Motor patterns of the impaired upper limb in children with unilateral cerebral palsy performing bimanual tasks - Inria - Institut national de recherche en sciences et technologies du numérique Accéder directement au contenu
Article Dans Une Revue Clinical Biomechanics Année : 2022

Motor patterns of the impaired upper limb in children with unilateral cerebral palsy performing bimanual tasks

Résumé

Background: Upper limb movement patterns have not yet been identified in bimanual conditions despite the difficulties children with unilateral cerebral palsy have performing bimanual activities. The aim was to identify specific motor patterns from kinematic deviations during bimanual tasks in this population. Methods: Twenty children with unilateral cerebral palsy and 20 age-matched, typically developing children performed the five tasks of a 3D bimanual protocol. To evaluate upper limb kinematic deviations, 10 Arm Variable Scores were calculated for the affected /non-dominant upper limb of each participant for each task. Sparse K-means cluster analysis was applied to the 50 Arm Variable Scores of all the children to identify motor patterns and determining variables. Clinical tests of impairment (muscle strength, selectivity, spasticity) and function (Assisting hand assessment, Abilhand-Kids) were compared between the clusters obtained. Findings: Three different motor patterns were identified using the data from all the children: mild, proximal-distal and proximal-distal with trunk. The most important cluster determinants were the Arm Variable Scores for pronation-supination and wrist extension. In the cerebral palsy group, scores of impairments (p < .01) and function (Assisting Hand Assessment [p < .0011 and Abilhand-Kids [p = .0041) differed for each motor pattern. Supination and wrist extension deviations differed significantly between the groups (p < .001). Interpretation: During performance of bimanual tasks, children with unilateral cerebral palsy used distinct motor patterns that each corresponded to a specific clinical profile. Elbow-wrist deviations were the largest and most decisive and were specific to the cerebral palsy group: they should be the target of interventions to enhance bimanual function. ClinicalTrials.gov identifier: NCT03888443
Fichier non déposé

Dates et versions

hal-03775192 , version 1 (12-09-2022)

Identifiants

Citer

Marine Cacioppo, Mathieu Lempereur, Antoine Marin, Helene Rauscente, Armel Cretual, et al.. Motor patterns of the impaired upper limb in children with unilateral cerebral palsy performing bimanual tasks. Clinical Biomechanics, 2022, 97, pp.105710. ⟨10.1016/j.clinbiomech.2022.105710⟩. ⟨hal-03775192⟩
43 Consultations
0 Téléchargements

Altmetric

Partager

Gmail Facebook X LinkedIn More