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Relation among the gross motor function, manual performance and upper limb functional measures in children with
Eun Sook Park1, Dong Wook Rha, Jin Hee Park
1Department and Research Institute of Rehabilitation Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 120-752, Korea.
Insights
Gross motor function and hand function are closely linked in children with bilateral spastic cerebral palsy (CP), but this relationship differs in those with unilateral CP.
Area of Science:
- Pediatric Rehabilitation
- Neurology
- Biomedical Engineering
Background:
- Spastic cerebral palsy (CP) significantly impacts motor function.
- Understanding the interplay between gross motor skills and hand function is crucial for targeted interventions.
Purpose of the Study:
- To describe hand function relative to gross motor function and CP subtype.
- To investigate relationships among gross motor function, bimanual performance, unimanual capacity, and upper limb function in children with spastic CP.
Main Methods:
- Collected upper extremity data from 140 children with spastic CP.
- Utilized Gross Motor Functional Classification System (GMFCS), Manual Ability Classification System (MACS), and Modified House Functional Classification (MHC).
- Assessed upper limb functions using the Upper Limb Physician's Rating Scale and Upper Extremity Rating Scale.
Main Results:
- Good correlation between GMFCS and MACS in bilateral CP, weaker in unilateral CP.
- Strong correlation between MACS and MHC in bilateral CP, but not in unilateral CP.
- Upper limb functional measures highly related to MACS and MHC in bilateral CP, unlike in unilateral CP.
Conclusions:
- Gross motor function, bimanual performance, and hand capacity are closely interrelated in bilateral CP.
- These relationships are less pronounced in children with unilateral CP, suggesting distinct functional profiles.
Purpose:
The objective of this study was to describe hand function in relation with gross motor function and subtype of spastic cerebral palsy and to investigate the relationships among gross motor function, bimanual performance, unimanual capacity and upper limb functional measures in children with spastic cerebral palsy (CP).
Materials And Methods:
We collected upper extremity data of 140 children with spastic CP. The Gross Motor Functional Classification System (GMFCS) was used to assess gross motor function, Manual Ability Classification System (MACS) for bimanual performance, and Modified House Functional Classification (MHC) for the best capacity of each hand. Upper limb functions were evaluated by using the Upper Limb Physician's Rating Scale and Upper Extremity Rating Scale.
Results:
There was a good correlation between GMFCS and MACS in children with bilateral CP, but the correlation was not strong in children with unilateral CP. No significant difference between GMFCS and MACS was found in children with bilateral CP, but children with unilateral CP scored higher on GMFCS than on MACS. A strong correlation was observed between MACS and MHC in children with bilateral CP, but not in children with unilateral CP. The upper limb functional measures in each hand were highly related with MACS and MHC in bilateral CP, but not in unilateral CP.
Conclusion:
Gross motor function, bimanual performance and the best capacity of each hand are closely related with each other in children with bilateral CP, but not in children with unilateral CP.
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