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UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS

Year 2024, Volume: 35 Issue: 2, 152 - 158, 27.08.2024
https://doi.org/10.21653/tjpr.1343981

Abstract

Purpose: The study aimed to define the upper extremity selective voluntary motor control (SVMC) in children with unilateral Cerebral Palsy (CP). It was also aimed to investigate the relationship between upper extremity SVMC and upper extremity functions.
Methods: Twenty-four children diagnosed with unilateral CP, aged between 6 and 18, were included in the study. The Quality of Upper Extremity Skills Test (QUEST) assessed the upper extremity functions. Manual dexterity was measured using the Jebsen-Taylor Hand Function Test (JTT) timed tasks. The SVMC of the upper extremity was measured using the Selective Control of Upper Extremity Scale (SCUES) using the videotape recording method.
Results: Statistically significant decreases in SCUES scores from shoulder to fingers were recorded using the Page statistical test for trend (p<0.001). There was a significant positive correlation between the SCUES total score and the QUEST total score (r: 0.796; p <0.001). Also, score on SCUES showed a significant negative correlation with JTT (r:- 0.875; p <0.001).
Conclusion: In children with unilateral CP, there was a relationship between upper extremity selective voluntary control and upper extremity functions. Deficiency in selective upper extremity movements disturbed functional manual skills, indicating these impairments' significance in assessing upper extremity functions and, potentially, rehabilitation.

References

  • Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral palsy: current opinions on definition, epidemiology, risk factors, classification and treatment options. Neuropsychiatr Dis Treat. 2020; 16:1505-18.
  • Sindou M, Joud A, Georgoulis G. Neurophysiological mechanisms of hypertonia and hypotonia in children with spastic cerebral palsy: surgical implications. Childs Nerv Syst. 2020; 36: 1919-24.
  • Sukal-Moulton T, Fowler E. Selective voluntary motor control in children and youth with spastic cerebral palsy. Cerebral Palsy. 2020; 2587-10.
  • Wagner LV, Davids JR, Hardin JW. Selective Control of the Upper Extremity Scale: validation of a clinical assessment tool for children with hemiplegic cerebral palsy. Dev Med Child Neurol. 2016;58(6):612-617.
  • Sukal-Moulton T, Murray TM, Dewald JP. Loss of independent limb control in childhood hemiparesis is related to time of brain injury onset. Exp Brain Res 2013;225(3):455-463.
  • Balzer J, van der Linden ML, Mercer TH, van Hedel HJ. Selective voluntary motor control measures of the lower extremity in children with upper motor neuron lesions: a systematic review. Dev Med Child Neurol. 2017;59(7):699-705.
  • Noble JJ, Gough M, Shortland AP. Selective motor control and gross motor function in bilateral spastic cerebral palsy. Dev Med Child Neurol. 2019;61(1):57-61.
  • Chruscikowski E, Fry NR, Noble JJ, Gough M, Shortland AP. Selective motor control correlates with gait abnormality in children with cerebral palsy. Gait Posture. 2017;52:107-109.
  • Papageorgiou E, Simon-Martinez C, Molenaers G, Ortibus E, Van Campenhout A, Desloovere K. Are spasticity, weakness, selectivity, and passive range of motion related to gait deviations in children with spastic cerebral palsy? A statistical parametric mapping study. PloS one. 2019;14(10):1-29.
  • Yildiz A, Yildiz R, Celik HI, Manzak OF, Elbasan B. Construct and discriminative validity and reliability of the Selective Control of the Upper Extremity Scale (SCUES) in children with unilateral cerebral palsy. Physiother Theory Pract. 2022;38(7):919-27.
  • Gupta, S. S. (2014). A randomized comparison of the effectiveness of constraint-induced movement therapy versus conventional physiotherapy on upper-extremity dysfunction in treating hemiplegic cerebral palsy. Indian J Physiother Occup Ther. 2015;2:20-24.
  • Thorley M, Lannin N, Cusick A, Novak I, Boyd R. Reliability of the quality of upper extremity skills test for children with cerebral palsy aged 2 to 12 years. Phys Occup Ther Pediatr. 2012:32(1), 4-21.
  • Akpinar P, Tezel CG, Eliasson A-C, Icagasioglu A. Reliability and cross-cultural validation of the Turkish version of Manual Ability Classification System (MACS) for children with cerebral palsy. Disabil Rehabil Assist Technol. 2010;32(23):1910-16.
  • Mailleux, L., Jaspers, E., Ortibus, E., Simon-Martinez, C., Desloovere, K., Molenaers, G., et al. Clinical assessment and three-dimensional movement analysis: An integrated approach for upper limb evaluation in children with unilateral cerebral palsy. PLoS One. 2017;12(7):1-24.
  • Tedroff K, Knutson LM, Soderberg GL. Synergistic muscle activation during maximum voluntary contractions in children with and without spastic cerebral palsy. Dev Med Child Neurol. 2006;48(10):789-96.
  • Kuhtz-Buschbeck JP, Sundholm LK, Eliasson A-C, Forssberg H. Quantitative assessment of mirror movements in children and adolescents with hemiplegic cerebral palsy. Dev Med Child Neurol. 2000;42(11):728-36.
  • Klingels K, Jaspers E, Staudt M, Guzzetta A, Mailleux L, Ortibus E, et al. Do mirror movements relate to hand function and timing of the brain lesion in children with unilateral cerebral palsy? Dev Med Child Neurol. 2016;58(7):735-42.
  • Adler C, Berweck S, Lidzba K, Becher T, Staudt M. Mirror movements in unilateral spastic cerebral palsy: Specific negative impact on bimanual activities of daily living. Eur J Paediatr Neurol. 2015;19(5):504-9.
  • Said, R, Abd‐Elmonem, AM, Aly, MG. (2021). Correlation between selective motor control and upper extremity function in children with hemiparesis. Pak. J. Med. Health Sci. (2021); 15(6), 1709-12.

