The role of sensation for hand function in children with cerebral palsy

Majnemer, Annette; Boubonnais, Daniel et Frak, Victor (2009). « The role of sensation for hand function in children with cerebral palsy », dans Clinics in Developmental Medicine: Improving hand function in cerebral palsy: theory, evidence and intervention, sous la dir. de Eliasson, A.C. et Burtner, P.. London (UK), MacKeith Press.

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Résumé

This chapter reviews the importance of sensations such as vision, as well as cutaneous sensibility and proprioception for the refined motor control of the hand. Intact sensory receptors provide input needed for modulation and adjustment of movements to ensure that they are accurate and smooth. Cerebral palsy is a non-progressive disorder of movement and posture, often accompanied by disturbances of sensation. For rehabilitation specialists evaluating children with CP in the clinical setting, it is essential that the potential influence of sensory impairments be considered, as it may impact on sensory-motor integration needed for refined hand movements to execute everyday tasks and activities. Therapeutic interventions may focus on maximizing tactile sensibility using sensory retraining and stimulation approaches, with the expectation that sensory input will improve and prehension patterns will become more precise. Conversely, capitalizing on more intact sensory modalities and use of adaptive strategies may be employed to enhance learning of functional hand skills, in spite of sensory-motor deficits. Evidence to support the effectiveness of either remediation or compensatory approaches is lacking, and needs to be addressed in future studies, so as to promote hand function needed to independently execute everyday self-care, school and leisure activities in children and youth with CP.

Type:	Chapitre de livre
Mots-clés ou Sujets:	Motor control of the hand. Cerebral palsy. Rehabilitation.
Unité d'appartenance:	Faculté des sciences
Déposé par:	Victor Frak
Date de dépôt:	17 mai 2010 13:40
Dernière modification:	27 févr. 2019 13:02
Adresse URL :	http://archipel.uqam.ca/id/eprint/2951

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