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dc.contributor.authorAuld, M.
dc.contributor.authorBoyd, Roslyn
dc.contributor.authorMoseley, G.
dc.contributor.authorWare, R.
dc.contributor.authorJohnston, L.
dc.date.accessioned2017-01-30T14:51:11Z
dc.date.available2017-01-30T14:51:11Z
dc.date.created2015-10-29T04:10:11Z
dc.date.issued2012
dc.identifier.citationAuld, M. and Boyd, R. and Moseley, G. and Ware, R. and Johnston, L. 2012. Impact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy. Archives of Physical Medicine and Rehabilitation. 93 (4): pp. 696-702.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/41403
dc.identifier.doi10.1016/j.apmr.2011.10.025
dc.description.abstract

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 cerebral palsy (CP). Design: Cross-sectional study. Setting: Assessments were performed in community or hospital venues or in participants' homes. Participants: Recruitment information was sent to 253 possible participants with unilateral CP (aged 818y), and N=52 participated (median age [interquartile range], 12y [914y]; Gross Motor Functional Classification System level I=34; II=18; Manual Abilities Classification Scale level I=36; II=16). Interventions: Not applicable. Main Outcome Measures: Tactile assessment included 1 test of registration, 5 tests for spatial perception, and 1 test for texture perception. Upper-limb motor function was assessed using 2 unimanual tests, the Melbourne Unilateral Upper Limb Assessment (MUUL) and Jebsen-Taylor Test of Hand Function (JTTHF), and 1 bimanual test, the Assisting Hand Assessment (AHA). Results: Tactile registration and all tests of spatial perception were moderately related to the MUUL, JTTHF, and AHA (P<.001). Texture perception was not related to upper-limb motor function. Regression analysis showed that single point localization, a unilateral tactile spatial perception test, contributed most strongly to unimanual capacity (29% explained variance in MUUL and 26% explained variance in JTTHF), whereas double simultaneous, a bilateral tactile spatial perception test, contributed most strongly to bimanual performance (33% for the AHA). Conclusions: Spatial tactile deficits account for approximately 30% of the variance in upper-limb motor function in children with unilateral CP. This emphasizes the need for routine tactile assessment and targeted treatment of tactile spatial deficits in this population. © 2012 by the American Congress of Rehabilitation Medicine.

dc.titleImpact of tactile dysfunction on upper-limb motor performance in children with unilateral cerebral palsy
dc.typeJournal Article
dcterms.source.volume93
dcterms.source.number4
dcterms.source.startPage696
dcterms.source.endPage702
dcterms.source.issn0003-9993
dcterms.source.titleArchives of Physical Medicine and Rehabilitation
curtin.departmentSchool of Occupational Therapy and Social Work
curtin.accessStatusFulltext not available


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