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Muscle stiffness and strength and their relation to hand function in children with hemiplegic cerebral palsy

Published online by Cambridge University Press:  14 August 2006

Daniela Virgínia Vaz
Affiliation:
Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Marisa Cotta Mancini
Affiliation:
Occupational Therapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Sérgio T Fonseca
Affiliation:
Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Danielle Soares Rocha Vieira
Affiliation:
Mechanical Engineering Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Antônio Eustáquio de Melo Pertence
Affiliation:
Mechanical Engineering Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
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Abstract

This study compared the passive stiffness of wrist flexors and the strength of wrist flexors and extensors in three different wrist positions (30° of flexion, neutral, and 30° of extension) between children with cerebral palsy (CP) and typically developing (TD) comparison children. It also examined associations between these characteristics and manual function in children with CP. Eleven children with spastic hemiplegic CP (six females, five males; mean age 8y 5mo [SD 1y 8mo], range 6–11y) and 11 TD children, matched for age and sex, took part in this study. Passive stiffness of muscles was measured as the torque/angle relation during passive motion. Isometric strength tests were performed and the time needed to complete three tasks based on the Jebsen–Taylor Hand Function Test was recorded. Flexor stiffness was higher in the group with CP. Strength of flexors and extensors in the group with CP was lower with the wrist extended. No difference among test positions was found in the TD group. Moderate correlations were observed between manual function and variables related to strength and stiffness of wrist muscles in the group with CP. Children with CP showed muscle alterations coherent with the use of the wrist in flexion. Intervention on these characteristics could have a positive impact on manual function.

Type
Original Articles
Copyright
2006 Mac Keith Press

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