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Anticipatory Motor Planning and Control of Grasp in Children with Unilateral Spastic Cerebral Palsy. Brain Sci 2021; 11:brainsci11091161. [PMID: 34573182 PMCID: PMC8465927 DOI: 10.3390/brainsci11091161] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2021] [Revised: 08/24/2021] [Accepted: 08/28/2021] [Indexed: 11/16/2022] Open
Abstract
Children with unilateral spastic cerebral palsy (USCP) have impairments in motor planning, impacting their ability to grasp objects. We examined the planning of digit position and force and the flexibility of the motor system in covarying these during object manipulation. Eleven children with a left hemisphere lesion (LHL), nine children with a right hemisphere lesion (RHL) and nine typically developing children (controls) participated in the study. Participants were instructed to use a precision grip with their dominant/less affected hand to lift and keep an object level, with either a left, centered or right center of mass (COM) location. Digit positions, forces, compensatory torque and object roll where measured. Although children with USCP generated a compensatory torque and modulated digit placement by lift-off, their index finger was either collinear or higher than the thumb, regardless of COM location, leading to larger rolls after lift-off especially for the RHL group. The findings suggest that while the kinetics of grasp control is intact, the kinematics of grasp control is impaired. This study adds to the understanding of the underlying mechanisms of anticipatory planning and control of grasp in children with USCP and may provide insights on how to improve hand function in children with USCP.
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Upper Limb Motor Planning in Individuals with Cerebral Palsy Aged between 3 and 21 Years Old: A Systematic Review. Brain Sci 2021; 11:brainsci11070920. [PMID: 34356154 PMCID: PMC8306670 DOI: 10.3390/brainsci11070920] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 07/07/2021] [Accepted: 07/07/2021] [Indexed: 11/17/2022] Open
Abstract
Individuals with cerebral palsy have difficulties performing activities of daily living. Beyond motor execution impairments, they exhibit motor planning deficits contributing to their difficulties. The objective of this review is to synthesize the behavioral evidence of motor planning deficits during an upper limb motor task in children, adolescents and young adults with cerebral palsy aged between 3 and 21 years. Methods: The inclusion criteria were: (1) including individuals with cerebral palsy from 3 to 21 years old; (2) assessing upper limb motor planning. Six databases were screened. The quality assessment of the studies was performed. Results: Forty-six studies and 686 participants were included. Five articles have been identified as very high quality, 12 as high, 20 as moderate, six as low, three as very low. Force planning studies reported a deficit for the more affected hand but adequate performances for the less affected hand. Object-manipulation studies reported hand posture planning deficits irrespectively of the hand assessed. Conclusions: Motor planning deficits has been shown in the more affected hand for force scaling, while the results for other variables showed overall deficits. Hence, variables affected by motor planning deficits in both hands should be considered in children with cerebral palsy to optimize intervention.
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Pereira K, Medeiros JC, Bernardes LR, Souza LAPSD. End-state comfort effect in manipulative motor actions of typical and atypical children: a systematic review. FISIOTERAPIA E PESQUISA 2019. [DOI: 10.1590/1809-2950/17009426022019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT This study aimed to make a systematic review of scientific articles on the planning of manual motor actions of typical and atypical children. To do so, a search of articles published between 1996 and 2017 was done on PubMed, LILACS, Science Direct, and SciElo databases. Original articles in English and Portuguese evaluating the planning of motor actions in typical and atypical children performing manual tasks were selected. For the analysis, the population age, number of children, type of task, main results, site of study and impact of the journal were considered. From the eighteen articles found, twelve were about typical children (from nine months old to twenty years old) and six about atypical children (from three to fourteen years old) diagnosed with autism, hemiplegic cerebral palsy, and developmental coordination disorders. In nine- to ten-year-old typical children, the planning ability of manual motor actions develops over the time and is similar to that of an adult. The atypical children showed motor planning ability lower than that of the typical children, and determining the age when this planning ability is acquired was not possible.
