Theresa Sukal-Moulton1,2, Deborah Gaebler-Spira3,4, Kristin J Krosschell1,2. 1. Department of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 2. Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 3. Department of Physical Medicine and Rehabilitation, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. 4. Shirley Ryan AbilityLab, Chicago, IL, USA.
Abstract
BACKGROUND: Selective voluntary motor control (SVMC) in the upper extremity is often impaired in individuals with cerebral palsy (CP) and can be assessed quantitatively and qualitatively using the Test of Arm Selective Control (TASC). METHODS: Fifty-six individuals with spastic CP (5-18 years old) were included. Descriptors associated with administration of the TASC were analyzed according to the type of CP and arm joint using Chi-square and Kruskal-Wallis tests. ABILHAND-Kids scores were compared between participants with and without mirror movements using a t-test. RESULTS: All groups of children with spastic CP had incidence of TASC movement descriptors. There was a main effect of topography of CP on extra movements, decreased active range of motion, tightness, spasticity, and mirroring, and an additional main effect of joint on mirroring. Participants with mirroring had lower ABILHAND-Kids scores than those without mirroring. CONCLUSIONS: Systematically observing arm movements using the TASC revealed differences across participants.
BACKGROUND: Selective voluntary motor control (SVMC) in the upper extremity is often impaired in individuals with cerebral palsy (CP) and can be assessed quantitatively and qualitatively using the Test of Arm Selective Control (TASC). METHODS: Fifty-six individuals with spastic CP (5-18 years old) were included. Descriptors associated with administration of the TASC were analyzed according to the type of CP and arm joint using Chi-square and Kruskal-Wallis tests. ABILHAND-Kids scores were compared between participants with and without mirror movements using a t-test. RESULTS: All groups of children with spastic CP had incidence of TASC movement descriptors. There was a main effect of topography of CP on extra movements, decreased active range of motion, tightness, spasticity, and mirroring, and an additional main effect of joint on mirroring. Participants with mirroring had lower ABILHAND-Kids scores than those without mirroring. CONCLUSIONS: Systematically observing arm movements using the TASC revealed differences across participants.
Entities:
Keywords:
Selective voluntary motor control; TASC; arm; cerebral palsy; mirror movements; motor control; synergy; test of arm Selective Control; upper extremity
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