Academic Journal
Motor patterns of the impaired upper limb in children with unilateral cerebral palsy performing bimanual tasks
| العنوان: | Motor patterns of the impaired upper limb in children with unilateral cerebral palsy performing bimanual tasks |
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| المؤلفون: | Cacioppo, Marine, Lempereur, Mathieu, Marin, Antoine, Rauscente, Helene, Cretual, Armel, Brochard, Sylvain, Bonan, Isabelle |
| المساهمون: | Optimisation Continue des Actions Thérapeutiques par l'Intégration d'Informations Multimodales, Université de Brest (UBO)-Télécom Bretagne-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Fondation ILDYS (ILDYS), Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Laboratoire Mouvement Sport Santé (M2S), Université de Rennes (UR)-École normale supérieure - Rennes (ENS Rennes)-Université de Brest (UBO)-Université de Rennes 2 (UR2)-Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique ), Centre Hospitalier Universitaire de Rennes CHU Rennes = Rennes University Hospital Pontchaillou, Neuroimagerie: méthodes et applications (EMPENN), Institut National de la Santé et de la Recherche Médicale (INSERM)-Inria Rennes – Bretagne Atlantique, Institut National de Recherche en Informatique et en Automatique (Inria)-Institut National de Recherche en Informatique et en Automatique (Inria)-SIGNAL, IMAGE ET LANGAGE (IRISA-D6), Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-Institut National de Recherche en Informatique et en Automatique (Inria)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom Paris (IMT)-Institut Mines-Télécom Paris (IMT)-Université de Rennes (UR)-Institut National des Sciences Appliquées - Rennes (INSA Rennes), Institut Mines-Télécom Paris (IMT)-Institut Mines-Télécom Paris (IMT)-Institut de Recherche en Informatique et Systèmes Aléatoires (IRISA), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA)-Université de Bretagne Sud (UBS)-École normale supérieure - Rennes (ENS Rennes)-CentraleSupélec-Centre National de la Recherche Scientifique (CNRS)-IMT Atlantique (IMT Atlantique), Institut Mines-Télécom Paris (IMT)-Institut Mines-Télécom Paris (IMT), This work was supported by the IPSEN Company. They provided financial support for the conduct of the research. They were not involved in study design, in the collection, analysis and interpretation of data, in the writing of the report, and in the decision to submit the article for publication. |
| المصدر: | ISSN: 0268-0033. |
| بيانات النشر: | HAL CCSD Elsevier |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Children, Cerebral palsy, Motion analysis, Upper limb, Bimanual, Motor pattern, [SDV]Life Sciences [q-bio] |
| الوصف: | International audience ; 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 |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/35763887; hal-03775192; https://hal.science/hal-03775192; https://hal.science/hal-03775192/document; https://hal.science/hal-03775192/file/S0268003322001401.pdf; PII: S0268-0033(22)00140-1; PUBMED: 35763887 |
| DOI: | 10.1016/j.clinbiomech.2022.105710 |
| الاتاحة: | https://hal.science/hal-03775192 https://hal.science/hal-03775192/document https://hal.science/hal-03775192/file/S0268003322001401.pdf https://doi.org/10.1016/j.clinbiomech.2022.105710 |
| Rights: | http://creativecommons.org/licenses/by-nc/ ; info:eu-repo/semantics/OpenAccess |
| رقم الانضمام: | edsbas.D5CBA6A2 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.clinbiomech.2022.105710 |
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