Chaleat-Valayer E, Bard-Pondarre R, Ganne C, Roumenoff F, Combey A, Bernard J C
Centre Médico-Chirurgical de Réadaptation des Massues - Croix-Rouge Française, 92, Rue Edmond Locard, 69322 Lyon Cedex 05, France.
Centre Médico-Chirurgical de Réadaptation des Massues - Croix-Rouge Française, 92, Rue Edmond Locard, 69322 Lyon Cedex 05, France.
Eur J Paediatr Neurol. 2015 Mar;19(2):193-201. doi: 10.1016/j.ejpn.2014.12.002. Epub 2014 Dec 17.
Analyze the link between unimanual capacities and bimanual performance in cerebral-palsied (CP) hemiplegic children, aged between 5 and 18 years old, studying specifically the impact of synkinesis.
71 CP hemiplegic children (35 boys and 36 girls - with average age of 8 years and 6 months; MACS levels from I to III; GMFCS from I to IV) took part in a transversal study, assessed - Melbourne Test (MUUL) for unimanual capacities, and Assisting Hand Assessment (AHA) for bimanual performance - with a specific scale to analyze synkinesis during Box and Block test for affected and healthy hands, collecting synkinesis type, duration and intensity.
There is a strong correlation between unimanual capacities (MUUL) and bimanual performance (AHA) (r = 0.871). Neither age nor gender contribute to bimanual performance (AHA). Multiple linear regression shows that MUUL contributes to bimanual performance variance (AHA) by 70%. Synkinesis is partly correlated to capacities (MUUL) and accounts for 10% of the variance of the gap between capacities and bimanual performance.
A high relationship between unimanual capacities and bimanual performance is confirmed by this study; some authors demonstrated impact of sensory troubles, we demonstrate that synkinesis influences the use of unimanual capacities in bimanual performance.
分析5至18岁脑性瘫痪（CP）偏瘫儿童单手能力与双手操作之间的联系，特别研究联带运动的影响。
71名CP偏瘫儿童（35名男孩和36名女孩，平均年龄8岁6个月；手动能力分类系统[MACS]水平为I至III级；粗大运动功能分类系统[GMFCS]为I至IV级）参与了一项横向研究，通过墨尔本单手能力测试（MUUL）评估单手能力，通过辅助手评估（AHA）评估双手操作，并采用特定量表分析患侧手和健侧手在方块搭积木测试期间的联带运动，收集联带运动类型、持续时间和强度。
单手能力（MUUL）与双手操作（AHA）之间存在强相关性（r = 0.871）。年龄和性别均与双手操作（AHA）无关。多元线性回归显示，MUUL对双手操作差异（AHA）的贡献率为70%。联带运动与能力（MUUL）部分相关，占能力与双手操作之间差距差异的10%。
本研究证实单手能力与双手操作之间存在高度关联；一些作者证明了感觉障碍的影响，我们证明联带运动影响双手操作中单手能力的运用。
