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Assessment of bimanual performance in 3-D movement analysis : Validation of a new clinical protocol in children with unilateral cerebral palsy / Florence Gaillard in Annals of physical and rehabilitation medicine, Vol. 63, n°5 (Octobre 2020)
[article]
Titre : Assessment of bimanual performance in 3-D movement analysis : Validation of a new clinical protocol in children with unilateral cerebral palsy Type de document : texte imprimé Auteurs : Florence Gaillard ; Marine Cacioppo ; Brice Bouvier ; Guillaume Bouzille ; Christopher J. Newman ; Thibault Pasquet ; Armel Crétual (1972-....) ; Hélène Rauscent ; Isabelle V. Bonan Année de publication : 2020 Article en page(s) : p. 408-415 Note générale : doi.org/10.1016/j.rehab.2019.06.008 Langues : Anglais (eng) Mots-clés : Unilateral cerebral palsy 3-D movement analysis Upper limb Bimanual task Bimanual performance Résumé : Background
The “Be an Airplane Pilot” (BE-API) protocol is a novel 3-D movement analysis (3DMA) protocol assessing the bimanual performance of children during a game.
Objective
This study aimed to investigate the reliability and validity of this protocol in children with unilateral cerebral palsy (uCP).
Methods
Angular waveforms (WAVE), maximum angles (MAX) and range of motion (ROM) of the trunk, shoulder, elbow and wrist joints were collected in children with uCP and in typically developing children (TDC) during 4 tasks of the BE-API protocol designed to explore specific degrees of freedom (DoF). The inter-trial reliability for children with uCP was assessed with the coefficient of multiple correlation (CMC) for WAVE and the intraclass correlation coefficient (ICC) and standard error of measurement (SEM) for MAX and ROM. Clinical performance-based measures, including the Assisting Hand Assessment (AHA) and ABILHAND-Kids scores, were used to explore correlations between clinical measures and kinematic parameters in children with uCP.
Results
20 children with uCP (13 boys; mean age 12.0 [SD 3.2] years) and 20 TDC (11 boys; mean age 11.9 [SD 3.4] years) were included. In children with uCP, most kinematic parameters showed high reliability (WAVE: CMC ≥ 0.82; MAX and ROM: ICC ≥ 0.85, SEM ≤ 4.7°). Elbow extension, forearm supination, and wrist adduction were reduced and wrist flexion was increased for children with uCP versus TDC (P < 0.01). In children with uCP, MAX and ROM values were moderately correlated with clinical assessments (AHA score: r = 0.48–0.65; ABILHAND-Kids score: r = 0.48–0.49).
Conclusions
The BE-API protocol is a 3DMA-bimanual performance-based assessment that is highly reliable in children with uCP. Children with uCP and TDC significantly differed in some clinically relevant kinematic parameters. The BE-API is a promising playful tool, helpful for better understanding upper-limb motor movement abnormalities in bimanual conditions and for tailoring treatments to individual deficits.Permalink : ./index.php?lvl=notice_display&id=91310
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 408-415[article] Assessment of bimanual performance in 3-D movement analysis : Validation of a new clinical protocol in children with unilateral cerebral palsy [texte imprimé] / Florence Gaillard ; Marine Cacioppo ; Brice Bouvier ; Guillaume Bouzille ; Christopher J. Newman ; Thibault Pasquet ; Armel Crétual (1972-....) ; Hélène Rauscent ; Isabelle V. Bonan . - 2020 . - p. 408-415.
doi.org/10.1016/j.rehab.2019.06.008
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 63, n°5 (Octobre 2020) . - p. 408-415
Mots-clés : Unilateral cerebral palsy 3-D movement analysis Upper limb Bimanual task Bimanual performance Résumé : Background
The “Be an Airplane Pilot” (BE-API) protocol is a novel 3-D movement analysis (3DMA) protocol assessing the bimanual performance of children during a game.
Objective
This study aimed to investigate the reliability and validity of this protocol in children with unilateral cerebral palsy (uCP).
Methods
Angular waveforms (WAVE), maximum angles (MAX) and range of motion (ROM) of the trunk, shoulder, elbow and wrist joints were collected in children with uCP and in typically developing children (TDC) during 4 tasks of the BE-API protocol designed to explore specific degrees of freedom (DoF). The inter-trial reliability for children with uCP was assessed with the coefficient of multiple correlation (CMC) for WAVE and the intraclass correlation coefficient (ICC) and standard error of measurement (SEM) for MAX and ROM. Clinical performance-based measures, including the Assisting Hand Assessment (AHA) and ABILHAND-Kids scores, were used to explore correlations between clinical measures and kinematic parameters in children with uCP.