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Krajenbrink H, Crichton A, Steenbergen B, Hoare B. The development of anticipatory action planning in children with unilateral cerebral palsy. RESEARCH IN DEVELOPMENTAL DISABILITIES 2019; 85:163-171. [PMID: 30557847 DOI: 10.1016/j.ridd.2018.12.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 09/28/2018] [Accepted: 12/09/2018] [Indexed: 06/09/2023]
Abstract
Background Previous studies suggest that compromised bimanual performance experienced by children with unilateral cerebral palsy (CP) is not only due to difficulties in action execution but may also be a result of impaired anticipatory action planning. Aims The effect of age and side of hemiplegia were examined and the relationship between anticipatory action planning, unimanual capacity and bimanual performance was explored. Methods and procedures Using a multi-centre, prospective, cross-sectional observational design, anticipatory action planning was analyzed in 104 children with unilateral cerebral palsy, aged 6-12 years, using the sword task. Outcomes and results Anticipatory action planning did not improve with age in children with unilateral CP, aged between 6-12 years. No differences were found between children with left or right hemiplegia. Finally, anticipatory action planning was not related to unimanual capacity or bimanual performance. Conclusion and implications This study demonstrates anticipatory action planning, measured using the sword task, does not improve with age in children with unilateral CP and is not related to bimanual performance or laterality. Future studies of anticipatory action planning in children with unilateral CP should consider using measures that require effective anticipatory action planning for successful task completion rather than end state comfort.
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Affiliation(s)
- Hilde Krajenbrink
- Department of Paediatrics, Monash University, Clayton, Victoria, 3168, Australia; Behavioural Science Institute, Nijmegen, the Netherlands
| | - Ali Crichton
- Department of Paediatrics, Monash University, Clayton, Victoria, 3168, Australia; Victorian Paediatric Rehabilitation Service, Monash Children's Hospital, 246 Clayton Rd, Clayton, Victoria, 3168, Australia
| | - Bert Steenbergen
- Behavioural Science Institute, Nijmegen, the Netherlands; Australian Catholic University, School of Psychology, Melbourne, Australia
| | - Brian Hoare
- Department of Paediatrics, Monash University, Clayton, Victoria, 3168, Australia; School of Occupational Therapy, La Trobe University, Bundoora, Victoria, 3168, Australia; Victorian Paediatric Rehabilitation Service, Monash Children's Hospital, 246 Clayton Rd, Clayton, Victoria, 3168, Australia.
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Lust JM, Spruijt S, Wilson PH, Steenbergen B. Motor planning in children with cerebral palsy: A longitudinal perspective. J Clin Exp Neuropsychol 2017; 40:559-566. [PMID: 29061082 DOI: 10.1080/13803395.2017.1387645] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
INTRODUCTION Motor planning is important for daily functioning. Deficits in motor planning can result in slow, inefficient, and clumsy motor behavior and are linked to disruptions in performance of activities of daily living in children with cerebral palsy (CP). However, the evidence in CP is primarily based on cross-sectional data. METHOD Data are presented on the development of motor planning in children with CP using a longitudinal design with three measurement occasions, each separated by 1 year. Twenty-two children with CP (9 boys, 13 girls; age in years;months, M = 7;1, SD = 1;2) and 22 age-matched controls (10 boys, 12 girls, M = 7;1, SD = 1;3) participated. Children performed a bar transport task in which some conditions ("critical angles") required participants to sacrifice initial posture comfort in order to achieve end-state comfort. Performance on critical trials was analyzed using linear growth curve modeling. RESULTS In general, children with CP showed poor end-state planning for critical angles. Importantly, unlike in controls, motor planning ability did not improve across the three measurement occasions in children with CP. CONCLUSION These longitudinal results show that motor planning issues in CP do not resolve with development over childhood. Strategies to enhance motor planning are suggested for intervention.
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Affiliation(s)
| | - Steffie Spruijt
- a Behavioural Science Institute , Radboud University , Nijmegen , The Netherlands
| | - Peter H Wilson
- b School of Psychology , Australian Catholic University , Melbourne , Australia.,c Centre for Disability and Development Research (CeDDR) , Australian Catholic University , Melbourne , Australia
| | - Bert Steenbergen
- a Behavioural Science Institute , Radboud University , Nijmegen , The Netherlands.,b School of Psychology , Australian Catholic University , Melbourne , Australia.,c Centre for Disability and Development Research (CeDDR) , Australian Catholic University , Melbourne , Australia
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Ansuini C, Podda J, Battaglia FM, Veneselli E, Becchio C. One hand, two hands, two people: Prospective sensorimotor control in children with autism. Dev Cogn Neurosci 2017. [PMID: 28292645 DOI: 10.1016/j.dcn.2017.02.009.] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/30/2022] Open
Abstract
Where grasps are made reveals how grasps are planned. The grasp height effect predicts that, when people take hold of an object to move it to a new position, the grasp height on the object is inversely related to the height of the target position. In the present study, we used this effect as a window into the prospective sensorimotor control of children with autism spectrum disorders without accompanying intellectual impairment. Participants were instructed to grasp a vertical cylinder and move it from a table (home position) to a shelf of varying height (target position). Depending on the conditions, they performed the task using only one hand (unimanual), two hands (bimanual), or with the help of a co-actor (joint). Comparison between the performance of typically developing children and children with autism revealed no group difference across tasks. We found, however, a significant influence of IQ on grasp height modulation in both groups. These results provide clear evidence against a general prospective sensorimotor planning deficit and suggest that at least some form of higher order planning is present in autism without accompanying intellectual impairment.
