%0 Journal Article %1 Mackey2006 %A Mackey, Anna H %A Walt, Sharon E %A Stott, N. Susan %D 2006 %J Arch Phys Med Rehabil %K Adolescent; Biomechanics; Cerebral Palsy; Child; Disabled Children; Female; Hemiplegia; Humans; Male; Movement; Task Performance and Analysis; Upper Extremity %N 2 %P 207--215 %R 10.1016/j.apmr.2005.10.023 %T Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics. %U http://dx.doi.org/10.1016/j.apmr.2005.10.023 %V 87 %X OBJECTIVE: To define upper-limb movement deficits in children with hemiplegia using 3-dimensional (3-D) kinematic analysis of functional tasks. DESIGN: Cohort study. SETTING: University gait laboratory. PARTICIPANTS: Ten children with hemiplegic cerebral palsy (mean age, 13.3y; range, 10-17y) and 10 control children (mean age, 9.8y; range, 6-12y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: 3-D upper-limb movement analysis. RESULTS: 3-D kinematics detected clinically significant between-group differences. Children with hemiplegia were significantly slower than control children in time taken to complete tasks (P<.05) and achieved slower movement velocities (P<.05). Group differences in range of motion (ROM) occurred in all 3 tasks examined (hand to mouth, hand to head, reach). Children with hemiplegia had significantly less supination (P<.03) and shoulder flexion (P<.03) and increased compensatory trunk flexion (P<.01) compared with control data (hand-to-mouth task). The reach task highlighted restriction of elbow extension in children with hemiplegia (minimum elbow extension: hemiplegia, 24+/-18 degrees ; control, 3+/-7 degrees ). Completing tasks bilaterally did not alter performance of the tasks in children with hemiplegia. CONCLUSIONS: 3-D kinematics detected deficits in timing, ROM, and proximal compensatory strategies during upper-limb functional task performance in children with hemiplegia.

@article{Mackey2006, abstract = {OBJECTIVE: To define upper-limb movement deficits in children with hemiplegia using 3-dimensional (3-D) kinematic analysis of functional tasks. DESIGN: Cohort study. SETTING: University gait laboratory. PARTICIPANTS: Ten children with hemiplegic cerebral palsy (mean age, 13.3y; range, 10-17y) and 10 control children (mean age, 9.8y; range, 6-12y). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: 3-D upper-limb movement analysis. RESULTS: 3-D kinematics detected clinically significant between-group differences. Children with hemiplegia were significantly slower than control children in time taken to complete tasks (P<.05) and achieved slower movement velocities (P<.05). Group differences in range of motion (ROM) occurred in all 3 tasks examined (hand to mouth, hand to head, reach). Children with hemiplegia had significantly less supination (P<.03) and shoulder flexion (P<.03) and increased compensatory trunk flexion (P<.01) compared with control data (hand-to-mouth task). The reach task highlighted restriction of elbow extension in children with hemiplegia (minimum elbow extension: hemiplegia, 24+/-18 degrees ; control, 3+/-7 degrees ). Completing tasks bilaterally did not alter performance of the tasks in children with hemiplegia. CONCLUSIONS: 3-D kinematics detected deficits in timing, ROM, and proximal compensatory strategies during upper-limb functional task performance in children with hemiplegia.}, added-at = {2014-07-19T20:44:47.000+0200}, author = {Mackey, Anna H and Walt, Sharon E and Stott, N. Susan}, biburl = {https://www.bibsonomy.org/bibtex/2cb336d2a3d6952e02fff9e30a50f986d/ar0berts}, doi = {10.1016/j.apmr.2005.10.023}, groups = {public}, interhash = {8c6caf6720ff4e2a35cab667dfa50fb7}, intrahash = {cb336d2a3d6952e02fff9e30a50f986d}, journal = {Arch Phys Med Rehabil}, keywords = {Adolescent; Biomechanics; Cerebral Palsy; Child; Disabled Children; Female; Hemiplegia; Humans; Male; Movement; Task Performance and Analysis; Upper Extremity}, month = Feb, number = 2, pages = {207--215}, pii = {S0003-9993(05)01338-9}, pmid = {16442974}, timestamp = {2014-07-19T20:44:47.000+0200}, title = {Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics.}, url = {http://dx.doi.org/10.1016/j.apmr.2005.10.023}, username = {ar0berts}, volume = 87, year = 2006 }