UNİLATERAL SEREBRAL PALSİLİ ÇOCUKLARDA ÜST EKSTREMİTENİN İSTEMLİ SELEKTİF MOTOR KONTROLÜ VE ÜST EKSTREMİTE FONKSİYONLARI İLE İLİŞKİSİ

Year 2024, Volume: 35 Issue: 2, 152 - 158, 27.08.2024
https://doi.org/10.21653/tjpr.1343981

Abstract

Amaç: Çalışmada, unilateral Serebral Palsili (SP) çocuklarda üst ekstremite istemli selektif motor kontrolünü (SMK) tanımlamak ve SMK ile üst ekstremite fonksiyonları arasındaki ilişkiyi incelemek amaçlanmıştır.
Yöntemler: Çalışmaya yaşları 6 ile 18 arasında değişen 24 unilateral SP tanılı çocuk dahil edilmiştir. Üst ekstremite fonksiyonlarını değerlendirmek için Üst Ekstremite Beceri Kalitesi Testi (ÜEBKT) kullanıldı. El becerisi, Jebsen-Taylor El Fonksiyon Testinin (JTT) süreli görevleri kullanılarak ölçüldü. Üst ekstremitenin SMK, video kayıt yöntemi kullanılarak Üst Eksremite Selektif Kontrol Skalası (ÜESKS) ile ölçüldü.
Sonuç: Omuzdan parmaklara ÜESKS skorlarında istatistiksel olarak anlamlı düşüşler Page istatistiksel trend testi kullanılarak kaydedildi (p<0,001). ÜESKS toplam puanı ile ÜEBKT toplam puanı arasında anlamlı bir pozitif korelasyon vardı (r: 0,796; p <0,001). Ayrıca ÜESKS skoru, JTT ile anlamlı bir negatif korelasyon gösterdi (r: - 0,875; p <0,001).
Tartışma: Unilateral SP'li çocuklarda üst ekstremite SMK ile üst ekstremite fonksiyonları arasında ilişki bulundu. Selektif üst ekstremite hareketlerindeki eksikliğin, fonksiyonel el becerilerini etkilediği bulunmuştur. Bu nedenle üst ekstremite fonksiyonlarını değerlendirmede ve potansiyel olarak rehabilitasyonunda üst ekstremite SMK göz önünde bulundurulmalıdır.

