Detecting Asymmetry of Upper Limb Activity with Accelerometry in Infants at Risk for Unilateral Spastic Cerebral Palsy.

IF 1.5 4区医学 Q2 PEDIATRICS

Physical & Occupational Therapy in Pediatrics Pub Date : 2024-01-01 Epub Date: 2023-06-15 DOI:10.1080/01942638.2023.2218478

Cornelia H Verhage, Jan Willem Gorter, Tim Takken, Manon J N L Benders, Linda S de Vries, Niek E van der Aa, Nienke Wagenaar

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引用次数: 0

Abstract

Aims: To examine whether accelerometry can quantitate asymmetry of upper limb activity in infants aged 3-12 months at risk for developing unilateral spastic cerebral palsy (USCP).

Method: A prospective study was performed in 50 infants with unilateral perinatal brain injury at high risk of developing USCP. Triaxial accelerometers were worn on the ipsilateral and contralesional upper limb during the Hand Assessment for Infants (HAI). Infants were grouped in three age intervals (3-5 months, 5-7.5 months and 7.5 until 12 months). Each age interval group was divided in a group with and without asymmetrical hand function based on HAI cutoff values suggestive of USCP.

Results: In a total of 82 assessments, the asymmetry index for mean upper limb activity was higher in infants with asymmetrical hand function compared to infants with symmetrical hand function in all three age groups (ranging from 41 to 51% versus - 2-6%, p < 0.01), while the total activity of both upper limbs did not differ.

Conclusions: Upper limb accelerometry can identify asymmetrical hand function in the upper limbs in infants with unilateral perinatal brain injury from 3 months onwards and is complementary to the Hand Assessment for Infants.

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用加速度计检测单侧痉挛性脑瘫高危婴儿上肢活动的不对称性

目的：研究加速度计是否可以量化 3-12 个月婴儿上肢活动的不对称性，这些婴儿有可能发展为单侧痉挛性脑瘫（USCP）：方法：对50名单侧围产期脑损伤且极有可能发展为单侧痉挛性脑瘫的婴儿进行了前瞻性研究。在进行婴儿手部评估（HAI）时，在同侧和对侧上肢佩戴三轴加速度计。婴儿被分为三个年龄段（3-5 个月、5-7.5 个月和 7.5 个月至 12 个月）。根据 HAI 临界值，每个年龄组又分为手功能不对称组和手功能不对称组：在总共 82 次评估中，在所有三个年龄组中，手部功能不对称的婴儿与手部功能对称的婴儿相比，平均上肢活动的不对称指数更高（从 41% 到 51% 对 - 2-6% 不等，P 结论：手部功能不对称的婴儿与手部功能对称的婴儿相比，平均上肢活动的不对称指数更高（从 41% 到 51% 对 - 2-6% 不等，P 结论）：上肢加速度测量法可识别3个月以上单侧围产期脑损伤婴儿的上肢不对称手功能，是婴儿手部评估的补充。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical & Occupational Therapy in Pediatrics PEDIATRICS-REHABILITATION

CiteScore

3.70

自引率

4.80%

发文量

审稿时长

>12 weeks

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