Les effets des déformations de la main sur les fonctions du membre supérieur et la qualité de vie liée à la santé chez les enfants atteints de paralysie cérébrale hémiplégique spastique
| Autor: | H. Bingol, M. Kerem Gunel |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Hemiparesis hand malformation Adolescent Children Hand use Experience Questionnaire physical activity Hemiplegia preschool child Article Cerebral palsy Quality of Upper Extremity Skills Test Upper Extremity Spastic hemiplegic cerebral palsy Physical medicine and rehabilitation Quality of life medicine Humans Orthopedics and Sports Medicine controlled study human Child Hand deformity Hemiplegic cerebral palsy clinical article business.industry Cerebral Palsy Rehabilitation Gross Motor Function Classification System Manual Ability Classification System Hand Deformities medicine.disease medicine.anatomical_structure Muscle Spasticity Quality of Life Upper limb Surgery Female functional assessment medicine.symptom business pediatric patient |
| Zdroj: | Hand surgeryrehabilitation. 40(6) |
| ISSN: | 2468-1210 |
| Popis: | The aim of this study was to investigate the effect of hand deformity on upper-limb function and health-related quality of life (HRQOL) in children with hemiplegic cerebral palsy (CP). The study included 44 children with hemiplegic CP between the ages of 6 and 14 years (mean age, 10.04 years; SD, 3.1; 23 males, 21 females). The Manual Ability Classification System (MACS) and Gross Motor Function Classification System (GMFCS) were used, with the Zancolli classification to characterize hand deformities on the more affected side. Upper-limb function was assessed in terms of unilateral capacity (Quality of Upper Extremity Skills Test: QUEST) and bimanual performance (Children's Hand-use Experience Questionnaire: CHEQ), while HRQOL was evaluated on the KIDSCREEN-27 questionnaire. Comparison of bimanual performance and unilateral capacity in children with Zancolli level 1 and 2a hemiplegic CP found statistically significant differences (p < 0.01). There was also a significant difference on the HRQOL ‘physical activities and health’ subdomain, in favor of Zancolli level I deformity (p = 0.003), but not on the other HRQOL domains (p > 0.05). Upper-limb function and the HRQOL physical health domain were poorer with greater hand deformity in children with hemiplegic CP. © 2021 SFCM The authors are deeply grateful to all patients and families for help in carrying out the study without any problems. |
| Databáze: | OpenAIRE |
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