Congenital hemiplegia in children at school age: Assessment of hand function in the non-hemiplegic hand and correlation with MRI
Congenital hemiplegia in children at school age: Assessment of hand function in the non-hemiplegic hand and correlation with MRI
复制标题
DOI：
10.1055/s-2007-973449
复制
发表时间：
1999-02-01
期刊：
影响因子：
1.4
通讯作者：
Dubowitz, L
中科院分区：
文献类型：
--
作者：
Mercuri, E;Jongmans, M;Dubowitz, L
本研究的目的是评估先天性偏瘫患儿在非偏瘫侧是否表现出异常的手功能，如果存在，是否与MRI上脑病变的类型和程度有关。22名年龄在4.8至12.3岁之间的先天性偏瘫儿童，通过临床和MRI评估进行评估。临床评估包括一个结构化的神经系统检查，手握的评估和儿童运动评估电池，其中还包括一个评估每只手的速度和准确性的项目。结果显示，64%的被研究儿童表现出一定程度的非偏瘫手功能障碍。根据我们的经验，ABC运动的手工灵巧性是。一个更敏感的工具，以检测轻微的功能异常比评估手握。非偏瘫侧损伤严重程度与偏瘫手损伤严重程度无显著相关（p < 0.05）。相反，病变部位与非偏瘫手的手部功能有显著关联，单侧病变患儿的手部功能正常，双侧实质病变患儿的手部功能异常
The aim of this study was to evaluate whether children with congenital hemiplegia show abnormal hand function on the non-hemiplegic side and whether this, if present, can be related to the type and extent of brain lesions on MRI. Twenty-two children with congenital hemiplegia of age ranging between 4.8 and 12.3 years, were assessed with a clinical and MRI assessment. Clinical assessment included a structured neurological examination, assessment of hand grips and the Movement Assessment Battery for Children which also includes one item assessing speed and accuracy in each hand.The results showed that 64 % of the children studied showed some degree of functional impairment of the non-hemiplegic hand. Manual dexterity 1 from the Movement ABC was, in our experience. a more sensitive tool to detect minor functional abnormalities than the evaluation of hand grips. The severity of the impairment on the non-hemiplegic side was not significantly related to the severity of impairment in the hemiplegic hand (p>0.05). In contrast, a significant association was found with the site of lesions as hand function in the non-hemiplegic hand was always normal in children with unilateral lesion and abnormal in the ones with bilateral parenchymal lesions (p