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Affiliation(s)
- Caterina Ansuini
- C'MON Unit, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | - Jessica Podda
- C'MON Unit, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | | | - Edvige Veneselli
- Child Neuropsychiatric Unit, G. Gaslini Institute, Genova, Italy
| | - Cristina Becchio
- C'MON Unit, Fondazione Istituto Italiano di Tecnologia, Genova, Italy; Department of Psychology, University of Torino, Torino, Italy.
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Ansuini C, Podda J, Battaglia FM, Veneselli E, Becchio C. One hand, two hands, two people: Prospective sensorimotor control in children with autism. Dev Cogn Neurosci 2017; 29:86-96. [PMID: 28292645 PMCID: PMC6987911 DOI: 10.1016/j.dcn.2017.02.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Revised: 01/26/2017] [Accepted: 02/24/2017] [Indexed: 01/08/2023] Open
Abstract
Where grasps are made reveals how grasps are planned. The grasp height effect predicts that, when people take hold of an object to move it to a new position, the grasp height on the object is inversely related to the height of the target position. In the present study, we used this effect as a window into the prospective sensorimotor control of children with autism spectrum disorders without accompanying intellectual impairment. Participants were instructed to grasp a vertical cylinder and move it from a table (home position) to a shelf of varying height (target position). Depending on the conditions, they performed the task using only one hand (unimanual), two hands (bimanual), or with the help of a co-actor (joint). Comparison between the performance of typically developing children and children with autism revealed no group difference across tasks. We found, however, a significant influence of IQ on grasp height modulation in both groups. These results provide clear evidence against a general prospective sensorimotor planning deficit and suggest that at least some form of higher order planning is present in autism without accompanying intellectual impairment.
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Affiliation(s)
- Caterina Ansuini
- C'MON Unit, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | - Jessica Podda
- C'MON Unit, Fondazione Istituto Italiano di Tecnologia, Genova, Italy
| | | | - Edvige Veneselli
- Child Neuropsychiatric Unit, G. Gaslini Institute, Genova, Italy
| | - Cristina Becchio
- C'MON Unit, Fondazione Istituto Italiano di Tecnologia, Genova, Italy; Department of Psychology, University of Torino, Torino, Italy.
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Coelho LA, Zaninelli G, Gonzalez CLR. A kinematic examination of hand perception. PSYCHOLOGICAL RESEARCH 2016; 81:1224-1231. [PMID: 27738751 DOI: 10.1007/s00426-016-0815-9] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Accepted: 10/08/2016] [Indexed: 12/25/2022]
Abstract
Previous research has found that the perception of our hands is inaccurate. This distorted representation has several constant characteristics including an overestimation of hand width and an underestimation of finger length. In this study, we further investigate this phenomenon by exploring the boundaries of hand representation. Participants placed one hand underneath a table top so it was occluded from view. Using their free hand, participants were instructed to point to the location where they believed the tips and bases of each of their fingers were. These ten landmarks were recorded using a motion capture system. One group of participants pointed to the landmarks in a random order (as done in previous studies) while another group pointed to them in a systematic fashion (from the tip of the thumb sequentially through to the pinky). Furthermore, to explore if having a frame of reference facilitates hand perception, some participants initiated each of their estimations directly from the previous landmark while others initiated them from a home spot located outside the span of the hand. Results showed that the participants who pointed in the systematic order made numerous accurate judgments of hand size and were overall more precise than participants who pointed in a random order. Including a frame of reference however, had no effect on the judgments. The results also showed asymmetries in hand perception. These findings are discussed in relation to different possible internal body representations and hemispheric asymmetries in body perception.
