Abstract:
:This study explored proximal-to-distal components during goal-directed reaching movements in children with mild or moderate hemiplegic cerebral palsy (HCP); [seven females, four males; mean age 8 y 6 mo; SD 27 mo], compared with age-matched, typically developing children (seven females, five males; mean age 8 y 3 mo [SD 25 mo]. Severity of HCP was assessed following the approach of Claeys et al. Optoelectronic registrations were made during unimanual reaching-to-grasp and reaching-to-hit movements with both the affected/non-preferred and unaffected/preferred side. Regardless of task, the children with HCP, particularly those with moderate impairment, displayed less optimal spatiotemporal organization of movements performed with the affected arm. Compared with the goal to hit, and increasingly with more severe impairment, children with HCP adapted to the goal to grasp by recruiting augmented shoulder movements when reaching with the affected side. A resulting impact on distal kinematics was found in shorter, straighter, and less segmented movement paths. Thus, depending on severity of hemispheric lesions and task complexity, unilateral brain injuries in HCP may selectively affect neural pathways underlying both proximal and distal arm movement control. Levels of both ipsi- and contralateral activation in relation to side and lesion severity should be considered in future studies on prehension movements in HCP.
journal_name
Dev Med Child Neuroljournal_title
Developmental medicine and child neurologyauthors
Domellöf E,Rösblad B,Rönnqvist Ldoi
10.1111/j.1469-8749.2008.03215.xsubject
Has Abstractpub_date
2009-10-01 00:00:00pages
807-16issue
10eissn
0012-1622issn
1469-8749pii
DMCN3215journal_volume
51pub_type
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