Journal of Hand Therapy
Volume 21, Issue 4 , Pages 386-397 , October 2008

Pre- and Postsurgical Evaluation of Hand Function in Hemiplegic Cerebral Palsy: Exemplar Cases

  • Kimberly A. Wesdock, PT, MS, PCS

      Affiliations

    • Corresponding Author InformationCorrespondence and reprint requests to Kimberly A. Wesdock, PT, MS, PCS, Motion Analysis Laboratory, BioMotion at Children's Hospital, 2924 Brook Road, Richmond, VA 23220-1298.
  • Karen Kott, PT, PhD

      Affiliations

    • Project began when at Hampton University Department of Physical Therapy, Hampton, Virginia.

References 

  1. Mackey AH, Walt SE, Stott NS. Deficits in upper-limb task performance in children with hemiplegic cerebral palsy as defined by 3-dimensional kinematics. Arch Phys Med Rehabil. 2006;87:207–215
  2. Boyd RN, Morris ME, Graham HK. Management of upper limb dysfunction in children with cerebral palsy: a systematic review. Eur J Neurol. 2001;8(Suppl l5):150–166
  3. Longmuir PE, Bar-Or O. Factors influencing the physical activity levels of youths with physical and sensory disabilities. Adap Phys Act Quart. 2000;17:40–53
  4. Chin TYP, Duncan JA, Johnstone BR, Graham HK. Management of the upper limb in cerebral palsy. J Pediatr Orthop. 2005;14B:389–404
  5. Gordon J. A top-down model for neurologic rehabilitation. In: Program and abstracts of the American Physical Therapy Association Linking Movement Science and Intervention III-STEP Conference; July 15–21, 2005; Salt Lake City, Utah.
  6. Charles J, Gordon AM. Development of hand-arm bimanual intensive training (HABIT) for improving bimanual coordination in children with hemiplegic cerebral palsy. Dev Med Child Neurol. 2006;48:931–936
  7. Krumlinde-Sundholm L, Holmefur M, Kottorp A, Eliasson AC. The assisting hand assessment: current evidence of validity, reliability, and responsiveness to change. Dev Med Child Neurol. 2007;49:259–264
  8. Carlson MG, Athwal GS, Bueno RA. Treatment of the wrist and hand in cerebral palsy. J Hand Surg. 2006;31A:483–490
  9. Koman LA, Carlson M, Lewin J. Operative management of the upper extremity in cerebral palsy. Instructional course presented at: 59th Annual Meeting of the American Academy for Cerebral Palsy and Developmental Medicine; September 16, 2005; Orlando, FL.
  10. Van Heest AE, House JH, Cariello C. Upper extremity surgical treatment of cerebral palsy. J Hand Surg. 1999;24A:323–330
  11. Thometz JG, Tachdjian M. Long-term follow-up of the flexor carpi ulnaris transfer in spastic hemiplegic children. J Pediatr Orthop. 1988;8A:407–412
  12. Bjornson K. Pediatric outcome tools. Grand Rounds presented online for the American Academy of Cerebral Palsy and Developmental Medicine; December 13, 2005.
  13. Jette AM. Toward a common language for function, disability, and health. Phys Ther. 2006;86:726–734
  14. Stuberg WA, Fuchs RH, Miedaner JA. Reliability of goniometric measurements of children with cerebral palsy. Dev Med Child Neurol. 1988;30:657–666
  15. Carlson M, Brooks C. Cerebral palsy and neurologic upper extremity service. Upper extremity evaluation summary and special tests. Available at http://www.cportho.com/cpo-technical.htmAccessed Jul 31, 2006
  16. Kendall FP, McCreary EK. Muscles: Testing and Function. 4th ed.. Baltimore, MD: Williams & Wilkins; 1993;
  17. Mathiowetz V, Weber K, Volland G, Kashman N. Reliability and validity of grip and pinch strength evaluations. J Hand Surg. 1984;9A:22–26
  18. Van Heest AE, House JH, Putnam M. Sensibility deficiencies in the hands of children with spastic hemiplegia. J Hand Surg. 1993;18A:278–281
  19. Eliasson AC, Ekholm C, Carlstedt T. Hand function in children with cerebral palsy after upper-limb tendon transfer and muscle release. Dev Med Child Neurol. 1998;40:612–621
  20. Sanger TD, Delgado MR, Gaebler-Spira D, Hallett M, Mink JW. Classification and definition of disorders causing hypertonia in childhood. Pediatrics. 2003;111(1):e89–e97Available at http://www.pediatrics.org/cgi/content/full/111/1/e89Accessed Jul 28, 2006
  21. Classification and definition of disorders causing hypertonia in childhood: task force on childhood motor disorders. Consensus Report of a Meeting at the National Institutes of Health. Available at http://www.ninds.nih.gov/news_and_events/proceedings/hypertonia_meeting_2001_pr.htmApril 22–24, 2001;Accessed Oct 10, 2006
  22. Das SK, Choudhary SS. A spectrum of dystonias—clinical features and update on management. J Assoc Physicians India. 2000;48:622–630
  23. Albright AL. Neurosurgical treatment of spasticity and other pediatric movement disorders. J Child Neurol. 2003;18(Suppl 1):S67–S78
  24. Platz T, Eickhof C, Nuyens G, Vuadens P. Clinical scales for the assessment of spasticity, associated phenomena, and function: a systematic review of the literature. Disabil Rehabil. 2005;27:7–18
