Selective Motor Control is a Clinical Correlate of Brain Motor Tract Impairment in Children with Spastic Bilateral Cerebral Palsy

2021 ◽  
Author(s):  
A. Vuong ◽  
E.G. Fowler ◽  
J. Matsumoto ◽  
L.A. Staudt ◽  
H. Yokota ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Clinical Correlate

scholarly journals Correlation between the Korean Version of the Trunk Control Measurement Scale and the Selective Control Assessment of the Lower Extremity Scores in Children with Cerebral Palsy

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 687
Author(s):  
Misoo Lim ◽  
Haneul Lee ◽  
Hyoungwon Lim
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Lower Extremity ◽  
Measurement Scale ◽  
Trunk Control ◽  
Control Measurement ◽  
Korean Version ◽  
Sitting Balance ◽  
Children With Cerebral Palsy ◽  
Balance Ability

Background and Objectives: The purpose of this study was to investigate the correlation between the Korean version of the trunk control measurement scale (K-TCMS) and the selective control assessment of the lower extremity (SCALE). Through this, we tried to find out the effect of proximal stabilization on distal motor development. Materials and Methods: Fifty-one children with gross motor function classification system level I–III, diagnosed with cerebral palsy (CP), were studied. The K-TCMS was used to evaluate the body control ability of the children. SCALE was used to quantify selective voluntary motor control (SVMC). Results: Analysis of SCALE and K-TCMS showed a significant positive correlation in all items. Multiple regression analysis showed that the SCALE score decreased as age increased, and that it increased as the static sitting balance ability score and the dynamic sitting balance ability score of the K-TCMS increased significantly (p < 0.05). Conclusions: In children with cerebral palsy, there was a close correlation between trunk control and selective voluntary motor control of the lower extremities. Therefore, when trying to improve the lower extremity function of a child with cerebral palsy, a trunk control intervention should be considered.

O73: Does real-time feedback on ankle power alter dynamic motor control in children with cerebral palsy?

2017 ◽  
Vol 57 ◽  
pp. 126-127 ◽  
Author(s):  
Adam T.C. Booth ◽  
A.I. Buizer ◽  
F. Steenbrink ◽  
J. Harlaar ◽  
M.M. van der Krogt
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Real Time ◽  
Children With Cerebral Palsy

scholarly journals In-Home Kicking-Activated Mobile Task to Motivate Selective Motor Control of Infants at High Risk of Cerebral Palsy: A Feasibility Study

2020 ◽  
Vol 100 (12) ◽  
pp. 2217-2226
Author(s):  
Barbara Sargent ◽  
Kathryn L Havens ◽  
Jessica L Wisnowski ◽  
Tai-Wei Wu ◽  
Masayoshi Kubo ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
High Risk ◽  
White Matter Injury ◽  
Abnormal Development ◽  
Spastic Cerebral Palsy ◽  
Learning Abilities ◽  
Age Appropriate ◽  
Mobile Task ◽  
Leg Movements

