measure of manual ability in children with cerebral palsy. Neurology, 63(6), 1045-1052. doi:10.1212/01.wnl.0000138423.77640.37
CR  - Au, K. L. K., Knitter, J. L., Morrow-McGinty, S., Campos, T. C., Carmel, J. B., Friel, K. M. (2023). Combining Unimanual and Bimanual Therapies for Children with Hemiparesis: Is There an Optimal Delivery Schedule? Behav Sci (Basel), 13(6), 490. doi:10.3390/bs13060490
CR  - Chaleat-Valayer, E., Bard-Pondarre, R., Ganne, C., Roumenoff, F., Combey, A., Bernard, J. C. (2015). Relation between unimanual capacities and bimanual performance in hemiplegic cerebral-palsied children: impact of synkinesis. Eur J Paediatr Neurol, 19(2), 193-201. doi:10.1016/j.ejpn.2014.12.002
CR  - Eren, M., Ekici, G., Alkan, H. (2022). Reliability and validity of turkish version of children’s hand use experience questionnaire for children with hemiparetic cerebral palsy. International Journal of Health Administration and Education Congress (Sanitas Magisterium), 8(1), 34-45. Retrieved from https://dergipark.org.tr/tr/pub/ijhadec/issue/65894/1027949
CR  - Faul F, Erdfelder E, Lang A-G, Buchner A. (2007). G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods, 39(2), 175-191. doi: 10.3758/bf03193146.
CR  - Gordon, A. M., Bleyenheuft, Y., Steenbergen, B. (2013). Pathophysiology of impaired hand function in children with unilateral cerebral palsy. Dev Med Child Neurol, 55 Suppl 4, 32-37. doi:10.1111/dmcn.12304
CR  - Greaves, S., Imms, C., Dodd, K., Krumlinde-Sundholm, L. (2010). Assessing bimanual performance in young children with hemiplegic cerebral palsy: a systematic review. Dev Med Child Neurol, 52(5), 413-421. doi:10.1111/j.1469-8749.2009.03561.x
CR  - Hoare, B., Greaves, S. (2017). Unimanual versus bimanual therapy in children with unilateral cerebral palsy: Same, same, but different. J Pediatr Rehabil Med, 10(1), 47-59. doi:10.3233/prm-170410
CR  - Klevberg, G. L., Elvrum, A. G., Zucknick, M., Elkjaer, S., Østensjø, S., Krumlinde-Sundholm, L., Kjeken, I., Jahnsen, R. (2018). Development of bimanual performance in young children with cerebral palsy. Dev Med Child Neurol, 60(5), 490-497. doi:10.1111/dmcn.13680
CR  - Klingels, K., Demeyere, I., Jaspers, E., De Cock, P., Molenaers, G., Boyd, R., Feys, H. (2012). Upper limb impairments and their impact on activity measures in children with unilateral cerebral palsy. Eur J Paediatr Neurol, 16(5), 475-484. doi:10.1016/j.ejpn.2011.12.008
CR  - Klingels, K., Jaspers, E., Van de Winckel, A., De Cock, P., Molenaers, G., Feys, H. (2010). A systematic review of arm activity measures for children with hemiplegic cerebral palsy. Clin Rehabil, 24(10), 887-900. doi:10.1177/0269215510367994
CR  - Klingels, K., Meyer, S., Mailleux, L., Simon-Martinez, C., Hoskens, J., Monbaliu, E., Verheyden, G., Verbeke, G., Molenaers, G., Ortibus, E., Feys, H. (2018). Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study. Neural Plast, 2018, 2831342. doi:10.1155/2018/2831342
CR  - Krumlinde-Sundholm, L., Wagner, L. V. (2020). Upper Extremity Assessment and Outcome Evaluation in Cerebral Palsy. In F. Miller, S. Bachrach, N. Lennon, M. E. O'Neil (Eds.), Cerebral Palsy (pp. 1569-1597). Cham: Springer International Publishing.
CR  - Lemmens, R. J., Timmermans, A. A., Janssen-Potten, Y. J., Smeets, R. J., Seelen, H. A. (2012). Valid and reliable instruments for arm-hand assessment at ICF activity level in persons with hemiplegia: a systematic review. BMC Neurol, 12, 21. doi:10.1186/1471-2377-12-21
CR  - Liang, K. J., Chen, H. L., Shieh, J. Y., Wang, T. N. (2021). Measurement properties of the box and block test in children with unilateral cerebral palsy. Sci Rep, 11(1), 20955. doi:10.1038/s41598-021-00379-3
CR  - Mathiowetz, V., Federman, S., Wiemer, D. (1985). Box and Block Test of Manual Dexterity: Norms for 6–19 Year Olds. Canadian Journal of Occupational Therapy, 52(5), 241-245. doi:10.1177/000841748505200505
CR  - Mukaka, M. M. (2012). Statistics corner: A guide to appropriate use of correlation coefficient in medical research. Malawi Med J, 24(3), 69-71.
CR  - Randall, M., Carlin, J. B., Chondros, P., Reddihough, D. (2001). Reliability of the Melbourne assessment of unilateral upper limb function. Dev Med Child Neurol, 43(11), 761-767. doi:10.1017/s0012162201001396
CR  - Ryll, U. C., Bastiaenen, C. H., Eliasson, A. C. (2017). Assisting Hand Assessment and Children's Hand-Use Experience Questionnaire -Observed Versus Perceived Bimanual Performance in Children with Unilateral Cerebral Palsy. Phys Occup Ther Pediatr, 37(2), 199-209. doi:10.1080/01942638.2016.1185498
CR  - Sakzewski, L., Ziviani, J., Boyd, R. (2010). The relationship between unimanual capacity and bimanual performance in children with congenital hemiplegia. Dev Med Child Neurol, 52(9), 811-816. doi:10.1111/j.1469-8749.2009.03588.x
CR  - Sköld, A., Hermansson, L. N., Krumlinde-Sundholm, L., Eliasson, A. C. (2011). Development and evidence of validity for the Children's Hand-use Experience Questionnaire (CHEQ). Dev Med Child Neurol, 53(5), 436-442. doi:10.1111/j.1469-8749.2010.03896.x
CR  - Şahin, E., Dilek, B., Karakaş, A., Engin, O., Gülbahar, S., Faruk Dadaş, Ö., Peker, M. Ö., El, Ö. (2020). Reliability and Validity of the Turkish Version of the ABILHAND-Kids Survey in Children with Cerebral Palsy. Turk J Phys Med Rehabil, 66(4), 444-451. doi:10.5606/tftrd.2020.4091
CR  - Tomhave, W. A., Van Heest, A. E., Bagley, A., James, M. A. (2015). Affected and contralateral hand strength and dexterity measures in children with hemiplegic cerebral palsy. J Hand Surg Am, 40(5), 900-907. doi:10.1016/j.jhsa.2014.12.039
CR  - Wang, Y. C., Wickstrom, R., Yen, S. C., Kapellusch, J., Grogan, K. A. (2018). Assessing manual dexterity: Comparing the WorkAbility Rate of Manipulation Test with the Minnesota Manual Dexterity Test. J Hand Ther, 31(3), 339-347. doi:10.1016/j.jht.2017.03.009
UR  - https://doi.org/10.52538/iduhes.1510201
L1  - https://dergipark.org.tr/en/download/article-file/4044060
ER  -