Neuropediatrics 2014; 45(06): 341-345
DOI: 10.1055/s-0034-1382824
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Activities of Daily Living in Children with Hemiparesis: Influence of Cognitive Abilities and Motor Competence

Caroline Adler
1   Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany
,
Markus Rauchenzauner
2   Department of Neuropediatrics, St. Vinzenz Krankenhaus, Zams, Austria
,
Martin Staudt
1   Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany
3   Department Pediatric Neurology and Developmental Medicine, University Children's Hospital, Tübingen, Germany
,
Steffen Berweck
1   Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany
› Author Affiliations
Further Information

Publication History

19 March 2014

22 April 2014

Publication Date:
16 July 2014 (online)

Abstract

Purpose The aim of the article is to investigate whether motor competence and cognitive abilities influence the quality of performance of activities of daily living (ADL) in children with hemiparesis.

Patients and Methods A total of 20 children with hemiparesis (age, 6–12 years; 11 congenital, 9 acquired during childhood) were studied. Motor competence was assessed with the Assisting Hand Assessment, cognitive abilities with the German version of the Wechsler Intelligence Scale for Children IV, and the quality of ADL performance with the Assessment of Motor and Process Skills (AMPS).

Results The motor skills scale of the AMPS correlated with motor competence, and the process skills scale of the AMPS correlated with cognitive abilities.

Conclusion The quality of ADL performance is influenced not only by motor competence but also by the cognitive abilities of a hemiparetic child. This suggests that, in addition to motor-oriented training programs, an optimal therapy for hemiparetic children should also consider cognitive approaches.

