Caroline Adler1, Steffen Berweck2, Karen Lidzba3, Thomas Becher4, Martin Staudt5. 1. Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany; Dept. Pediatric Neurology and Developmental Medicine, University Children's Hospital, Tübingen, Germany. 2. Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany; Dr. von Hauners Children's Hospital, Ludwig-Maximilians-University Munich, Germany. 3. Dept. Pediatric Neurology and Developmental Medicine, University Children's Hospital, Tübingen, Germany. 4. Center for Child Neurology, Sana Klinik Düsseldorf, Germany. 5. Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany; Dept. Pediatric Neurology and Developmental Medicine, University Children's Hospital, Tübingen, Germany. Electronic address: mstaudt@schoen-kliniken.de.
Abstract
AIM: Mirror movements are involuntary movements of the other hand during voluntary unimanual movements. Some, but not all children with unilateral spastic cerebral palsy (USCP) show this phenomenon. In this observational study, we investigated whether these mirror movements have a specific negative impact on bimanual activities of daily living. METHODS: Eighteen children (six girls; age range, 6-16 years; mean age, 12 years 1 month; SD, 3 years 3 month) with USCP, nine with and nine without mirror movements, underwent the Jebsen Taylor Hand Function Test (unimanual capacity) and the Assisting Hand Assessment (bimanual performance). In addition, we measured the time the participants needed for the completion of five activities we had identified as particularly difficult for children with mirror movements. RESULTS: Multivariate analysis demonstrated that mirror movements indeed have a specific negative impact on bimanual performance (Assisting Hand Assessment) and on the time needed for the completion of these five particularly difficult activities. This effect was independent from unimanual capacity. CONCLUSION: Functional therapies in children with USCP and mirror movements should address this phenomenon.
AIM: Mirror movements are involuntary movements of the other hand during voluntary unimanual movements. Some, but not all children with unilateral spastic cerebral palsy (USCP) show this phenomenon. In this observational study, we investigated whether these mirror movements have a specific negative impact on bimanual activities of daily living. METHODS: Eighteen children (six girls; age range, 6-16 years; mean age, 12 years 1 month; SD, 3 years 3 month) with USCP, nine with and nine without mirror movements, underwent the Jebsen Taylor Hand Function Test (unimanual capacity) and the Assisting Hand Assessment (bimanual performance). In addition, we measured the time the participants needed for the completion of five activities we had identified as particularly difficult for children with mirror movements. RESULTS: Multivariate analysis demonstrated that mirror movements indeed have a specific negative impact on bimanual performance (Assisting Hand Assessment) and on the time needed for the completion of these five particularly difficult activities. This effect was independent from unimanual capacity. CONCLUSION: Functional therapies in children with USCP and mirror movements should address this phenomenon.
Authors: Michelle Marneweck; Hsing-Ching Kuo; Ana R P Smorenburg; Claudio L Ferre; Veronique H Flamand; Disha Gupta; Jason B Carmel; Yannick Bleyenheuft; Andrew M Gordon; Kathleen M Friel Journal: Neurorehabil Neural Repair Date: 2018-01-05 Impact factor: 3.919
Authors: Jeffrey W Keller; Annina Fahr; Julia Balzer; Jan Lieber; Hubertus J A van Hedel Journal: J Neuroeng Rehabil Date: 2020-07-13 Impact factor: 4.262
Authors: Rocío Palomo-Carrión; Elena Pinero-Pinto; Sara Ando-LaFuente; Asunción Ferri-Morales; Elisabeth Bravo-Esteban; Helena Romay-Barrero Journal: J Clin Med Date: 2020-09-16 Impact factor: 4.241