AI Article Synopsis
- The study aimed to assess hand function in children with congenital hemiplegia, particularly focusing on whether the non-hemiplegic side was also affected and how this related to brain lesions seen in MRIs.
- Twenty-two children aged 4.8 to 12.3 participated in both clinical and MRI assessments, revealing that 64% exhibited some level of impairment in their non-hemiplegic hand.
- The research found that the type of brain lesions impacted hand function, with children who had unilateral lesions showing normal function in the non-hemiplegic hand, while those with bilateral lesions showed abnormalities.
Article Abstract
The aim of this study was to evaluate whether children with congenital hemiplegia show abnormal hand function on the non-hemiplegic side and whether this, if present, can be related to the type and extent of brain lesions on MRI. Twenty-two children with congenital hemiplegia of age ranging between 4.8 and 12.3 years, were assessed with a clinical and MRI assessment. Clinical assessment included a structured neurological examination, assessment of hand grips and the Movement Assessment Battery for Children which also includes one item assessing speed and accuracy in each hand. The results showed that 64% of the children studied showed some degree of functional impairment of the non-hemiplegic hand. Manual dexterity 1 from the Movement ABC was, in our experience, a more sensitive tool to detect minor functional abnormalities than the evaluation of hand grips. The severity of the impairment on the non-hemiplegic side was not significantly related to the severity of impairment in the hemiplegic hand (p > 0.05). In contrast, a significant association was found with the site of lesions as hand function in the non-hemiplegic hand was always normal in children with unilateral lesion and abnormal in the ones with bilateral parenchymal lesions (p < 0.05). Children with predominantly unilateral lesions but with bilateral ventricular dilatation or periventricular changes showed more variable results.
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