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Affiliation(s)
- Lara A Coelho
- The Brain in Action Laboratory, Department of Kinesiology and Physical Education, University of Lethbridge, Lethbridge, AB T1K 3M4, Canada.
| | - Giovanna Zaninelli
- The Brain in Action Laboratory, Department of Kinesiology and Physical Education, University of Lethbridge, Lethbridge, AB T1K 3M4, Canada
| | - Claudia L R Gonzalez
- The Brain in Action Laboratory, Department of Kinesiology and Physical Education, University of Lethbridge, Lethbridge, AB T1K 3M4, Canada
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Reedman SE, Beagley S, Sakzewski L, Boyd RN. The Jebsen Taylor Test of Hand Function: A Pilot Test-Retest Reliability Study in Typically Developing Children. Phys Occup Ther Pediatr 2016; 36:292-304. [PMID: 26422369 DOI: 10.3109/01942638.2015.1040576] [Citation(s) in RCA: 28] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
AIMS The aim of this pilot study was to evaluate reproducibility of the Jebsen Taylor Test of Hand Function (JTTHF) in children. METHODS Eighty-seven typically developing children 5 to 10 years old were included from five Outside School Hours Care centers in the Greater Brisbane Region, Australia. Hand function was assessed on two occasions with a modified JTTHF, then reproducibility was assessed using Intraclass Correlation Coefficient (ICC [3,1]) and the Standard Error of Measurement (SEM). RESULTS Total scores for male and female children were not significantly different. Five-year-old children were significantly different to all other age groups and were excluded from further analysis. Results for 71 children, 6 to 10 years old were analyzed (mean age 8.31 years (SD 1.32); 33 males). Test-retest reliability for total scores on the dominant and nondominant hands were ICC 0.74 (95% CI 0.61, 0.83) and ICC 0.72 (95% CI 0.59, 0.82), respectively. 'Writing' and 'Simulated Feeding' subtests demonstrated poor reproducibility. The Smallest Real Difference was 5.09 seconds for total score on the dominant hand. CONCLUSIONS Findings indicate good test-retest reliability for the JTTHF total score to measure hand function in typically developing children aged 6 to 10 years.
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Affiliation(s)
- Sarah Elizabeth Reedman
- a School of Health and Rehabilitation Sciences , The University of Queensland , Brisbane , Australia.,b Queensland Cerebral Palsy and Rehabilitation Research Centre , School of Medicine, The University of Queensland , Brisbane , Australia
| | - Simon Beagley
- a School of Health and Rehabilitation Sciences , The University of Queensland , Brisbane , Australia
| | - Leanne Sakzewski
- b Queensland Cerebral Palsy and Rehabilitation Research Centre , School of Medicine, The University of Queensland , Brisbane , Australia
| | - Roslyn N Boyd
- b Queensland Cerebral Palsy and Rehabilitation Research Centre , School of Medicine, The University of Queensland , Brisbane , Australia
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Adams IL, Ferguson GD, Lust JM, Steenbergen B, Smits-Engelsman BC. Action planning and position sense in children with Developmental Coordination Disorder. Hum Mov Sci 2016; 46:196-208. [DOI: 10.1016/j.humov.2016.01.006] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2015] [Revised: 12/07/2015] [Accepted: 01/07/2016] [Indexed: 11/27/2022]
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Jongbloed-Pereboom M, Spruijt S, Nijhuis-van der Sanden MWG, Steenbergen B. Measurement of Action Planning in Children, Adolescents, and Adults: A Comparison Between 3 Tasks. Pediatr Phys Ther 2016; 28:33-9. [PMID: 27088682 DOI: 10.1097/pep.0000000000000211] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
PURPOSE To compare age-related action planning performance on 3 different tasks, focusing on differences in task complexity. METHODS A total of 119 participants were divided across 6 age groups (4-5, 6-7, 8-9, 10-12, 14-16, and 20-22 years). Participants performed 3 action planning tasks: the overturned cup task, the bar transport task, and the sword task. Anticipatory planning was assessed via the proportion of comfortable end postures. RESULTS The increase in proportion of comfortable end postures developed more gradually for the overturned cup task with earlier ceiling effect (6 years) than for the other 2 tasks (10 years and no ceiling). The overturned cup task correlated fairly with the other tasks; the bar transport task and sword task correlated moderately. CONCLUSIONS All 3 tasks can be used to measure aspects of action planning but outcomes vary. Therefore, we recommend combining these tasks in assessments of individual children to obtain a good indication of action planning development.