  25. Morris JG, Grattan-Smith P, Jankelowitz SK, Fung VS, Clouston PD, Hayes MW. Athetosis II: the syndrome of mild athetoid cerebral palsy. Mov Disord. 2002;17:1281–1287
  26. Mackey AH, Walt SE, Lobb G, Stott NS. Intraobserver reliability of the modified Tardieu scale in the upper limb of children with hemiplegia. Dev Med Child Neurol. 2004;46:267–272
  27. Feldman AB, Haley SM, Coryell J. Concurrent and construct validity of the Pediatric Evaluation of Disability Inventory. Phys Ther. 1990;70:602–610
  28. Taylor N, Sand PL, Jebsen RH. Evaluation of hand function in children. Arch Phys Med Rehabil. 1973;54:129–135
  29. VanHeest A, Stout J, Novacheck T. Use of motion lab analysis for upper extremity cerebral palsy surgery: pronator teres rerouting versus release. Presented at: The 8th Annual Meeting of the Gait and Clinical Movement Analysis Society Meeting; May 7–10, 2003; Wilmington, DE.
  30. Jebsen RH, Taylor N, Trieschmann RB, Trotter MJ, Howard LA. An objective and standardized test of hand function. Arch Phys Med Rehabil. 1969;50:311–319
  31. Sakzewski L, Boyd R, Ziviani J. Clinimetric properties of participation measures for 5- to 13-year-old children with cerebral palsy: a systematic review. Dev Med Child Neurol. 2007;49:232–240
  32. Steenbeek D, Ketelaar M, Galama K, Gorter JW. Goal attainment scaling in paediatric rehabilitation: a critical review of the literature. Dev Med Child Neurol. 2007;49:550–556
  33. Carlson MG. Cerebral palsy. In:  Green D,  Hotchkiss R,  Pederson WC,  Wolfe S editor. Green's Operative Hand Surgery. 5th ed.. New York, NY: Churchill Livingstone; 2005;p. 1197–1234
  34. Van Heest AE, Murthy NS, Sathy MR, Wentorf FA. The supination effect of tendon transfer of the flexor carpi ulnaris to extensor carpi radialis brevis or longus: a cadaveric study. J Hand Surg. 1999;24A:1091–1096
  35. Dahlin LB, Komoto-Tufvesson Y, Salgeback S. Surgery of the spastic hand in cerebral palsy. Improvement in stereognosis and hand function after surgery. J Hand Surg. 1998;23B:334–339
  36. Lebiedowska MK, Gaebler-Spira D, Burns RS, Fisk JR. Biomechanic characteristics of patients with spastic and dystonic hypertonia in cerebral palsy. Arch Phys Med Rehabil. 2004;85:875–880
  37. Gordon LM, Keller JL, Stashinko EE, Hoon AH, Bastian AJ. Can spasticity and dystonia be independently measured in cerebral palsy?. Pediatr Neurol. 2006;35:375–381
  38. Barry MJ, VanSwearingen JM, Albright AL. Reliability and responsiveness of the Barry-Albright Dystonia Scale. Dev Med Child Neurol. 1999;41:404–411
  39. Delgado M, Carranza J. Management of dystonia in children. Breakfast with the Experts presented at: The 60th Annual Meeting of the American Academy for Cerebral Palsy and Developmental Medicine; September 13–16, 2006; Boston, MA.
  40. Davids JR, Peace LC, Wagner LV, Gidewall MA, Blackhurst DW, Roberson WM. Validation of the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) for children with hemiplegic cerebral palsy. J Bone Joint Surg. 2006;88A:326–333
  41. Gordon AM, Schneider JA, Chinnan A, Charles JR. Efficacy of a hand-arm bimanual intensive therapy (HABIT) in children with hemiplegic cerebral palsy: a randomized control trial. Dev Med Child Neurol. 2007;49:830–838
  42. Tucker CA, Watson KY, Bilodeau N, et al., and the Shriners Hospital for Children. Computer adaptive testing (CAT) for the upper extremity. Presented at: Three Dimensional Upper Extremity Symposium; July 22, 2006; Philadelphia, PA.
  43. Noreau L, Lepage C, Boissiere L, et al. Measuring participation in children with disabilities using the assessment of life habits. Dev Med Child Neurol. 2007;49:666–671
  44. Young B, Rice H, Dixon-Woods M, Colver AF, Parkinson KN. A qualitative study of the health-related quality of life of disabled children. Dev Med Child Neurol. 2007;49:660–665
  45. van Munster JC, Maathuis KGB, Haga N, Verheij NP, Nicolai JPA, Hadders-Algra M. Does surgical management of the hand in children with spastic unilateral cerebral palsy affect functional outcome?. Dev Med Child Neurol. 2007;49:385–389
  46. Gallagher KG, Lewin JP. Upper extremity surgical intervention in patients with cerebral palsy: musculotendinous procedures. In: Hospital for Special Surgery ,  Cioppa-Mosca J,  Cahill JB,  Tucker CY editor. Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician. New York, NY: Elsevier; 2006;p. 181–192
  47. Damiano DL. Activity, activity, activity: rethinking our physical therapy approach to cerebral palsy. Phys Ther. 2006;86:1534–1540

 Aspects of this article were adapted from a presentation at the III STEP Conference Translating Evidence into Practice: Linking Movement Science and Intervention; July 15–21, 2005; Salt Lake City, Utah.

PII: S0894-1130(08)00019-7

doi: 10.1197/j.jht.2008.01.001

Journal of Hand Therapy
Volume 21, Issue 4 , Pages 386-397 , October 2008