1
|
Santana CAS, Dos Santos MM, de Campos AC. Interrelationships of Touch and Proprioception with Motor Impairments in Individuals with Cerebral Palsy: A Systematic Review. Percept Mot Skills 2022; 129:570-590. [PMID: 35452588 DOI: 10.1177/00315125221093904] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Considering that somatosensory impairments may impact motor performance in individuals with cerebral palsy (CP), a better understanding of these relations is relevant to planning interventions. To synthesize research evidence to date on the interrelationships between the somatosensory functions of touch and proprioception with motor functions in persons with CP, we systematically searched Embase, CINAHL, PsycINFO, and Medline databases for studies relating these variables that were published in English from the inception of these databases to November 2020. We targeted the following content categories in our literature search: (a) cerebral palsy; (b) sensory functions; (c) tactile functions; (d) proprioception functions; and (e) motor functions. The selection, data extraction, and methodological quality assessment of these studies were performed in duplicate. We retrieved and analyzed information regarding the studies' methodological approaches and synthesized results. The 11 studies that met our inclusion criteria showed that, in individuals with CP, impairments in tactile discrimination, proprioception, and stereognosis are related to motor functions in terms of overall manual ability, grip strength, postural control and locomotion. Thus, clinical practitioners should attend to somatosensory aspects of motor impairment in individuals with CP. More research is needed to clarify the direction of these associations.
Collapse
Affiliation(s)
- Camila A S Santana
- Department of Physical Therapy, 67828Federal University of São Carlos, Brazil
| | | | | |
Collapse
|
2
|
Verma P, Lahiri U. Deficits in Handwriting of Individuals with Autism: a Review on Identification and Intervention Approaches. REVIEW JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS 2021. [DOI: 10.1007/s40489-020-00234-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
3
|
|
4
|
Whitelock CF, Agyepong HN, Patterson K, Ersche KD. Signing below the dotted line: signature position as a marker of vulnerability for visuospatial processing difficulties. Neurocase 2015; 21:67-72. [PMID: 24313358 PMCID: PMC4241630 DOI: 10.1080/13554794.2013.860178] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Almost one-third of the participants in a neuropsychological study signed the consent form below the given line. The relationship between a signature position on or below the line and participants' cognitive function was investigated. Fifty drug-dependent individuals, 50 of their siblings, and 50 unrelated control participants completed a battery of neuropsychological tests using the Cambridge Neuropsychological Test Automated Battery (CANTAB). Individuals signing below, rather than on, the line performed more poorly on tests of visuospatial memory, but no differently on other cognitive tests. Signature positioning may be a soft sign for impairment of the mechanisms involved in visuospatial memory.
Collapse
Affiliation(s)
- Claire F Whitelock
- a Department of Psychiatry and Behavioural and Clinical Neuroscience Institute , University of Cambridge , Cambridge , UK
| | | | | | | |
Collapse
|
5
|
Bara F, Gentaz E. Haptics in teaching handwriting: The role of perceptual and visuo-motor skills. Hum Mov Sci 2011; 30:745-59. [PMID: 21272948 DOI: 10.1016/j.humov.2010.05.015] [Citation(s) in RCA: 78] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2009] [Revised: 04/29/2010] [Accepted: 05/05/2010] [Indexed: 11/16/2022]
Affiliation(s)
- Florence Bara
- IUFM de Bretagne, 8 rue d'Avranches, 29200 Brest, France.
| | | |
Collapse
|
6
|
Abstract
The aim of this study was to investigate the effects of an explicit handwriting program introduced during the first grade of elementary school. Grade 1 children ( N = 23) with an age range of 6.1 to 7.4 yr. (15 girls, 8 boys) were administered an additional handwriting program of two weekly sessions of 45 min. over six weeks. Another group of 19 Grade 1 children (11 girls, 8 boys) received only the regular handwriting program of one weekly session. The Concise Assessment Scale for Children's Handwriting was administered to measure the changes in quality and speed of handwriting. The children given the explicit program showed better quality and speed of handwriting than did the control group. Their handwriting was more regular, with fewer ambiguous letters and fewer incorrect relative heights.
Collapse
|
7
|
Hoy MMP, Egan MY, Feder KP. A Systematic Review of Interventions to Improve Handwriting. The Canadian Journal of Occupational Therapy 2011; 78:13-25. [DOI: 10.2182/cjot.2011.78.1.3] [Citation(s) in RCA: 111] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
Background. Handwriting difficulties are among the most common reasons for referral of children to occupational therapy. Purpose. To determine the effectiveness of handwriting interventions. Methods. A systematic review was carried out. Included studies were randomized or nonrandomized controlled trials of interventions that could be used by an occupational therapist to improve written output (printing or writing) among school-aged children identified as having difficulties with handwriting. Electronic searches of relevant databases were conducted up to January 2010. Findings. Eleven studies met the inclusion criteria. These studies tested (1) relaxation and practice with or without EMG, (2) sensory-based training without handwriting practice, and (3) handwriting-based practice (including sensory-focused or cognitive focused handwriting practice). Regardless of treatment type, interventions that did not include handwriting practice and those that included less than 20 practice sessions were ineffective. Implications. Effective occupational therapy for improving handwriting must include adequate handwriting practice.