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Affiliation(s)
- Marjolein Jongbloed-Pereboom
- Behavioural Science Institute (Ms Jongbloed-Pereboom, Ms Spruijt, and Dr Steenbergen), Radboud University, Nijmegen, the Netherlands; Scientific Institute for Quality of Healthcare (Dr Nijhuis-van der Sanden), Radboud University Medical Center, Nijmegen, the Netherlands; School of Psychology (Dr Steenbergen), Australian Catholic University, Melbourne, Australia
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Muscle Recruitment and Coordination following Constraint-Induced Movement Therapy with Electrical Stimulation on Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial. PLoS One 2015; 10:e0138608. [PMID: 26452230 PMCID: PMC4599892 DOI: 10.1371/journal.pone.0138608] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Accepted: 08/30/2015] [Indexed: 11/19/2022] Open
Abstract
Objective To investigate changes of muscle recruitment and coordination following constraint-induced movement therapy, constraint-induced movement therapy plus electrical stimulation, and traditional occupational therapy in treating hand dysfunction. Methods In a randomized, single-blind, controlled trial, children with hemiplegic cerebral palsy were randomly assigned to receive constraint-induced movement therapy (n = 22), constraint-induced movement therapy plus electrical stimulation (n = 23), or traditional occupational therapy (n = 23). Three groups received a 2-week hospital-based intervention and a 6-month home-based exercise program following hospital-based intervention. Constraint-induced movement therapy involved intensive functional training of the involved hand during which the uninvolved hand was constrained. Electrical stimulation was applied on wrist extensors of the involved hand. Traditional occupational therapy involved functional unimanual and bimanual training. All children underwent clinical assessments and surface electromyography (EMG) at baseline, 2 weeks, 3 and 6 months after treatment. Surface myoelectric signals were integrated EMG, root mean square and cocontraction ratio. Clinical measures were grip strength and upper extremity functional test. Results Constraint-induced movement therapy plus electrical stimulation group showed both a greater rate of improvement in integrated EMG of the involved wrist extensors and cocontraction ratio compared to the other two groups at 3 and 6 months, as well as improving in root mean square of the involved wrist extensors than traditional occupational therapy group (p<0.05). Positive correlations were found between both upper extremity functional test scores and integrated EMG of the involved wrist as well as grip strength and integrated EMG of the involved wrist extensors (p<0.05). Conclusions Constraint-induced movement therapy plus electrical stimulation is likely to produce the best outcome in improving muscle recruitment and coordination in children with hemiplegic cerebral palsy compared to constraint-induced movement therapy alone or traditional occupational therapy. Trial registration chictr.org ChiCTR-TRC-13004041
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Lemmens RJM, Janssen-Potten YJM, Timmermans AAA, Smeets RJEM, Seelen HAM. Recognizing complex upper extremity activities using body worn sensors. PLoS One 2015; 10:e0118642. [PMID: 25734641 PMCID: PMC4348509 DOI: 10.1371/journal.pone.0118642] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2014] [Accepted: 01/10/2015] [Indexed: 11/19/2022] Open
Abstract
To evaluate arm-hand therapies for neurological patients it is important to be able to assess actual arm-hand performance objectively. Because instruments that measure the actual quality and quantity of specific activities in daily life are lacking, a new measure needs to be developed. The aims of this study are to a) elucidate the techniques used to identify upper extremity activities, b) provide a proof-of-principle of this method using a set of activities tested in a healthy adult and in a stroke patient, and c) provide an example of the method’s applicability in daily life based on readings taken from a healthy adult. Multiple devices, each of which contains a tri-axial accelerometer, a tri-axial gyroscope and a tri-axial magnetometer were attached to the dominant hand, wrist, upper arm and chest of 30 healthy participants and one stroke patient, who all performed the tasks ‘drinking’, ‘eating’ and ‘brushing hair’ in a standardized environment. To establish proof-of-principle, a prolonged daily life recording of 1 participant was used to identify the task ‘drinking’. The activities were identified using multi-array signal feature extraction and pattern recognition algorithms and 2D-convolution. The activities ‘drinking’, ‘eating’ and ‘brushing hair’ were unambiguously recognized in a sequence of recordings of multiple standardized daily activities in a healthy participant and in a stroke patient. It was also possible to identify a specific activity in a daily life recording. The long term aim is to use this method to a) identify arm-hand activities that someone performs during daily life, b) determine the quantity of activity execution, i.e. amount of use, and c) determine the quality of arm-hand skill performance.
