Relation between neuroradiological findings and upper limb function in hemiplegic cerebral palsy

被引:55
|
作者
Feys, Hilde [1 ]
Eyssen, Maria [2 ]
Jaspers, Ellen [1 ]
Klingels, Katrijn [1 ]
Desloovere, Kaat [3 ]
Molenaers, Guy [4 ]
De Cock, Paul [5 ]
机构
[1] Katholieke Univ Leuven, Dept Rehabil Sci, Fac Kinesiol & Rehabil Sci, B-3001 Heverlee, Belgium
[2] Katholieke Univ Leuven Hosp, Dept Paediat, Louvain, Belgium
[3] Univ Hosp Pellenberg, Clin Mot Anal Lab, Pllenberg, Belgium
[4] Katholieke Univ Leuven, Fac Med, Div Orthopaed, Dept Musculoskeletal Sci, B-3001 Heverlee, Belgium
[5] Katholieke Univ Leuven, Fac Med, Ctr Dev Disabil, B-3001 Heverlee, Belgium
关键词
Prognosis; Neuroimaging; Cerebral palsy; Clinical evaluation; Upper limb; PERIVENTRICULAR LEUKOMALACIA; CONGENITAL HEMIPARESIS; MELBOURNE ASSESSMENT; PATHOGENETIC ASPECTS; CHILDREN; REORGANIZATION; MORPHOLOGY; MATTER; TERM; RELIABILITY;
D O I
10.1016/j.ejpn.2009.01.004
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The relation between neuroradiological findings and upper limb function was examined in 53 children with hemiplegic cerebral palsy (CP) CT and MRI images of the children were classified into four groups (malformations, periventricular lesions, congenital cortical-subcortical lesions and postnatally acquired lesions) Additionally, each single affected neuroanatomical structure was noted Clinical assessments included measures of activity (Melbourne Assessment of Unilateral Upper Limb Function and House Classification) and body functions (motor and sensory impairments) Comparative statistics and correlation analysis were Used Three children had a malformation, 28 a periventricular lesion, 1.4 a cortical-subcortical lesion and eight a postnatally acquired lesion Children with periventricular lesions obtained the best motor functioning Within this group, children with pure periventricular lesions performed significantly better compared to mixed lesions The differences between congenital cortical-subcortical lesions and acquired lesions were not significant Results further showed that middle cerebral artery infarctions and basal ganglia/thalamic lesions were significantly correlated to a worse performance The type of lesion determined by the timing of the brain insult, and the location of the lesion distinguish children with hemiplegic CP regarding upper limb function These insights are valuable for prognosis and may contribute Loa better delineation of therapeutic interventions (C) 2009 European Paediatric Neurology Society Published by Elsevier Ltd All rights reserved
引用
收藏
页码:169 / 177
页数:9
相关论文
共 50 条
  • [1] The reliability of upper limb kinematics in children with hemiplegic cerebral palsy
    Jaspers, Ellen
    Feys, Hilde
    Bruyninckx, Herman
    Cutti, Andrea
    Harlaar, Jaap
    Molenaers, Guy
    Desloovere, Kaat
    [J]. GAIT & POSTURE, 2011, 33 (04) : 568 - 575
  • [2] TESTS ASSESSING UPPER LIMB FUNCTION AND THEIR USE IN HAND THERAPY FOR CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY
    Kadlubowska, Monika
    [J]. HEALTH PROBLEMS OF CIVILIZATION, 2022, 16 (01) : 63 - 81
  • [3] Interrater Reliability of the Melbourne Assessment of Unilateral Upper Limb Function for Children With Hemiplegic Cerebral Palsy
    Spirtos, Michelle
    O'Mahony, Paul
    Malone, Jeni
    [J]. AMERICAN JOURNAL OF OCCUPATIONAL THERAPY, 2011, 65 (04): : 378 - 383
  • [4] Review of quantitative measurements of upper limb movements in hemiplegic cerebral palsy
    Jaspers, Ellen
    Desloovere, Kaat
    Bruyninckx, Herman
    Molenaers, Guy
    Klingels, Katrijn
    Feys, Hilde
    [J]. GAIT & POSTURE, 2009, 30 (04) : 395 - 404
  • [5] Robot-Assisted Upper Limb Training for Hemiplegic Children with Cerebral Palsy
    Veronica Cimolin
    Chiara Germiniasi
    Manuela Galli
    Claudia Condoluci
    Elena Beretta
    Luigi Piccinini
    [J]. Journal of Developmental and Physical Disabilities, 2019, 31 : 89 - 101
  • [6] Quantification of Upper Limb Motion During Gait in Children with Hemiplegic Cerebral Palsy
    Galli, Manuela
    Cimolin, Veronica
    Crivellini, Marcello
    Romkes, Jacqueline
    Albertini, Giorgio
    Brunner, Reinald
    [J]. JOURNAL OF DEVELOPMENTAL AND PHYSICAL DISABILITIES, 2012, 24 (01) : 1 - 8
  • [7] Quantification of Upper Limb Motion During Gait in Children with Hemiplegic Cerebral Palsy
    Manuela Galli
    Veronica Cimolin
    Marcello Crivellini
    Jacqueline Romkes
    Giorgio Albertini
    Reinald Brunner
    [J]. Journal of Developmental and Physical Disabilities, 2012, 24 : 1 - 8
  • [8] Robot-Assisted Upper Limb Training for Hemiplegic Children with Cerebral Palsy
    Cimolin, Veronica
    Germiniasi, Chiara
    Galli, Manuela
    Condoluci, Claudia
    Beretta, Elena
    Piccinini, Luigi
    [J]. JOURNAL OF DEVELOPMENTAL AND PHYSICAL DISABILITIES, 2019, 31 (01) : 89 - 101
  • [9] The use of functional electrical stimulation to improve upper limb function in children with hemiplegic cerebral palsy: A feasibility study
    Garzon, Luisa C.
    Switzer, Lauren
    Musselman, Kristin E.
    Fehlings, Darcy
    [J]. JOURNAL OF REHABILITATION AND ASSISTIVE TECHNOLOGIES ENGINEERING, 2018, 5
  • [10] Does intramuscular botulinum toxin A injection improve upper-limb function in children with hemiplegic cerebral palsy?
    Graham, HK
    Boyd, RN
    Fehlings, D
    [J]. MEDICAL JOURNAL OF AUSTRALIA, 2003, 178 (02) : 95 - 96