Collapse
Affiliation(s)
- Monica M. P. Hoy
- Monica M. P. Hoy, MScS, OT Reg. (Ont.) is Occupational Therapist, Five Counties Children's Centre, 9 Russell St. East, Lindsay, ON K9V 1Z7
| | | | - Katya P. Feder
- Katya P. Feder, PhD, OT Reg. (Ont.) is Postdoctoral Fellow, University of Montreal and Adjunct Professor, School of Rehabilitation Sciences, University of Ottawa, 451 Smyth Rd., Ottawa, ON K1H 8M5
| |
Collapse
|
8
|
Kinesthetic sensitivity and related measures of hand sensitivity in children with nonproficient handwriting. Pediatr Phys Ther 2011; 23:88-94. [PMID: 21304346 DOI: 10.1097/pep.0b013e318208cc81] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
PURPOSE This study compared measures of hand sensitivity and handwriting quality in children aged 10 to 12 years identified by their teachers as having nonproficient or proficient handwriting. We hypothesized that children with nonproficient handwriting have decreased kinesthetic sensitivity of the hands and digits. METHODS Sixteen subjects without documented motor or cognitive concerns were tested for kinesthetic sensitivity, discriminate tactile awareness, diadochokinesia, stereognosis, and graphesthesia. Eight children were considered to have nonproficient handwriting; 8 had proficient handwriting. Nonparametric Mann-Whitney U tests were used to identify differences between groups on sensory tests. RESULTS The 2 groups showed a statistically significant difference in handwriting legibility (P = .018). No significant difference was found on tests of kinesthetic sensitivity or other measures of sensation. CONCLUSIONS Children presenting with handwriting difficulty as the only complaint have similar sensitivity in hands and digits as those with proficient handwriting. Failure to detect differences may result from a small sample size.
Collapse
|
9
|
Daniel ME, Froude EH. Reliability of occupational therapist and teacher evaluations of the handwriting quality of grade 5 and 6 primary school children*. Aust Occup Ther J 2010. [DOI: 10.1111/j.1440-1630.1998.tb00782.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
10
|
Bumin G, Kavak ST. An investigation of the factors affecting handwriting skill in children with hemiplegic cerebral palsy*. Disabil Rehabil 2010; 32:692-703. [DOI: 10.3109/09638281003654789] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
11
|
Bumin G, Kavak ST. An investigation of the factors affecting handwriting performance in children with hemiplegic cerebral palsy. Disabil Rehabil 2009; 30:1374-85. [DOI: 10.1080/09638280701673609] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
12
|
Abstract
Failure to attain handwriting competency during the school-age years often has far-reaching negative effects on both academic success and self-esteem. This complex occupational task has many underlying component skills that may interfere with handwriting performance. Fine motor control, bilateral and visual-motor integration, motor planning, in-hand manipulation, proprioception, visual perception, sustained attention, and sensory awareness of the fingers are some of the component skills identified. Poor handwriting may be related to intrinsic factors, which refer to the child's actual handwriting capabilities, or extrinsic factors which are related to environmental or biomechanical components, or both. It is important that handwriting performance be evaluated using a valid, reliable, standardized tool combined with informal classroom observation and teacher consultation. Studies of handwriting remediation suggest that intervention is effective. There is evidence to indicate that handwriting difficulties do not resolve without intervention and affect between 10 and 30% of school-aged children. Despite the widespread use of computers, legible handwriting remains an important life skill that deserves greater attention from educators and health practitioners.
Collapse
Affiliation(s)
- Katya P Feder
- Canadian Institutes of Health Research, School of Optometry, University of Montreal, Quebec, Canada.
| | | |
Collapse
|
13
|
Kara B, Yildirim Y, Karadýbak D, Acar Ü. Evaluation of the kinesthetic sense and function of the hand in early period in operated cervical disc hernia. EUROPEAN SPINE JOURNAL : OFFICIAL PUBLICATION OF THE EUROPEAN SPINE SOCIETY, THE EUROPEAN SPINAL DEFORMITY SOCIETY, AND THE EUROPEAN SECTION OF THE CERVICAL SPINE RESEARCH SOCIETY 2005; 15:992-7. [PMID: 15856338 PMCID: PMC3489444 DOI: 10.1007/s00586-005-0888-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2004] [Revised: 12/01/2004] [Accepted: 01/17/2005] [Indexed: 11/28/2022]
Abstract
A prospective study made into cervical disc hernias. To determine the kinesthetic sense and hand functions, which are important for the patients with cervical disc hernia to return to work life and daily activities that need skill. Neurosurgical department. Data Symptoms in cervical disc hernias and hand functions are affected depending on long-term pain. The evaluation of the hand is essential in assessing the patients' overall recovery and ability to return to daily activities and work life. Thirty-four patients with cervical disc hernia, who were operated on, were included in the study. Eight different test positions in the assessment of the hand's kinesthetic sense and hand function sort (HFS) in the evaluation of the hand function were applied. The disability levels of the patients were determined with The Neck Pain and Disability Scale, on the preoperative and postoperative discharge day and in the postoperative second month. Patients were divided into groups according to the side involved. In the evaluation of the kinesthetic test of the hand, only in the postoperative second month was a significant difference observed between the 1, 2, 3, and 4 test positions of the right side of the groups. On the other hand, no significant difference was found between the groups in the assessment of the hand function. In the measurement of hand functions and disability levels, strong and important correlations were determined. An early assessment of the hand's kinesthetic sense and function is instrumental in the patients' evaluation of recovery and resumption of work.
