School of Occupational Therapy, Social Work and Speech Pathology, Curtin University, Perth, WA, Australia.
Kids Rehab Western Australia, Child and Adolescent Health Service, Perth, WA, Australia.
Aust Occup Ther J. 2021 Aug;68(4):317-326. doi: 10.1111/1440-1630.12729. Epub 2021 Mar 18.
To characterise somatosensory discrimination impairment of the upper-limb across domains of tactile discrimination, limb position sense and haptic object recognition using the sense_assess© kids and examine associations with upper-limb motor performance in children with hemiplegic cerebral palsy (CP).
The sense_assess© kids was administered at one timepoint to 28 children, aged 6-15.5 years (M = 10.1, SD = 2.4), with hemiplegic CP (right hemiplegia n = 15) and Manual Ability Classification System Levels I (n = 11) and II (n = 17). Unimanual motor performance was quantified using the Box and Block Test.
Tactile discrimination was impaired in 18, limb position sense in 20, and haptic object recognition was impaired in 21 of 28 children. Over 80% (23/28) of children had impaired somatosensory discrimination in one or more domains. Low to moderate correlations were observed between each measure of somatosensory discrimination and motor performance. Manual ability classification was associated with limb position sense and haptic object recognition. A moderate inverse correlation (r = -.57, p < .01) exists between the number of somatosensory domains impaired and motor performance.
The frequency of somatosensory impairment in the upper limb of children in our sample was high and associated with manual ability, suggesting a need for routine assessment of somatosensation in this population.
使用 sense_assess© kids 评估上肢在触觉辨别、肢体位置感和触觉物体识别等多个领域的感觉辨别障碍，并分析其与偏瘫脑瘫患儿上肢运动表现的相关性。
28 名年龄在 6-15.5 岁（M=10.1，SD=2.4）的偏瘫脑瘫患儿（右偏瘫 n=15），采用 sense_assess© kids 进行了一次评估，该系统采用 Manual Ability Classification System 分级，其中 I 级 11 例，II 级 17 例。使用箱式和柱状测试评估单肢运动表现。
28 名儿童中，18 名存在触觉辨别障碍，20 名存在肢体位置感障碍，21 名存在触觉物体识别障碍。28 名儿童中有超过 80%（23/28）在一个或多个领域存在感觉辨别障碍。感觉辨别各测量指标与运动表现之间呈低度至中度相关性。运动能力分级与肢体位置感和触觉物体识别相关。感觉辨别障碍的数量与运动表现呈中度负相关（r=-.57，p<.01）。
我们样本中上肢感觉障碍的频率较高，与运动能力相关，提示该人群需要常规评估感觉。