Results
20 children with uCP (13 boys; mean age 12.0 [SD 3.2] years) and 20 TDC (11 boys; mean age 11.9 [SD 3.4] years) were included. In children with uCP, most kinematic parameters showed high reliability (WAVE: CMC ≥ 0.82; MAX and ROM: ICC ≥ 0.85, SEM ≤ 4.7°). Elbow extension, forearm supination, and wrist adduction were reduced and wrist flexion was increased for children with uCP versus TDC (P < 0.01). In children with uCP, MAX and ROM values were moderately correlated with clinical assessments (AHA score: r = 0.48–0.65; ABILHAND-Kids score: r = 0.48–0.49).
Conclusions
The BE-API protocol is a 3DMA-bimanual performance-based assessment that is highly reliable in children with uCP. Children with uCP and TDC significantly differed in some clinically relevant kinematic parameters. The BE-API is a promising playful tool, helpful for better understanding upper-limb motor movement abnormalities in bimanual conditions and for tailoring treatments to individual deficits.Permalink : ./index.php?lvl=notice_display&id=91310 Exemplaires (1)
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Exclu du prêtThe Two-Arm Coordination Test: Maturation of Bimanual Coordination in Typically Developing Children and Deficits in Children with Unilateral Cerebral Palsy / Inmaculada Riquelme
Titre : The Two-Arm Coordination Test: Maturation of Bimanual Coordination in Typically Developing Children and Deficits in Children with Unilateral Cerebral Palsy Type de document : document électronique Auteurs : Inmaculada Riquelme ; Carlyne Arnould ; Samar M. Hatem ; Yannick Bleyenheuft Année de publication : 2018 Note générale : Cet article est paru dans la revue Developmental neurorehabilitation sous le DOI : 10.1080/17518423.2018.1498552 Langues : Anglais (eng) Mots-clés : Assessment bimanualcoordination motor skilllearning typicallydeveloping children unilateral cerebral palsy Résumé : Background:Tools to assess bimanual coordination are scant. We aimed to: 1) provide normative dataof maturation of bimanual coordination in tipically developing (TD) children measured by the Two ArmCoordination Test (TACT), and 2) validate the TACT as an instrument to specifically discriminate impair-ment of bimanual coordination in children with unilateral cerebral palsy (UCP).Procedure:Cross-sectional observational study. 252 TD children and 26 children with UCP performed 8trials of TACT (following a star pattern with a pointer steered by coordinated movements of both arms).Number of errors and time were combined in a performance index of motor learning.Results:In TD children, bimanual coordination improved with age (F(7,244)=36.888, p<.001). Childrenwith UCP had a poorer bimanual coordination than TD children (all t>24.25, all p<.01). TACT scores werecorrelated moderately to manual dexterity and manual ability (all r>-.452, all p<.039), showing thecapacity of the TACT to provide information on different aspects of hand function.Conclusion:TACT is a valid instrument to assess bimanual coordination. Permalink : ./index.php?lvl=notice_display&id=98150 The Two-Arm Coordination Test: Maturation of Bimanual Coordination in Typically Developing Children and Deficits in Children with Unilateral Cerebral Palsy [document électronique] / Inmaculada Riquelme ; Carlyne Arnould ; Samar M. Hatem ; Yannick Bleyenheuft . - 2018.
Cet article est paru dans la revue Developmental neurorehabilitation sous le DOI : 10.1080/17518423.2018.1498552
Langues : Anglais (eng)
Mots-clés : Assessment bimanualcoordination motor skilllearning typicallydeveloping children unilateral cerebral palsy Résumé : Background:Tools to assess bimanual coordination are scant. We aimed to: 1) provide normative dataof maturation of bimanual coordination in tipically developing (TD) children measured by the Two ArmCoordination Test (TACT), and 2) validate the TACT as an instrument to specifically discriminate impair-ment of bimanual coordination in children with unilateral cerebral palsy (UCP).Procedure:Cross-sectional observational study. 252 TD children and 26 children with UCP performed 8trials of TACT (following a star pattern with a pointer steered by coordinated movements of both arms).Number of errors and time were combined in a performance index of motor learning.Results:In TD children, bimanual coordination improved with age (F(7,244)=36.888, p<.001). Childrenwith UCP had a poorer bimanual coordination than TD children (all t>24.25, all p<.01). TACT scores werecorrelated moderately to manual dexterity and manual ability (all r>-.452, all p<.039), showing thecapacity of the TACT to provide information on different aspects of hand function.Conclusion:TACT is a valid instrument to assess bimanual coordination. Permalink : ./index.php?lvl=notice_display&id=98150 Exemplaires
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