Brad Sokal1, Gitendra Uswatte1,2, Laura Vogtle3, Ezekiel Byrom1, Joydip Barman1. 1. Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA. 2. Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA. 3. Department of Occupational Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.
Abstract
PURPOSE: In adults with hemiparesis amount of movement of the more-affected arm is related to its amount of use in daily life. In children, little is known about everyday arm use. This report examines the relationships between everyday movement of the more-affected arm and its (a) everyday use and (b) motor capacity in children with hemiparesis. METHODS: Participants were 28 children with a wide range of upper-extremity hemiparesis subsequent to cerebral palsy due to pre- or peri-natal stroke. Everyday movement of the more-affected arm was assessed by putting accelerometers on the children's forearms for three days. Everyday use of that arm and its motor capacity were assessed with the Pediatric Motor Activity Log-Revised and Pediatric Arm Function Test, respectively. RESULTS: Intensity of everyday movement of the more-affected arm was correlated with its motor capacity (rs ≥ 0.52, ps ≤ 0.003). However, everyday movement of that arm was not correlated with its everyday use (rs ≤ 0.30, ps ≥ $ 0.126). CONCLUSIONS: In children with upper-extremity hemiparesis who meet the study intake criteria amount of movement of the more-affected arm in daily life is not related to its amount to use, suggesting that children differ from adults in this respect.
PURPOSE: In adults with hemiparesis amount of movement of the more-affected arm is related to its amount of use in daily life. In children, little is known about everyday arm use. This report examines the relationships between everyday movement of the more-affected arm and its (a) everyday use and (b) motor capacity in children with hemiparesis. METHODS:Participants were 28 children with a wide range of upper-extremity hemiparesis subsequent to cerebral palsy due to pre- or peri-natal stroke. Everyday movement of the more-affected arm was assessed by putting accelerometers on the children's forearms for three days. Everyday use of that arm and its motor capacity were assessed with the Pediatric Motor Activity Log-Revised and Pediatric Arm Function Test, respectively. RESULTS: Intensity of everyday movement of the more-affected arm was correlated with its motor capacity (rs ≥ 0.52, ps ≤ 0.003). However, everyday movement of that arm was not correlated with its everyday use (rs ≤ 0.30, ps ≥ $ 0.126). CONCLUSIONS: In children with upper-extremity hemiparesis who meet the study intake criteria amount of movement of the more-affected arm in daily life is not related to its amount to use, suggesting that children differ from adults in this respect.
Authors: Catherine R Hoyt; Shelby K Brown; Sarah K Sherman; Melanie Wood-Smith; Andrew N Van; Mario Ortega; Annie L Nguyen; Catherine E Lang; Bradley L Schlaggar; Nico U F Dosenbach Journal: Res Dev Disabil Date: 2019-11-26
Authors: Brianna M Goodwin; Emily K Sabelhaus; Ying-Chun Pan; Kristie F Bjornson; Kelly L D Pham; William O Walker; Katherine M Steele Journal: Am J Occup Ther Date: 2020 Sep/Oct