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Motor planning ability is not related to lesion side or functional manual ability in children with hemiplegic cerebral palsy

Motor planning ability is not related to lesion side or functional manual ability in children with hemiplegic cerebral palsy
Motor planning ability is not related to lesion side or functional manual ability in children with hemiplegic cerebral palsy
Optimal task performance requires anticipatory planning to select the most appropriate movement strategy. There is conflicting evidence for hemispheric specialisation of motor planning, with some suggesting left hemisphere dominance, claiming that children with right hemiplegic cerebral palsy (HCP) are therefore disproportionally affected. An alternative view is that there is a positive relationship between functional ability (rather than side of lesion) and motor planning skill. We aimed to compare children with right and left HCP on motor planning ability and to explore its relationship with functional manual ability. Participants were 76 children with HCP (40 left HCP; 30 female), aged 4–15 years (Mean 9.09, SD 2.94). Motor planning was assessed using a measure of end-state comfort, which involved turning a hexagonal handle 180° without readjusting grasp. This is difficult, or in some cases impossible, to achieve unless an appropriate initial grasp is adopted. Children completed 24 turns (12 clockwise), which were video recorded for offline scoring. Functional manual ability was assessed with the ABILHAND-Kids questionnaire, completed by parents. Contrary to the existing literature, no differences were observed between right and left HCP. However, a significant interaction between direction of turn and side of hemiplegia indicated a preferential bias for turns in the medial direction, consistent with the “medial over lateral advantage”. There was no relationship between functional ability and motor planning. Therefore, motor planning may not be a priority for therapeutic intervention to improve functional ability in HCP.
0014-4819
239-247
Kirkpatrick, E.V.
ef4472be-90bf-400a-b100-e9d26cb907fc
Pearse, J.E.
50d8f584-2aca-4efa-927c-a66e7d0b7cf1
Eyre, J.A.
5bb33836-8aeb-42ac-b08d-8244159cede0
Basu, A.P.
5ac4be55-f2d4-49d8-8864-cdd1d5835802
Kirkpatrick, E.V.
ef4472be-90bf-400a-b100-e9d26cb907fc
Pearse, J.E.
50d8f584-2aca-4efa-927c-a66e7d0b7cf1
Eyre, J.A.
5bb33836-8aeb-42ac-b08d-8244159cede0
Basu, A.P.
5ac4be55-f2d4-49d8-8864-cdd1d5835802

Kirkpatrick, E.V., Pearse, J.E., Eyre, J.A. and Basu, A.P. (2013) Motor planning ability is not related to lesion side or functional manual ability in children with hemiplegic cerebral palsy. Experimental Brain Research, 231 (2), 239-247. (doi:10.1007/s00221-013-3687-x).

Record type: Article

Abstract

Optimal task performance requires anticipatory planning to select the most appropriate movement strategy. There is conflicting evidence for hemispheric specialisation of motor planning, with some suggesting left hemisphere dominance, claiming that children with right hemiplegic cerebral palsy (HCP) are therefore disproportionally affected. An alternative view is that there is a positive relationship between functional ability (rather than side of lesion) and motor planning skill. We aimed to compare children with right and left HCP on motor planning ability and to explore its relationship with functional manual ability. Participants were 76 children with HCP (40 left HCP; 30 female), aged 4–15 years (Mean 9.09, SD 2.94). Motor planning was assessed using a measure of end-state comfort, which involved turning a hexagonal handle 180° without readjusting grasp. This is difficult, or in some cases impossible, to achieve unless an appropriate initial grasp is adopted. Children completed 24 turns (12 clockwise), which were video recorded for offline scoring. Functional manual ability was assessed with the ABILHAND-Kids questionnaire, completed by parents. Contrary to the existing literature, no differences were observed between right and left HCP. However, a significant interaction between direction of turn and side of hemiplegia indicated a preferential bias for turns in the medial direction, consistent with the “medial over lateral advantage”. There was no relationship between functional ability and motor planning. Therefore, motor planning may not be a priority for therapeutic intervention to improve functional ability in HCP.

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Published date: November 2013
Organisations: University of Southampton

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Local EPrints ID: 390722
URI: http://eprints.soton.ac.uk/id/eprint/390722
ISSN: 0014-4819
PURE UUID: b01be8f5-dd94-42f6-b959-3b9037047842
ORCID for E.V. Kirkpatrick: ORCID iD orcid.org/0000-0002-3099-1605

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Date deposited: 04 May 2016 15:48
Last modified: 15 Jul 2019 20:38

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Author: E.V. Kirkpatrick ORCID iD
Author: J.E. Pearse
Author: J.A. Eyre
Author: A.P. Basu

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