Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy

Archives of Physical Medicine and Rehabilitation
Megan L AuldLeanne M Johnston

Abstract

To determine the relationship between tactile function and upper-limb function in children with unilateral cerebral palsy (CP). Cross-sectional study. Assessments were performed in community or hospital venues or in participants' homes. Recruitment information was sent to 253 possible participants with unilateral CP (aged 8-18 y), and N=52 participated (median age [interquartile range], 12 y [9-14 y]; Gross Motor Functional Classification System level I=34; II=18; Manual Abilities Classification Scale level I=36; II=16). Not applicable. Tactile assessment included 1 test of registration, 5 tests for spatial perception, and 1 test for texture perception. Upper-limb motor function was assessed using 2 unimanual tests, the Melbourne Unilateral Upper Limb Assessment (MUUL) and Jebsen-Taylor Test of Hand Function (JTTHF), and 1 bimanual test, the Assisting Hand Assessment (AHA). Tactile registration and all tests of spatial perception were moderately related to the MUUL, JTTHF, and AHA (P<.001). Texture perception was not related to upper-limb motor function. Regression analysis showed that single point localization, a unilateral tactile spatial perception test, contributed most strongly to unimanual capacity (29% explained variance...Continue Reading

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