Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy
Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy. Objective: To determine the relationship between tactile function and upper-limb function in children with unilateral cerebral palsy (CP). Design: Cross-sectional study. Setting: Assessments wer...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/41403 |
| _version_ | 1848756136483749888 |
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| author | Auld, M. Boyd, Roslyn Moseley, G. Ware, R. Johnston, L. |
| author_facet | Auld, M. Boyd, Roslyn Moseley, G. Ware, R. Johnston, L. |
| author_sort | Auld, M. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy. Objective: To determine the relationship between tactile function and upper-limb function in children with unilateral cerebral palsy (CP). Design: Cross-sectional study. Setting: Assessments were performed in community or hospital venues or in participants' homes. Participants: Recruitment information was sent to 253 possible participants with unilateral CP (aged 818y), and N=52 participated (median age [interquartile range], 12y [914y]; Gross Motor Functional Classification System level I=34; II=18; Manual Abilities Classification Scale level I=36; II=16). Interventions: Not applicable. Main Outcome Measures: 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). Results: 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 in MUUL and 26% explained variance in JTTHF), whereas double simultaneous, a bilateral tactile spatial perception test, contributed most strongly to bimanual performance (33% for the AHA). Conclusions: Spatial tactile deficits account for approximately 30% of the variance in upper-limb motor function in children with unilateral CP. This emphasizes the need for routine tactile assessment and targeted treatment of tactile spatial deficits in this population. © 2012 by the American Congress of Rehabilitation Medicine. |
| first_indexed | 2025-11-14T09:07:24Z |
| format | Journal Article |
| id | curtin-20.500.11937-41403 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:07:24Z |
| publishDate | 2012 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-414032017-09-13T14:13:44Z Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy Auld, M. Boyd, Roslyn Moseley, G. Ware, R. Johnston, L. Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy. Objective: To determine the relationship between tactile function and upper-limb function in children with unilateral cerebral palsy (CP). Design: Cross-sectional study. Setting: Assessments were performed in community or hospital venues or in participants' homes. Participants: Recruitment information was sent to 253 possible participants with unilateral CP (aged 818y), and N=52 participated (median age [interquartile range], 12y [914y]; Gross Motor Functional Classification System level I=34; II=18; Manual Abilities Classification Scale level I=36; II=16). Interventions: Not applicable. Main Outcome Measures: 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). Results: 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 in MUUL and 26% explained variance in JTTHF), whereas double simultaneous, a bilateral tactile spatial perception test, contributed most strongly to bimanual performance (33% for the AHA). Conclusions: Spatial tactile deficits account for approximately 30% of the variance in upper-limb motor function in children with unilateral CP. This emphasizes the need for routine tactile assessment and targeted treatment of tactile spatial deficits in this population. © 2012 by the American Congress of Rehabilitation Medicine. 2012 Journal Article http://hdl.handle.net/20.500.11937/41403 10.1016/j.apmr.2011.10.025 restricted |
| spellingShingle | Auld, M. Boyd, Roslyn Moseley, G. Ware, R. Johnston, L. Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy |
| title | Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy |
| title_full | Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy |
| title_fullStr | Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy |
| title_full_unstemmed | Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy |
| title_short | Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy |
| title_sort | impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy |
| url | http://hdl.handle.net/20.500.11937/41403 |