Effect van chirurgische behandeling op patiënten met cerebrale parese: wel betere handvaardigheid, beleving competentie niet verbeterd

Autor: Krekel, Nicole M. A., Smeulders, Mark J. C., Klaij, Frida, Margry, Ruud, Kreulen, Mick
Přispěvatelé: Plastic, Reconstructive and Hand Surgery, Amsterdam Cardiovascular Sciences, Other Research
Jazyk: Dutch; Flemish
Rok vydání: 2010
Zdroj: Nederlands tijdschrift voor geneeskunde, 154. Bohn Stafleu van Loghum
ISSN: 0028-2162
Popis: To examine the relationship between impaired manual dexterity and perceived competence in children with cerebral palsy and the effect of surgical intervention, with the question whether the perceived competence is applicable as an outcome measure for surgical reconstruction of hand function. The Dutch version of the Michigan Hand Outcomes Questionnaire (MHQ-DLV) for perceived manual dexterity and the Dutch version of the Harter Scales for perceived competence were used in a sample of 25 children and adolescents with hemiplegic cerebral palsy of the spastic type. 10 patients underwent surgical treatment to improve hand function. In this 'surgical group' both questionnaires were repeated at least one year postoperatively. Perceived manual dexterity was low (mean MHQ-DLV-score: 63.2; SD: 18.9), as were the scores of perceived overall competence (2.92; SD: 0.84), social competences (2.66; SD: 0.92) and athletic competences (2.29; SD: 0.79). There was no correlation between the degree of perceived impairment in manual dexterity and the perceived competence (r = -0.16; p = 0.43). After surgical reconstruction manual dexterity improved (mean increase in score: 24; SD: 10.4; p
Databáze: OpenAIRE