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Issue title: Cerebral Palsy
Guest editors: Deborah Gaebler-Spira, Michael Green and Heakyung Kim
Article type: Research Article
Authors: Cristella, Giovannaa | Allighieri, Martinaa | Pasquini, Guidoa; * | Simoni, Lauraa; b | Antonetti, Antonellaa | Beni, Chiaraa | Macchi, Claudioa | Ferrari, Adrianoc
Affiliations: [a] IRCCS Fondazione Don Carlo Gnocchi, Florence, Italy | [b] Department of Neurosciences, Biomedicine and Movement Science, University of Verona, Verona, Italy | [c] Physical and Rehabilitation Medicine, CHIMOMO Department, University of Modena and Reggio Emilia, Modena, Italy
Correspondence: [*] Corresponding author: Guido Pasquini, Laboratorio Analisi del Movimento, IRCSS Fondazione Don Carlo Gnocchi Firenze, Italy. Tel.: +39557393657; Fax: +3955739301; E-mail: gpasquini@dongnocchi.it.
Abstract: PURPOSE:This study explores non-motor impairment of the upper dominant limb in children with diplegic cerebral palsy (CP). Specifically, it firstly investigates sense of position without visual control, ability to compare visual and proprioceptive information, and capacity to recognize effects of self-movement. Secondly, it explores the possible association between these items with cognitive function, perceptual disorder (PD), and manual ability (Manual Ability Classification System -MACS). METHODS:Ten subjects (7 female; 3 male) were tested with three protocols: the first one (A) explored sense of position, the second one (B) collimation between visual and proprioceptive information, and the last one (C) sense of agency with the use of videogames. RESULTS:All subjects executed Protocol A without making any mistakes, while in Protocol B the median percentage of mistakes was 4.8%. Mistakes were recorded more frequently in positions characterized by wrist extension. Data reported a significant correlation with Processing Speed Index (PSI). Sense of agency was positively associated with cognitive functioning, with a significant correlation with PSI.PD, MACS, and Video-Gaming Experience (VGE) showed no correlation with Protocol C. CONCLUSION:In the observed sample with diplegic CP, preliminary data support the hypothesis that there is an alteration of both sense of position and sense of agency. They were both associated to PSI, with a positive trend of correlation with cognitive functioning. PD seemed to have no influence. Further studies, with a larger sample size, a control group, and involving children without CP, are required to corroborate the results obtained.
Keywords: Sense of position, sense of agency, upper limb rehabilitation, cerebral palsy
DOI: 10.3233/PRM-200703
Journal: Journal of Pediatric Rehabilitation Medicine, vol. 15, no. 1, pp. 181-191, 2022
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