Collapse
Affiliation(s)
- Býlge Kara
- Dokuz Eylül University School of Physical Therapy, 35340 Inciraltı, Izmir, Turkey
| | - Yücel Yildirim
- Dokuz Eylül University School of Physical Therapy, 35340 Inciraltı, Izmir, Turkey
| | - Dýdem Karadýbak
- Dokuz Eylül University School of Physical Therapy, 35340 Inciraltı, Izmir, Turkey
| | - Ümýt Acar
- Neurosurgical Department, Dokuz Eylül University School of Medicine, 35340 Inciraltı, Izmir, Turkey
| |
Collapse
|
14
|
Nijhuis-van der Sanden MWG, Smits-Engelsman BCM, Eling PATM, Nijhuis BJG, Van Galen GP. Low elementary movement speed is associated with poor motor skill in Turner's syndrome. Dev Neuropsychol 2003; 22:643-70. [PMID: 12661974 DOI: 10.1207/s15326942dn2203_5] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022]
Abstract
The article aims to discriminate between 2 features that in principle both may be characteristic of the frequently observed poor motor performance in girls with Turner's syndrome (TS). On the one hand, a reduced movement speed that is independent of variations in spatial accuracy demands and therefore suggests a problem in motor execution. On the other hand, a disproportional slowing down of movement speed under spatial-accuracy demands, indicating a more central problem in motor programming. To assess their motor performance problems, 15 girls with TS (age 9.6-13.0 years) and 14 female controls (age 9.1-13.0 years) were tested using the Movement Assessment Battery for Children (MABC). In additionally, an experimental procedure using a variant of Fitts' graphic aiming task was used to try and disentangle the role of spatial-accuracy demands in different motor task conditions. The results of the MABC reestablish that overall motor performance in girls with TS is poor. The data from the Fitts' task reveal that TS girls move with the same accuracy as their normal peers but show a significantly lower speed independent of task difficulty. We conclude that a problem in motor execution is the main factor determining performance differences between girls with TS and controls.
Collapse
|
15
|
Hwang R, Kentish M, Burns Y. Hand positioning sense in children with spina bifida myelomeningocele. THE AUSTRALIAN JOURNAL OF PHYSIOTHERAPY 2002; 48:17-22. [PMID: 11869161 DOI: 10.1016/s0004-9514(14)60278-6] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This study was undertaken to establish whether children with myelomeningocele have abnormal kinaesthesia of the hands. Twenty-one children with myelomeningocele and 21 control children aged between six and 12 years were involved in the study. The level of kinaesthetic awareness in the hands was measured by examining the child's ability to copy hand positions, using visual cueing and kinaesthetic cueing. Both accuracy and speed of copying hand gestures were assessed. Children with spina bifida were significantly less accurate in achieving hand positions than the control group (chi square(1) = 22.60, p < 0.001), with 73% of the children with spina bifida achieving accurate replications compared with 87% in the control group. Furthermore, children with myelomeningocele were shown to be slower than the controls (F(1,280) = 15.49, p < 0.001). The impaired kinaesthetic awareness found in this study is considered to be one of the factors behind the poor hand function observed in children with myelomeningocele.
Collapse
Affiliation(s)
- Rita Hwang
- Department of Physiotherapy, The Prince Charles Hospital, Brisbane, QLD, 4032, Australia.
| | | | | |
Collapse
|
16
|
Whitmont S, Clark C. Kinaesthetic acuity and fine motor skills in children with attention deficit hyperactivity disorder: a preliminary report. Dev Med Child Neurol 1996; 38:1091-8. [PMID: 8973294 DOI: 10.1111/j.1469-8749.1996.tb15072.x] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Two groups of 9-year-old children (24 children with attention deficit hyperactivity disorder [ADHD] and 24 controls) were assessed for kinaesthetic acuity and fine motor skills with medication withdrawn. Results showed significantly poorer performance on both tasks for children with ADHD, but only a weak association between fine motor and kinaesthetic performance. The implications are discussed, particularly the role of attention to proprioceptive signals in children with the diagnosis of ADHD.
Collapse
Affiliation(s)
- S Whitmont
- Department of Psychology, University of Sydney, Australia
| | | |
Collapse
|