References

  • Sadowska M, Sarecka-Hujar B, Kopyta I. Cerebral palsy: current opinions on definition, epidemiology, risk factors, classification and treatment options. Neuropsychiatr Dis Treat. 2020; 16:1505-18.
  • Sindou M, Joud A, Georgoulis G. Neurophysiological mechanisms of hypertonia and hypotonia in children with spastic cerebral palsy: surgical implications. Childs Nerv Syst. 2020; 36: 1919-24.
  • Sukal-Moulton T, Fowler E. Selective voluntary motor control in children and youth with spastic cerebral palsy. Cerebral Palsy. 2020; 2587-10.
  • Wagner LV, Davids JR, Hardin JW. Selective Control of the Upper Extremity Scale: validation of a clinical assessment tool for children with hemiplegic cerebral palsy. Dev Med Child Neurol. 2016;58(6):612-617.
  • Sukal-Moulton T, Murray TM, Dewald JP. Loss of independent limb control in childhood hemiparesis is related to time of brain injury onset. Exp Brain Res 2013;225(3):455-463.
  • Balzer J, van der Linden ML, Mercer TH, van Hedel HJ. Selective voluntary motor control measures of the lower extremity in children with upper motor neuron lesions: a systematic review. Dev Med Child Neurol. 2017;59(7):699-705.
  • Noble JJ, Gough M, Shortland AP. Selective motor control and gross motor function in bilateral spastic cerebral palsy. Dev Med Child Neurol. 2019;61(1):57-61.
  • Chruscikowski E, Fry NR, Noble JJ, Gough M, Shortland AP. Selective motor control correlates with gait abnormality in children with cerebral palsy. Gait Posture. 2017;52:107-109.
  • Papageorgiou E, Simon-Martinez C, Molenaers G, Ortibus E, Van Campenhout A, Desloovere K. Are spasticity, weakness, selectivity, and passive range of motion related to gait deviations in children with spastic cerebral palsy? A statistical parametric mapping study. PloS one. 2019;14(10):1-29.
  • Yildiz A, Yildiz R, Celik HI, Manzak OF, Elbasan B. Construct and discriminative validity and reliability of the Selective Control of the Upper Extremity Scale (SCUES) in children with unilateral cerebral palsy. Physiother Theory Pract. 2022;38(7):919-27.
  • Gupta, S. S. (2014). A randomized comparison of the effectiveness of constraint-induced movement therapy versus conventional physiotherapy on upper-extremity dysfunction in treating hemiplegic cerebral palsy. Indian J Physiother Occup Ther. 2015;2:20-24.
  • Thorley M, Lannin N, Cusick A, Novak I, Boyd R. Reliability of the quality of upper extremity skills test for children with cerebral palsy aged 2 to 12 years. Phys Occup Ther Pediatr. 2012:32(1), 4-21.
  • Akpinar P, Tezel CG, Eliasson A-C, Icagasioglu A. Reliability and cross-cultural validation of the Turkish version of Manual Ability Classification System (MACS) for children with cerebral palsy. Disabil Rehabil Assist Technol. 2010;32(23):1910-16.
  • Mailleux, L., Jaspers, E., Ortibus, E., Simon-Martinez, C., Desloovere, K., Molenaers, G., et al. Clinical assessment and three-dimensional movement analysis: An integrated approach for upper limb evaluation in children with unilateral cerebral palsy. PLoS One. 2017;12(7):1-24.
  • Tedroff K, Knutson LM, Soderberg GL. Synergistic muscle activation during maximum voluntary contractions in children with and without spastic cerebral palsy. Dev Med Child Neurol. 2006;48(10):789-96.
  • Kuhtz-Buschbeck JP, Sundholm LK, Eliasson A-C, Forssberg H. Quantitative assessment of mirror movements in children and adolescents with hemiplegic cerebral palsy. Dev Med Child Neurol. 2000;42(11):728-36.
  • Klingels K, Jaspers E, Staudt M, Guzzetta A, Mailleux L, Ortibus E, et al. Do mirror movements relate to hand function and timing of the brain lesion in children with unilateral cerebral palsy? Dev Med Child Neurol. 2016;58(7):735-42.
  • Adler C, Berweck S, Lidzba K, Becher T, Staudt M. Mirror movements in unilateral spastic cerebral palsy: Specific negative impact on bimanual activities of daily living. Eur J Paediatr Neurol. 2015;19(5):504-9.
  • Said, R, Abd‐Elmonem, AM, Aly, MG. (2021). Correlation between selective motor control and upper extremity function in children with hemiparesis. Pak. J. Med. Health Sci. (2021); 15(6), 1709-12.
There are 19 citations in total.

Details

Primary Language English
Subjects Physiotherapy, Rehabilitation
Journal Section Araştırma Makaleleri
Authors

Ayşe Yıldız 0000-0002-1101-1069

Ramazan Yıldız 0000-0002-8007-7854

Bülent Elbasan 0000-0001-8714-0214

Publication Date August 27, 2024
Published in Issue Year 2024 Volume: 35 Issue: 2

Cite

APA Yıldız, A., Yıldız, R., & Elbasan, B. (2024). UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 35(2), 152-158. https://doi.org/10.21653/tjpr.1343981
AMA Yıldız A, Yıldız R, Elbasan B. UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS. Turk J Physiother Rehabil. August 2024;35(2):152-158. doi:10.21653/tjpr.1343981
Chicago Yıldız, Ayşe, Ramazan Yıldız, and Bülent Elbasan. “UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 35, no. 2 (August 2024): 152-58. https://doi.org/10.21653/tjpr.1343981.
EndNote Yıldız A, Yıldız R, Elbasan B (August 1, 2024) UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS. Türk Fizyoterapi ve Rehabilitasyon Dergisi 35 2 152–158.
IEEE A. Yıldız, R. Yıldız, and B. Elbasan, “UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS”, Turk J Physiother Rehabil, vol. 35, no. 2, pp. 152–158, 2024, doi: 10.21653/tjpr.1343981.
ISNAD Yıldız, Ayşe et al. “UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 35/2 (August 2024), 152-158. https://doi.org/10.21653/tjpr.1343981.
JAMA Yıldız A, Yıldız R, Elbasan B. UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS. Turk J Physiother Rehabil. 2024;35:152–158.
MLA Yıldız, Ayşe et al. “UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 35, no. 2, 2024, pp. 152-8, doi:10.21653/tjpr.1343981.
Vancouver Yıldız A, Yıldız R, Elbasan B. UPPER EXTREMITY SELECTIVE VOLUNTARY MOTOR CONTROL IN CHILDREN WITH UNILATERAL CEREBRAL PALSY AND ITS ASSOCIATION WITH UPPER EXTREMITY FUNCTIONS. Turk J Physiother Rehabil. 2024;35(2):152-8.