Sports Research Centre, Department of Sport Sciences, Miguel Hernández University of Elche, 03202 Elche, Spain.
Exercise and Rehabilitation Sciences Institute, School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago 7591538, Chile.
Int J Environ Res Public Health. 2022 Dec 22;20(1):141. doi: 10.3390/ijerph20010141.
Adults with tetraparesis cerebral palsy (i.e., wheelchair users) tend to experience more accelerated ageing, resulting in physical deterioration that increases the impact of the disability, leading to a loss of mobility that interferes with people's daily activities and participation in the community. The aim of this work is to study the relationship between trunk control and the function of the less-affected arm in this population. For this purpose, 41 para-athletes were invited to participate in this study, performing five tests to assess upper limb coordination, two tests to assess manual dexterity [i.e., Box and Block Test (BBT) and Box and Ball Test (BBLT)] and three tests to assess intra-limb coordination in different planes. Trunk control was assessed in both static and dynamic sitting conditions. The results show moderate correlations between static postural control and manual dexterity tests in the BBT ( = -0.553; = 0.002) and BBLT ( = -0.537; = 0.004). Large correlations were also found between static postural control and intra-limb tasks in horizontal ( = 0.769; = 0.001) and vertical movements ( = 0.739; = 0.009). Better static trunk control is related to a better upper limb function in the sagittal plane. Considerations and implications are explained in the manuscript.
患有四肢瘫痪脑瘫的成年人（即轮椅使用者）往往会经历更快的衰老，导致身体恶化，从而增加残疾的影响，导致行动能力丧失，干扰人们的日常活动和社区参与。这项工作的目的是研究躯干控制与该人群中未受影响手臂功能之间的关系。为此，邀请了 41 名残疾运动员参加这项研究，进行了五项评估上肢协调性的测试，两项评估手灵巧度的测试（即盒球测试和盒球测试）以及三项评估不同平面内肢体协调性的测试。躯干控制在静态和动态坐姿两种情况下进行评估。结果表明，静态姿势控制与 BBT（= -0.553；= 0.002）和 BBLT（= -0.537；= 0.004）中的手动灵巧性测试之间存在中度相关性。在水平（= 0.769；= 0.001）和垂直运动（= 0.739；= 0.009）中，静态姿势控制与肢体内任务之间也存在较大相关性。更好的静态躯干控制与矢状面的更好上肢功能有关。本文解释了考虑因素和影响。