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Affiliation(s)
- Ryanne J. M. Lemmens
- Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, the Netherlands
- Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands
- * E-mail:
| | - Yvonne J. M. Janssen-Potten
- Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, the Netherlands
- Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands
| | | | - Rob J. E. M. Smeets
- Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, the Netherlands
- Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands
- Department of Rehabilitation Medicine, Maastricht University Medical Centre, Maastricht, the Netherlands
| | - Henk A. M. Seelen
- Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, the Netherlands
- Adelante, Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, the Netherlands
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Lemmens RJM, Seelen HAM, Timmermans AAA, Schnackers MLAP, Eerden A, Smeets RJEM, Janssen-Potten YJM. To What Extent Can Arm-Hand Skill Performance--of Both Healthy Adults and Children-Be Recorded Reliably Using Multiple Bodily Worn Sensor Devices? IEEE Trans Neural Syst Rehabil Eng 2015; 23:581-90. [PMID: 25675460 DOI: 10.1109/tnsre.2015.2396082] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Neurological patients often encounter arm-hand problems in daily life. Bodily worn sensors may be used to assess actual performance by quantifying specific movement patterns associated with specific activities. However, signal reliability during activities of daily living should be determined first. The aim is to determine to what extent standardized arm-hand skill performance of both healthy adults and healthy children can be recorded reliably using a combination of multiple sensor devices. Thirty adults (aged > 50 years) and thirty-two children (aged between 6-18 years) performed the activities drinking, eating and combing five times in a standardized setting. Sensor devices, each containing a triaxial accelerometer, gyroscope and magnetometer were attached to the arms, hands and trunk of the participants. Within-subject and between-subject reliability of the signal patterns amongst skill repetitions was determined by calculating Intraclass Correlation Coefficients (ICCs). Median reliability was good to very good for all activities performed (both within and between subjects). Regarding within-subject reliability (instruction-condition), median ICCs ranged between 0.76-0.90 and 0.68-0.92 for the adults and children, respectively. For between-subject reliability (instruction-condition), median ICCs ranged 0.75-0.86 and 0.61-0.90 for the adults and children, respectively. It can be concluded that the above-mentioned sensor system can reliably record activities of daily living in a standardized setting.
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Visicato LP, da Costa CSN, Damasceno VAM, de Campos AC, Rocha NACF. Evaluation and characterization of manual reaching in children with cerebral palsy: A systematic review. RESEARCH IN DEVELOPMENTAL DISABILITIES 2015; 36C:162-174. [PMID: 25462477 DOI: 10.1016/j.ridd.2014.09.011] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/21/2014] [Revised: 09/05/2014] [Accepted: 09/09/2014] [Indexed: 06/04/2023]
Abstract
Manual reaching is used daily to perform manipulative tasks and activities of daily routine. Children with cerebral palsy (CP) have limitations in this activity, with functional loss as a possible consequence. This review aimed to gather studies that evaluated and characterized manual reaching in children with CP, with the purpose of identifying the aspects analyzed, as well as review and discuss the results in the studies and its relationship to the children's level of functionality. 17 studies were selected for this systematic review from the search in electronic databases. The studies showed that children with CP show deficits in several spatio-temporal variables of reaching compared to typical children, such as longer time to perform the activity, higher peak velocity, lower index of curvature, and greater number of units of motion, which indicates lower smoothness and linearity of the movements of upper limbs. The performance is influenced by the level of motor impairment and various manipulations of the task. However, more studies are needed that help translating these results into treatment strategies that facilitate the performance of manual activities in children with CP.
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Affiliation(s)
- Lívia Pessarelli Visicato
- Department of Physiotherapy, Neuropediatric Research Unit, Federal University of São Carlos (UFSCar), Brazil.
| | | | | | - Ana Carolina de Campos
- Department of Physiotherapy, Neuropediatric Research Unit, Federal University of São Carlos (UFSCar), Brazil
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Chinier E, N’Guyen S, Lignon G, Ter Minassian A, Richard I, Dinomais M. Effect of motor imagery in children with unilateral cerebral palsy: fMRI study. PLoS One 2014; 9:e93378. [PMID: 24718311 PMCID: PMC3981713 DOI: 10.1371/journal.pone.0093378] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2013] [Accepted: 03/03/2014] [Indexed: 11/29/2022] Open
Abstract
Background Motor imagery is considered as a promising therapeutic tool for rehabilitation of motor planning problems in patients with cerebral palsy. However motor planning problems may lead to poor motor imagery ability. Aim The aim of this functional magnetic resonance imaging study was to examine and compare brain activation following motor imagery tasks in patients with hemiplegic cerebral palsy with left or right early brain lesions. We tested also the influence of the side of imagined hand movement. Method Twenty patients with clinical hemiplegic cerebral palsy (sixteen males, mean age 12 years and 10 months, aged 6 years 10 months to 20 years 10 months) participated in this study. Using block design, brain activations following motor imagery of a simple opening-closing hand movement performed by either the paretic or nonparetic hand was examined. Results During motor imagery tasks, patients with early right brain damages activated bilateral fronto-parietal network that comprise most of the nodes of the network well described in healthy subjects. Inversely, in patients with left early brain lesion brain activation following motor imagery tasks was reduced, compared to patients with right brain lesions. We found also a weak influence of the side of imagined hand movement. Conclusion Decreased activations following motor imagery in patients with right unilateral cerebral palsy highlight the dominance of the left hemisphere during motor imagery tasks. This study gives neuronal substrate to propose motor imagery tasks in unilateral cerebral palsy rehabilitation at least for patients with right brain lesions.
