ABSTRACT

Background

Selective voluntary motor control (SVMC) in the upper extremity is often impaired in individuals with cerebral palsy (CP) and can be assessed quantitatively and qualitatively using the Test of Arm Selective Control (TASC).

Methods

Fifty-six individuals with spastic CP (5–18 years old) were included. Descriptors associated with administration of the TASC were analyzed according to the type of CP and arm joint using Chi-square and Kruskal-Wallis tests. ABILHAND-Kids scores were compared between participants with and without mirror movements using a t-test.

Results

All groups of children with spastic CP had incidence of TASC movement descriptors. There was a main effect of topography of CP on extra movements, decreased active range of motion, tightness, spasticity, and mirroring, and an additional main effect of joint on mirroring. Participants with mirroring had lower ABILHAND-Kids scores than those without mirroring.

Conclusions

Systematically observing arm movements using the TASC revealed differences across participants.

中文翻译：

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痉挛性脑瘫患者上肢选择性自主运动控制减少的临床特征

摘要

背景

上肢的选择性自主运动控制 (SVMC) 在脑瘫 (CP) 患者中经常受损，可以使用手臂选择性控制测试 (TASC) 进行定量和定性评估。

方法

包括 56 名痉挛性 CP 患者（5-18 岁）。使用卡方检验和 Kruskal-Wallis 检验根据 CP 和手臂关节的类型分析与 TASC 管理相关的描述符。使用 t 检验比较有和没有镜像运动的参与者之间的 ABILHAND-Kids 分数。

结果

所有患有痉挛性 CP 的儿童组都有 TASC 运动描述符的发生率。CP 的地形对额外的运动、减少的活动活动范围、紧张、痉挛和镜像有主要影响，而关节对镜像有额外的主要影响。有镜像的参与者的 ABILHAND-Kids 分数低于没有镜像的参与者。

结论

使用 TASC 系统地观察手臂运动揭示了参与者之间的差异。