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Updated: Jan 29, 2026

Event-related Potentials During Target-response Tasks to Study Cognitive Processes of Upper Limb Use in Children with Unilateral Cerebral Palsy
08:26

Event-related Potentials During Target-response Tasks to Study Cognitive Processes of Upper Limb Use in Children with Unilateral Cerebral Palsy

Published on: January 11, 2016

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Upper limb impairments, process skills, and outcome in children with unilateral cerebral palsy

Remo N Russo1,2, Pawel P Skuza3, Myriam Sandelance4

  • 1Paediatric Rehabilitation Department, Women's and Children's Health Network, Women's and Children's Hospital, North Adelaide, SA, Australia.

Developmental Medicine and Child Neurology
|February 19, 2019
PubMed

Insights

Independence in self-care for children with unilateral cerebral palsy is strongly influenced by manual ability and process skills. Sensation impacts self-care through these abilities, highlighting areas for therapeutic focus.

Area of Science:

  • Pediatric Rehabilitation
  • Neuroscience
  • Occupational Therapy

Background:

  • Unilateral cerebral palsy (CP) often involves upper limb impairments affecting daily activities.
  • Understanding the factors influencing independence in self-care (ISC) is crucial for targeted interventions in children with CP.

Purpose of the Study:

  • To investigate the relationships between various upper limb impairments and independence in self-care (ISC) in children with unilateral CP.

Main Methods:

  • Structural equation modeling was used to analyze data from 108 children with unilateral CP.
  • Assessments included upper limb muscle power, spasticity, sensation, motor control, process skills, and ISC.

Main Results:

  • Manual ability (β=0.47) and process skills (β=0.63) were direct positive predictors of ISC.
  • Sensation indirectly influenced ISC through manual ability and process skills.
  • Spasticity negatively impacted ISC via manual ability (β=-0.21).

Conclusions:

  • Process skills and manual ability are key determinants of ISC in children with unilateral CP.
  • Sensation's role in ISC is mediated by manual and process skills, suggesting these as important targets for intervention.
  • Further evaluation of sensation and process skills is recommended to enhance ISC.
Abstract

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