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Affiliation(s)
- Eva Chinier
- LUNAM; Université d’Angers, Laboratoire d’Ingénierie des Systèmes Automatisés (LISA), Nantes, France
- LUNAM, Université d’Angers, Département de Médecine Physique et de Réadaptation, Nantes, France
- * E-mail:
| | - Sylvie N’Guyen
- LUNAM; Université d’Angers, Laboratoire d’Ingénierie des Systèmes Automatisés (LISA), Nantes, France
- LUNAM Université d’Angers, CHU Angers, département de neuropédiatrie, Nantes, France
| | - Grégoire Lignon
- LUNAM Université d’Angers, CHU Angers, Pôle d’imagerie, Nantes, France
| | - Aram Ter Minassian
- LUNAM; Université d’Angers, Laboratoire d’Ingénierie des Systèmes Automatisés (LISA), Nantes, France
- LUNAM Université d’Angers, CHU Angers, Pôle d’anesthésie réanimation, Nantes, France
| | - Isabelle Richard
- LUNAM, Université d’Angers, Département de Médecine Physique et de Réadaptation, Nantes, France
| | - Mickaël Dinomais
- LUNAM; Université d’Angers, Laboratoire d’Ingénierie des Systèmes Automatisés (LISA), Nantes, France
- LUNAM, Université d’Angers, Département de Médecine Physique et de Réadaptation, Nantes, France
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17
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Lemmens RJM, Janssen-Potten YJM, Timmermans AAA, Defesche A, Smeets RJEM, Seelen HAM. Arm hand skilled performance in cerebral palsy: activity preferences and their movement components. BMC Neurol 2014; 14:52. [PMID: 24646071 PMCID: PMC4000003 DOI: 10.1186/1471-2377-14-52] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2013] [Accepted: 03/12/2014] [Indexed: 11/18/2022] Open
Abstract
Background Assessment of arm-hand use is very important in children with cerebral palsy (CP) who encounter arm-hand problems. To determine validity and reliability of new instruments to assess actual performance, a set of standardized test situations including activities of daily living (ADL) is required. This study gives information with which such a set for upper extremity skill research may be fine-tuned, relative to a specific research question. Aim of this study is to a) identify upper extremity related ADL children with CP want to improve on, b) determine the 10 most preferred goals of children with CP, and c) identify movement components of all goals identified. Method The Canadian Occupational Performance Measure was used to identify upper extremity-related ADL preferences (goals) of 53 children with CP encountering arm-hand problems (mean age 9 ± 4.5 year). Goals were ranked based on importance attributed to each goal and the number of times a goal was mentioned, resulting in a gross list with goals. Additionally, two studies were performed, i.e. study A to determine the 10 most preferred goals for 3 age groups (2.5-5 years; 6-11 years, 12-19 years), based on the total preference score, and study B to identify movement components, like reaching and grasping, of all goals identified for both the leading and the assisting arm-hand. Results Seventy-two goals were identified. The 10 most preferred goals differed with age, changing from dressing and leisure-related goals in the youngest children to goals regarding personal care and eating for children aged 6-11 years. The oldest children preferred goals regarding eating, personal care and computer use. The movement components ‘positioning’, ‘reach’, ‘grasp’, and ‘hold’ were present in most tasks. ‘Manipulating’ was more important for the leading arm-hand, whereas ‘fixating’ was more important for the assisting arm-hand. Conclusion This study gave insight into the preferences regarding ADL children with CP would like to improve on, and the movement components characterizing these activities. This information can be used to create a set of standardized test situations, which can be used to assess the validity and reliability of new measurement instruments to gauge actual arm-hand skilled performance.
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Affiliation(s)
- Ryanne J M Lemmens
- Research School CAPHRI, Department of Rehabilitation Medicine, Maastricht University, Maastricht, The Netherlands.