 
  • References

  • 1 Surveillance of Cerebral Palsy in Europe. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Surveillance of Cerebral Palsy in Europe (SCPE). Dev Med Child Neurol 2000; 42 (12) 816-824
  • 2 Steenbergen B, Gordon AM. Activity limitation in hemiplegic cerebral palsy: evidence for disorders in motor planning. Dev Med Child Neurol 2006; 48 (9) 780-783
  • 3 Steenbergen B, Verrel J, Gordon AM. Motor planning in congenital hemiplegia. Disabil Rehabil 2007; 29 (1) 13-23
  • 4 Rice J, Russo R, Halbert J, Van Essen P, Haan E. Motor function in 5-year-old children with cerebral palsy in the South Australian population. Dev Med Child Neurol 2009; 51 (7) 551-556
  • 5 Van Zelst BR, Miller MD, Russo R, Murchland S, Crotty M. Activities of daily living in children with hemiplegic cerebral palsy: a cross-sectional evaluation using the Assessment of Motor and Process Skills. Dev Med Child Neurol 2006; 48 (9) 723-727
  • 6 WHO ICF-CY. Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit bei Kindern und Jugendlichen. Bern: Verlag Hans Huber, Hogrefe AG; 2011
  • 7 Auld ML, Boyd RN, Moseley GL, Ware RS, Johnston LM. Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy. Arch Phys Med Rehabil 2012; 93 (4) 696-702
  • 8 Arnould C, Penta M, Thonnard JL. Hand impairments and their relationship with manual ability in children with cerebral palsy. J Rehabil Med 2007; 39 (9) 708-714
  • 9 Braendvik SM, Elvrum AK, Vereijken B, Roeleveld K. Relationship between neuromuscular body functions and upper extremity activity in children with cerebral palsy. Dev Med Child Neurol 2010; 52 (2) e29-e34
  • 10 Kim WH, Park EY. Causal relation between spasticity, strength, gross motor function, and functional outcome in children with cerebral palsy: a path analysis. Dev Med Child Neurol 2011; 53 (1) 68-73
  • 11 Steinlin M. A clinical approach to arterial ischemic childhood stroke: increasing knowledge over the last decade. Neuropediatrics 2012; 43 (1) 1-9
  • 12 Bodimeade HL, Whittingham K, Lloyd O, Boyd RN. Executive function in children and adolescents with unilateral cerebral palsy. Dev Med Child Neurol 2013; 55 (10) 926-933
  • 13 Weierink L, Vermeulen RJ, Boyd RN. Brain structure and executive functions in children with cerebral palsy: a systematic review. Res Dev Disabil 2013; 34 (5) 1678-1688
  • 14 Russo RN. Congenital hemiplegia and the neglected upper limb [dissertation]. Adelaide: Flinders University School of Medicine; 2011: 181
  • 15 Everts R, Pavlovic J, Kaufmann F , et al. Cognitive functioning, behavior, and quality of life after stroke in childhood. Child Neuropsychol 2008; 14 (4) 323-338
  • 16 Kuhtz-Buschbeck JP, Hoppe B, Gölge M, Dreesmann M, Damm-Stünitz U, Ritz A. Sensorimotor recovery in children after traumatic brain injury: analyses of gait, gross motor, and fine motor skills. Dev Med Child Neurol 2003; 45 (12) 821-828
  • 17 Krumlinde-Sundholm L, Eliasson AC. Development of the Assisting Hand Assessment: a rasch-built measure intended for children with unilateral upper limb impairments. Scand J Occup Ther 2003; 10: 16-26
  • 18 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 (4) 259-264
  • 19 Krumlinde-Sundholm L. Reporting outcomes of the assisting hand assessment: what scale should be used?. Dev Med Child Neurol 2012; 54 (9) 807-808
  • 20 Holmefur M, Aarts P, Hoare B, Krumlinde-Sundholm L. Test-retest and alternate forms reliability of the assisting hand assessment. J Rehabil Med 2009; 41 (11) 886-891
  • 21 Lange B, Spagnolo K, Fowler B. Using the assessment of motor and process skills to measure functional change in adults with severe traumatic brain injury: A pilot study. Aust Occup Ther J 2009; 56 (2) 89-96
  • 22 Schmidtendorf S, Christmann N, Heinrichs N. The performance of children with AH(H)D according to the HAWIK-IV. Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie 2012; 40: 191–199; Petermann, F.,Petermann, U. Hamburg-Wechsler- Intelligenztest für Kinder- IV: Manual pp. Bern: Verlag Hans Huber, 2007
  • 23 Sakzewski L, Ziviani J, Boyd R. The relationship between unimanual capacity and bimanual performance in children with congenital hemiplegia. Dev Med Child Neurol 2010; 52 (9) 811-816
  • 24 Sakzewski L, Ziviani J, Abbott DF, Macdonell RA, Jackson GD, Boyd RN. Randomized trial of constraint-induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia. Dev Med Child Neurol 2011; 53 (4) 313-320
  • 25 Hoare BJ, Wasiak J, Imms C, Carey L. Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy. Cochrane Database Syst Rev 2007; (2) CD004149
  • 26 Eliasson AC, Krumlinde-sundholm L, Shaw K, Wang C. Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model. Dev Med Child Neurol 2005; 47 (4) 266-275
  • 27 Naygard L, Amberla K, Bernspang B, Almkvist O, Winblad B. The relationship between cognition and daily activities in cases of mild Alzheimer's disease. Scand J Occup Ther 1998; 5: 160-166
  • 28 Lindén A, Boschian K, Eker C, Schalén W, Nordström CH. Assessment of motor and process skills reflects brain-injured patients' ability to resume independent living better than neuropsychological tests. Acta Neurol Scand 2005; 111 (1) 48-53
  • 29 Kizony R, Katz N. Relationship between cognitive abilities and the process scale and skills of the Assessment of Motor and Process Skills (AMPS) in patients with stroke. OTJR: Occupation, Participation and Health 2002; 22: 82-92
  • 30 Missiuna C, DeMatteo C, Hanna S , et al. Exploring the use of cognitive intervention for children with acquired brain injury. Phys Occup Ther Pediatr 2010; 30 (3) 205-219