Abstract Objective Children with spastic cerebral palsy (CP) have gait impairments resulting from decreased selective motor control, an inability to move the leg joints independently of one another, relying on excessive flexion or extension coupling across the 3 joints. Infants with white matter injury are at high risk of CP and have decreased selective motor control as early as 1 month corrected age. An in-home kicking-activated mobile task was developed to motivate more selective hip-knee control of infants at high risk of CP. The purposes of this study were to determine the feasibility of the in-home mobile task and to determine whether infants at high risk of CP and infants with typical development (TD) learn the association between their leg movements and mobile activation. Methods Ten infants at high risk of CP based on neuroimaging and 11 infants with TD participated in this cohort study at 3.5 to 4.5 months corrected age. Each infant participated in the in-home kicking-activated mobile task for 8 to 10 min/d, 5 d/wk, for 6 weeks. Learning was assessed weekly based on an increase in the time that the infant demonstrated the reinforced leg actions when interacting with the kicking-activated mobile compared with spontaneous kicking. Results With regard to feasibility, participation averaged 92% for infants at high risk of CP and 99% for infants with TD. With regard to learning, the group at high risk of CP demonstrated learning of the task for 2 of 6 weeks, whereas the group with TD demonstrated learning for all 6 weeks. Conclusions Infants at high risk of CP demonstrated learning of the kicking-activated mobile task but at a reduced amount compared with infants with TD. Further research is necessary to determine whether the kicking-activated mobile task has potential as an intervention to motivate more selective hip-knee control and improve walking outcomes of infants at high risk of CP. Impact This study investigated the feasibility of an in-home kicking-activated mobile task, a discovery learning task designed to motivate infants at high risk of CP to engage in the intensive task practice necessary to promote their learning abilities and selective motor control. Lay Summary CP is a lifelong disorder of movement caused by abnormal development or early damage to the brain. If an in-home infant kicking-activated mobile task could be used to motivate certain types of age-appropriate leg movements of infants who are at high risk of CP, the task could help improve walking outcomes, which eventually could contribute to improving children’s ability to participate in daily life. This study showed that infants at high risk of CP did learn the infant kicking-activated mobile task but at a much reduced amount compared with infants who are developing typically; so, this is a first step in determining whether the task has potential to motivate more age-appropriate leg movements in infants at high risk of cerebral palsy.

scholarly journals Development and conservative treatment of spinal deformities in cerebral palsy

2020 ◽  
Vol 14 (1) ◽  
pp. 2-8 ◽  
Author(s):  
Reinald Brunner
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Conservative Treatment ◽  
Sagittal Plane ◽  
System Level ◽  
Spinal Deformities ◽  
Brace Treatment ◽  
Trunk Control ◽  
Upper Extremity Function ◽  
Change Position

Incidence and cause Cerebral palsy (CP) is characterized by poor motor control. The more severe the affection is, the more patients are prone to deformities. Patients with Gross Motor Function Classification System level V run an up to 90% risk for spinal deformities. These are caused by poor trunk control under load. Although trunk tone is impossible to assess it seems to be low in the majority of patients, leading to collapse under gravity. The constant malposition results in growth asymmetry which leads to fixation and deterioration of the deformity. Brace treatment Brace treatment has a poor reputation in respect to the final outcome. Conventional braces as constructed for other spinal deformities are indeed difficult for patients with CP as they cannot change position in the brace and do not tolerate pressure on the belly for reflux problems. Respecting these points improves the tolerance of braces but still the time of use is far from the necessary when the trunk is upright. Nevertheless, they can help to postpone surgery for scoliosis, but they are very inefficient for sagittal plane deformities. Aim of treatment The lack of trunk control further leads to an impairment of head control and upper extremity function. Providing stability improves these problems. Braces are superior to seating shells for both treating deformity and providing stability as they remain close to the skin and follow movements. Supports on seating shells in contrast are too far away for controlling the deformity and provide stability only if the patient doesn’t move forward.

From Movement to Action

2017 ◽  
Author(s):  
Peggy Mason
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Facial Expression ◽  
Postural Control ◽  
Facial Expressions ◽  
Body Mass ◽  
Emotional Facial Expressions ◽  
Cortical Regions ◽  
Self Motion

Tracts descending from motor control centers in the brainstem and cortex target motor interneurons and in select cases motoneurons. The mechanisms and constraints of postural control are elaborated and the effect of body mass on posture discussed. Feed-forward reflexes that maintain posture during standing and other conditions of self-motion are described. The role of descending tracts in postural control and the pathological posturing is described. Pyramidal (corticospinal and corticobulbar) and extrapyramidal control of body and face movements is contrasted. Special emphasis is placed on cortical regions and tracts involved in deliberate control of facial expression; these pathways are contrasted with mechanisms for generating emotional facial expressions. The signs associated with lesions of either motoneurons or motor control centers are clearly detailed. The mechanisms and presentation of cerebral palsy are described. Finally, understanding how pre-motor cortical regions generate actions is used to introduce apraxia, a disorder of action.

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