Relationships between activities of daily living, upper limb function, and visual perception in children and
Sarah James1, Jenny Ziviani2,3, Robert S Ware4,5
1Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Royal Children's Hospital, The University of Queensland, Brisbane, Qld, Australia.
Insights
Bimanual performance and unimanual capacity in children with unilateral cerebral palsy (CP) are linked to motor skills for daily living. Visual perception and hand function also influence these process skills.
Area of Science:
- Pediatric Rehabilitation
- Neuroscience
- Occupational Therapy
Background:
- Unilateral cerebral palsy (CP) affects motor skills, impacting daily activities.
- Understanding the interplay of hand function and visual perception is crucial for intervention.
Purpose of the Study:
- To investigate the relationship between motor/process skills in activities of daily living (ADL), unimanual capacity, bimanual performance, and visual perception.
- To identify predictors of ADL performance in children with unilateral CP.
Main Methods:
- 101 children with unilateral CP (ages 8-17) were assessed.
- Measures included the Assessment of Motor and Process Skills (AMPS), Jebsen-Taylor Test of Hand Function (JTTHF), Assisting Hand Assessment (AHA), and Test of Visual Perceptual Skills (TVPS-3).
- Regression models analyzed associations with AMPS motor and process scales.
Main Results:
- Bimanual performance (AHA) and dominant upper limb function (JTTHF) explained 57% of the variance in ADL motor skills.
- Visual perception (TVPS-3) and dominant upper limb function (JTTHF) explained 35% of the variance in ADL process skills.
Conclusions:
- Dominant upper limb capacity and bimanual performance are significantly associated with ADL motor skills in children with unilateral CP.
- ADL process skills correlate with visual perceptual abilities and dominant upper limb unimanual capacity, suggesting a role in motor planning.
Aim:
This study examined relationships between activities of daily living (ADL) motor and process skills, unimanual capacity, bimanual performance, and visual perception in children with unilateral cerebral palsy (CP).
Method:
Participants were 101 children with unilateral CP (51 males, 50 females; mean age 11y 9mo [SD 2y 5mo; range 8-17y]; Manual Ability Classification System [MACS] level I=24; level II=76; level III=1). Measures were (1) Assessment of Motor and Process Skills (AMPS), (2) Jebsen-Taylor Test of Hand Function (JTTHF), (3) Assisting Hand Assessment (AHA), and (4) Test of Visual Perceptual Skills, 3rd edition (TVPS-3). Regression models were constructed with the AMPS motor scale and AMPS process as the dependent variables.
Results:
The AHA and JTTHF dominant upper limb score together explained 57% of the variance in AMPS motor scale scores. TVPS-3 Visual Sequential Memory, TVPS-3 Visual Closure, and JTTHF dominant upper limb score together explained 35% of the variance in AMPS process scale scores.
Interpretation:
Bimanual performance and unimanual capacity of the dominant upper limb are significantly associated with ADL motor skills in children with unilateral CP. Process skills of ADL are related to visual perceptual ability and dominant upper limb unimanual capacity, which may reflect motor planning required to perform daily tasks.
More Related Videos
07:35Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
05:28Author Spotlight: Enhancing Upper Limb Rehabilitation in Stroke Patients Through Advanced Robotic and Neuromodulation Technologies
Published on: October 11, 2024