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18
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Steenbergen B, Jongbloed-Pereboom M, Spruijt S, Gordon AM. Impaired motor planning and motor imagery in children with unilateral spastic cerebral palsy: challenges for the future of pediatric rehabilitation. Dev Med Child Neurol 2013; 55 Suppl 4:43-6. [PMID: 24237279 DOI: 10.1111/dmcn.12306] [Citation(s) in RCA: 50] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/04/2013] [Indexed: 11/28/2022]
Abstract
Compromised action performance is one of the most characteristic features of children with unilateral spastic cerebral palsy (USCP). Current rehabilitation efforts predominantly aim to improve the capacity and performance of the affected arm. Recent evidence, however, suggests that compromised motor planning may also negatively affect performance of activities of daily living. In this paper we will first discuss the recent evidence for this motor planning deficit, followed by studies on motor imagery in this population. Motor imagery is an experimental approach in which the contents of the motor plan become overt. Converging evidence indicates a compromised motor imagery ability in USCP. As the neural structures of both motor planning and motor imagery overlap, rehabilitation by motor imagery training may alleviate motor problems in USCP. Increasing evidence for this approach exists in older adults with stroke. We conclude this review with recommendations on such a training approach for children with USCP.
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Affiliation(s)
- Bert Steenbergen
- Behavioural Science Institute, Radboud University Nijmegen, Nijmegen, the Netherlands
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19
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On the link between action planning and motor imagery: a developmental study. Exp Brain Res 2013; 231:331-9. [DOI: 10.1007/s00221-013-3698-7] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2013] [Accepted: 08/30/2013] [Indexed: 10/26/2022]
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20
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Kirkpatrick EV, Pearse JE, Eyre JA, Basu AP. Motor planning ability is not related to lesion side or functional manual ability in children with hemiplegic cerebral palsy. Exp Brain Res 2013; 231:239-47. [PMID: 23995565 DOI: 10.1007/s00221-013-3687-x] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2013] [Accepted: 08/20/2013] [Indexed: 10/26/2022]
Abstract
Optimal task performance requires anticipatory planning to select the most appropriate movement strategy. There is conflicting evidence for hemispheric specialisation of motor planning, with some suggesting left hemisphere dominance, claiming that children with right hemiplegic cerebral palsy (HCP) are therefore disproportionally affected. An alternative view is that there is a positive relationship between functional ability (rather than side of lesion) and motor planning skill. We aimed to compare children with right and left HCP on motor planning ability and to explore its relationship with functional manual ability. Participants were 76 children with HCP (40 left HCP; 30 female), aged 4-15 years (Mean 9.09, SD 2.94). Motor planning was assessed using a measure of end-state comfort, which involved turning a hexagonal handle 180° without readjusting grasp. This is difficult, or in some cases impossible, to achieve unless an appropriate initial grasp is adopted. Children completed 24 turns (12 clockwise), which were video recorded for offline scoring. Functional manual ability was assessed with the ABILHAND-Kids questionnaire, completed by parents. Contrary to the existing literature, no differences were observed between right and left HCP. However, a significant interaction between direction of turn and side of hemiplegia indicated a preferential bias for turns in the medial direction, consistent with the "medial over lateral advantage". There was no relationship between functional ability and motor planning. Therefore, motor planning may not be a priority for therapeutic intervention to improve functional ability in HCP.
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Affiliation(s)
- E V Kirkpatrick
- Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK
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21
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Andersen JC, Majnemer A, O'Grady K, Gordon AM. Intensive upper extremity training for children with hemiplegia: from science to practice. Semin Pediatr Neurol 2013; 20:100-5. [PMID: 23948684 DOI: 10.1016/j.spen.2013.06.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
For children with hemiplegic cerebral palsy, bimanual abilities are central to independent function. Over the last decade, considerable attention has been given to 2 forms of extended practice therapy for the upper limb, constraint-induced movement therapy and intensive bimanual training. This article reviews the varying nature of these 2 approaches and the existing scientific rationale supporting them. Comparisons between these 2 intensive upper extremity training approaches indicate similar improvements in unimanual capacity and bimanual performance outcomes; however, when considering participant and caregiver goal achievement, evidence favors a bimanual approach. Careful selection of either therapy for this population requires consideration of individual and contextual factors in relation to treatment goals. The key ingredients and dose responses remain unknown. Treatment intensity, intrinsic motivation, and individualization of treatment are hypothesized as requisite in either approach.
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Affiliation(s)
- John C Andersen
- Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada.
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Jongbloed-Pereboom M, Nijhuis-van der Sanden MWG, Saraber-Schiphorst N, Crajé C, Steenbergen B. Anticipatory action planning increases from 3 to 10years of age in typically developing children. J Exp Child Psychol 2013; 114:295-305. [PMID: 23026314 DOI: 10.1016/j.jecp.2012.08.008] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2012] [Revised: 08/20/2012] [Accepted: 08/20/2012] [Indexed: 11/17/2022]
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