Relationships between activities of daily living, upper limb function, and visual perception in children and adolescents with unilateral cerebral palsy

2015 ◽  
Vol 57 (9) ◽  
pp. 852-857 ◽  
Author(s):  
Sarah James ◽  
Jenny Ziviani ◽  
Robert S Ware ◽  
Roslyn N Boyd
Keyword(s):  
Cerebral Palsy ◽  
Visual Perception ◽  
Activities Of Daily Living ◽  
Children And Adolescents ◽  
Upper Limb ◽  
Daily Living ◽  
Limb Function ◽  
Upper Limb Function ◽  
Unilateral Cerebral Palsy

scholarly journals Determining the Effects of a Horticultural Therapy Program for Improving the Upper Limb Function and Balance Ability of Stroke Patients

HortScience ◽  
2018 ◽  
Vol 53 (1) ◽  
pp. 110-119 ◽  
Author(s):  
A-Young Lee ◽  
Sin-Ae Park ◽  
Hye-Gyeong Park ◽  
Ki-Cheol Son
Keyword(s):  
Activities Of Daily Living ◽  
Upper Limb ◽  
Daily Living ◽  
Control Group ◽  
Stroke Patients ◽  
Horticultural Therapy ◽  
Limb Function ◽  
Rehabilitation Hospital ◽  
Upper Limb Function ◽  
Task Oriented

The objective of this study was to assess the physical and psychological effects of an 18-session horticultural therapy (HT) program based on task-oriented training in stroke patients and investigate patient satisfaction. The HT program consisted of horticultural activities including the motions such as reaching–grasping, squatting, stepping, and stooping. A total of 31 stroke inpatients (16 males, 15 females) at B rehabilitation hospital in Seongnam, South Korea, participated in this study. Fourteen stroke patients participated in a thrice weekly HT program (6 weeks, ≈60 minutes per session) between Aug. and Sept. 2016, whereas another 17 stoke patients comprised the control group. At the completion of the 18-session HT program, upper limb function [manual function test (MFT)], grip strength (hydraulic hand dynamometer), pinch force (hydraulic pinch gauge), fine motor skills (9-hole pegboard), balance [Berg Balance Scale (BBS)], and activities of daily living (Modified Barthel Index) were evaluated in both groups. In addition, depression [The Korean version of the short form of Geriatric Depression Scales (SGDS-K)], rehabilitation stress (Rehabilitation Stress Scales), rehabilitation motivation (Rehabilitation Motivation Scales), and fall efficacy (The Korean version of the Falls Efficacy Scale) were evaluated. Stroke patients in the HT group showed significantly improved upper limb function, hand force, balance, fall efficacy, activities of daily living, and decreased depression (P < 0.05). By contrast, no significant change was noted in the control group. In addition, 85.7% of the stroke patients in the HT group reported being very satisfied or satisfied with the HT program. In conclusion, the HT program based on task-oriented training improved the patients’ physical and psychological function after stroke rehabilitation. These study results suggest that implementing an HT program in a rehabilitation hospital will effectively contribute to functional recovery after stroke.

scholarly journals Time Course of Upper Limb Function in Children with Unilateral Cerebral Palsy: A Five-Year Follow-Up Study

2018 ◽  
Vol 2018 ◽  
pp. 1-9 ◽  
Author(s):  
Katrijn Klingels ◽  
Sarah Meyer ◽  
Lisa Mailleux ◽  
Cristina Simon-Martinez ◽  
Jasmine Hoskens ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Grip Strength ◽  
Upper Limb ◽  
Time Course ◽  
Limb Function ◽  
Upper Limb Function ◽  
Activity Measurements ◽  
Taylor Test ◽  
Unilateral Cerebral Palsy

Knowledge on long-term evolution of upper limb function in children with unilateral cerebral palsy (CP) is scarce. The objective was to report the five-year evolution in upper limb function and identify factors influencing time trends. Eighty-one children (mean age 9 y and 11 mo, SD 3 y and 3 mo) were assessed at baseline with follow-up after 6 months, 1, and 5 years. Passive range of motion (PROM), tone, muscle, and grip strength were assessed. Activity measurements included Melbourne Assessment, Jebsen-Taylor test, Assisting Hand Assessment (AHA), and ABILHAND-Kids. At 5-year follow-up, PROM (p<0.001) and AHA scores (p<0.001) decreased, whereas an improvement was seen for grip strength (p<0.001), Melbourne Assessment (p=0.003), Jebsen-Taylor test (p<0.001), and ABILHAND-Kids (p<0.001). Age influenced the evolution of AHA scores (p=0.003), with younger children being stable over time, but from 9 years onward, children experienced a decrease in bimanual performance. Manual Ability Classification System (MACS) levels also affected the evolution of AHA scores (p=0.02), with stable scores in MACS I and deterioration in MACS II and III. In conclusion, over 5 years, children with unilateral CP develop more limitations in PROM, and although capacity measures improve, the spontaneous use of the impaired limb in bimanual tasks becomes less effective after the age of 9 years.

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