Different Types of Asymmetric Hand Involvements and Functional Independence in Children with Cerebral Palsy: A Retrospective Study

Year 2024, Volume: 2 Issue: 3, 87 - 94, 31.12.2024

Kübra Seyhan Bıyık , Mintaze Kerem Günel

Abstract

Purpose: The aim of this study was to investigate the effect of different types of functional asymmetric hand involvements on upper extremity activity performance and functional independence in children with cerebral palsy (CP).
Method: In this retrospective study, 49 children with CP aged 3-12 years with different types of asymmetric functional hand involvements were analysed. Asymmetric hand function of the children was classified according to Bimanuel Fine Motor Function (BFMF-2.0). Upper extremity activity performance and functional independence status were evaluated with ABILHAND-Kids and Functional Independence Measure for Children (WeeFIM). The Kruskal-Wallis test was used for comparison between BFMF-2.0 levels.
Results: Children [7.18 ± 4.52 y (3-12 y), 26 girls (53.1%)] were divided into four groups as BFMF-2.0 level IIa (n=16), level IIIa (n=12), level IIIb (n=11) and IVb (n=10) according to functional asymmetric hand involvements. There was a significant difference between the groups (p<0.001). In pairwise comparisons, difference between level IVb and IIa was significant in WeeFIM and ABILHAND-Kids scores (p<0.008).
Conclusion: In-hand manipulation skills are critical for upper extremity performance and functional independence of daily living activities in children with CP. In-hand manipulation of one hand may increase functional independence of the child regardless of the other hand’s involvement levels.

Keywords

Hand, cerebral palsy, upper extremtiy, function, asymmetry

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