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Relationships between activities of daily living, upper limb function, and visual perception in children and adolescents with unilateral cerebral palsy
Author(s) -
James Sarah,
Ziviani Jenny,
Ware Robert S,
Boyd Roslyn N
Publication year - 2015
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.12715
Subject(s) - activities of daily living , cerebral palsy , motor skill , upper limb , physical medicine and rehabilitation , psychology , visual analogue scale , rehabilitation , analysis of variance , physical therapy , gross motor function classification system , perception , visual perception , developmental psychology , medicine , neuroscience
Aim This study examined relationships between activities of daily living ( ADL ) motor and process skills, unimanual capacity, bimanual performance, and visual perception in children with unilateral cerebral palsy ( CP ). Method Participants were 101 children with unilateral CP (51 males, 50 females; mean age 11y 9mo [ SD 2y 5mo; range 8–17y]; Manual Ability Classification System [ MACS ] level I=24; level II =76; level III =1). Measures were (1) Assessment of Motor and Process Skills ( AMPS ), (2) Jebsen–Taylor Test of Hand Function ( JTTHF ), (3) Assisting Hand Assessment ( AHA ), and (4) Test of Visual Perceptual Skills, 3rd edition ( TVPS ‐3). Regression models were constructed with the AMPS motor scale and AMPS process as the dependent variables. Results The AHA and JTTHF dominant upper limb score together explained 57% of the variance in AMPS motor scale scores. TVPS ‐3 Visual Sequential Memory, TVPS ‐3 Visual Closure, and JTTHF dominant upper limb score together explained 35% of the variance in AMPS process scale scores. Interpretation Bimanual performance and unimanual capacity of the dominant upper limb are significantly associated with ADL motor skills in children with unilateral CP . Process skills of ADL are related to visual perceptual ability and dominant upper limb unimanual capacity, which may reflect motor planning required to perform daily tasks.