Tactile function in children with unilateral cerebral palsy compared to typically developing children
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Purpose: Tactile deficits have been understudied in children with unilateral cerebral palsy (UCP) using a limited range of tactile assessments. This study aims to characterize performance across a comprehensive battery of tactile registration and perception assessments in children with UCP and typically developing children (TDC). Methods: Fifty-two children with UCP (Gross Motor Function Classification System I = 34, II = 18; Manual Ability Classification System I = 36, II = 16) and 34 TDC were assessed using Semmes Weinstein Monofilaments (tactile registration), and single-point localization, double simultaneous, static and moving two-point discrimination, stereognosis, and texture perception (tactile perception). Results: Children with UCP performed consistently worse with their impaired hand than their unimpaired hand (Z = 2.77-5.61; p < 0.005). Both hands of children with UCP performed worse than either hand of TDC (Z = -2.08 to 5.23; p = 0.037-< 0.001). Forty percent of children with UCP had tactile registration and perception deficits, 37% had perception deficits only and 23% had no tactile deficit. The larger the tactile registration deficit, the poorer the performance on all tactile perceptual tests (r = 0.568-0.670; p = < 0.001). Conclusions: Most children with UCP demonstrate poor tactile perception and over one-third also demonstrate poor tactile registration. We contend that tactile dysfunction may contribute to functional impairment and is a possible target for intervention. © 2012 Informa UK, Ltd.
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Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsyAuld, M.; Boyd, Roslyn; Moseley, G.; Ware, R.; Johnston, L. (2012)Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy. Objective: To determine the relationship between tactile function and upper-limb function in children with unilateral ...
Auld, M.; Boyd, Roslyn; Moseley, G.; Johnston, L. (2011)This review evaluates the clinimetric properties of tactile assessments for children with cerebral palsy. Assessment of registration was reported using Semmes Weinstein Monofilaments (SWMs) or exteroception. Assessment ...
Auld, M.; Ware, R.; Boyd, Roslyn; Moseley, G.; Johnston, L. (2012)A systematic review identified tactile assessments used in children with cerebral palsy (CP), but their reproducibility is unknown. Sixteen children with unilateral CP and 31 typically developing children (TDC) were ...