Cortical Sensations and Fine Motor Skills in Children with Spastic Hemiplegic Cerebral Palsy
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 8, Issue 1
Abstract
Background: Hemiplegic cerebral palsy (HCP) results from damage to the cortico-spinal tract and other developing pathways resulting into impaired hand dexterity, leading to developmental nonuse affecting daily self-care activities and school activities. According to motor control, sensations modulate the movement. Impaired sensations negatively impact on acquisition of skilled movement. Aim: To determine the relation between cortical sensations and fine motor skills in children with spastic hemiplegic cerebral palsy. Design: Cross-sectional study. Settings: Outpatient clinic, Faculty of Physical Therapy, Cairo University. Participants: Forty children (17 girls and 23 boys) with spastic HCP, aged from 6 to 13years. Outcome measures: Cortical sensations (stereognosis and tactile localization)were assessed by NotinghamSensory Assessment Scale (NSA) and fine motor skills (grasp and visual motor integration) were assessed by Peabody Developmental Motor Scale (PDMS-2). Results: There was statistically significant correlation between stereognosis and fine motor skills and between tactile localization and fine motor skills in children with spastic HCP (P<0.05). Conclusions: There was a significant correlation between cortical sensations and fine motor skills in children with spastic HCP. Thus, cortical sensations should be assessed in children with fine motor skill problems.
Authors and Affiliations
AmiraEid Mohamedad, Kamal El-Sayed Shoukry, GehanMosaadAbd El- Maksoud
Keywords
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- EP ID EP444663
- DOI 10.9790/1959-0801059097.
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