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Article: Evaluation of deformity and hand function in cerebral palsy patients

TitleEvaluation of deformity and hand function in cerebral palsy patients
Authors
Issue Date2008
PublisherBioMed Central Ltd. The Journal's web site is located at http://www.josr-online.com/home
Citation
Journal Of Orthopaedic Surgery And Research, 2008, v. 3 n. 1 How to Cite?
AbstractAbstract. Background. A cross-sectional study was performed to describe the upper limb deformity and function in cerebral palsy patients and to determine the correlation of deformity, spasticity, motor control, and sensation to hand function in the said population. Materials and methods. Thirty patients satisfying our inclusion criteria underwent physical, sensory, and functional assessment using a standard protocol. Physical assessment included documentation of the degree of spasticity, deformity and muscle control. Sensation was tested using static two-point discrimination test and stereognosis test. Melbourne Assessment of the Unilateral Upper Limb Function Test (MAULF), Functional Hand Grip Test (FHGT), and Functional Independence Measure for children (WeeFIM) were used to evaluate hand function. Deformity, spasticity, motor control, and sensation were analyzed for correlation with hand function using Pearson Correlation analysis. A p-value of less than 0.05 was considered statistically significant. Results. Functional deficits of the hand increased with increasing severity of deformity and spasticity. Tetraplegics were most affected by spasticity, deformity, poor motor control, sensory and functional deficits. Triplegics, followed by diplegics had more functional upper limbs in terms of the MAULF and FHGT scores. Unilaterally affected patients (triplegics and hemiplegics) scored better in performance of activities of daily living. The MAULF and FHGT had a stronger correlation to deformity, spasticity and motor control compared to the WeeFIM. Conclusion. The degree of deformity, spasticity, sensory deficit, and motor control affected the hand function of a cerebral palsy patient significantly. The MAULF and FHGT more accurately represents hand function deficit in cerebral palsy patients.
Persistent Identifierhttp://hdl.handle.net/10722/59465
ISSN
2015 Impact Factor: 1.215
2015 SCImago Journal Rankings: 0.905
References

 

DC FieldValueLanguage
dc.contributor.authorLaw, Ken_HK
dc.contributor.authorLee, EYen_HK
dc.contributor.authorFung, BKKen_HK
dc.contributor.authorYan, LSen_HK
dc.contributor.authorGudushauri, Pen_HK
dc.contributor.authorWang, KWen_HK
dc.contributor.authorIp, JWYen_HK
dc.contributor.authorChow, SPen_HK
dc.date.accessioned2010-05-31T03:50:46Z-
dc.date.available2010-05-31T03:50:46Z-
dc.date.issued2008en_HK
dc.identifier.citationJournal Of Orthopaedic Surgery And Research, 2008, v. 3 n. 1en_HK
dc.identifier.issn1749-799Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/59465-
dc.description.abstractAbstract. Background. A cross-sectional study was performed to describe the upper limb deformity and function in cerebral palsy patients and to determine the correlation of deformity, spasticity, motor control, and sensation to hand function in the said population. Materials and methods. Thirty patients satisfying our inclusion criteria underwent physical, sensory, and functional assessment using a standard protocol. Physical assessment included documentation of the degree of spasticity, deformity and muscle control. Sensation was tested using static two-point discrimination test and stereognosis test. Melbourne Assessment of the Unilateral Upper Limb Function Test (MAULF), Functional Hand Grip Test (FHGT), and Functional Independence Measure for children (WeeFIM) were used to evaluate hand function. Deformity, spasticity, motor control, and sensation were analyzed for correlation with hand function using Pearson Correlation analysis. A p-value of less than 0.05 was considered statistically significant. Results. Functional deficits of the hand increased with increasing severity of deformity and spasticity. Tetraplegics were most affected by spasticity, deformity, poor motor control, sensory and functional deficits. Triplegics, followed by diplegics had more functional upper limbs in terms of the MAULF and FHGT scores. Unilaterally affected patients (triplegics and hemiplegics) scored better in performance of activities of daily living. The MAULF and FHGT had a stronger correlation to deformity, spasticity and motor control compared to the WeeFIM. Conclusion. The degree of deformity, spasticity, sensory deficit, and motor control affected the hand function of a cerebral palsy patient significantly. The MAULF and FHGT more accurately represents hand function deficit in cerebral palsy patients.en_HK
dc.languageengen_HK
dc.publisherBioMed Central Ltd. The Journal's web site is located at http://www.josr-online.com/homeen_HK
dc.relation.ispartofJournal of Orthopaedic Surgery and Researchen_HK
dc.rightsJournal Of Orthopaedic Surgery And Research. Copyright © BioMed Central Ltd.en_HK
dc.titleEvaluation of deformity and hand function in cerebral palsy patientsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1749-799X&volume=3:52&spage=1&epage=9&date=2008&atitle=Evaluation+Of+Deformity+And+Hand+Function+In+Cerebral+Palsy+Patientsen_HK
dc.identifier.emailIp, JWY: wyip@hku.hken_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.authorityIp, JWY=rp00401en_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1186/1749-799X-3-52en_HK
dc.identifier.scopuseid_2-s2.0-62349091036en_HK
dc.identifier.hkuros154801en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-62349091036&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume3en_HK
dc.identifier.issue1en_HK
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLaw, K=7202563406en_HK
dc.identifier.scopusauthoridLee, EY=35215856000en_HK
dc.identifier.scopusauthoridFung, BKK=7103203800en_HK
dc.identifier.scopusauthoridYan, LS=35207257300en_HK
dc.identifier.scopusauthoridGudushauri, P=26324854500en_HK
dc.identifier.scopusauthoridWang, KW=35206833500en_HK
dc.identifier.scopusauthoridIp, JWY=35549641700en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK

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