Article

OBJECTIVE: To determine which motor impairments make a significant relative
contribution to upper limb activity limitations, and whether activity limitations
are related to participation restrictions in people with hemiplegic cerebral
palsy. DESIGN: An observational study. SETTING: Neurological Rehabilitation
Research Group at Faculty of Health Sciences, The University of Sydney. SUBJECTS:
Twenty-three people with hemiplegic cerebral palsy participated. MAIN MEASURES:
Four motor impairments (strength, coordination, spasticity and contracture),
upper limb activity and participation were measured. Multiple regression was used
to determine the relative contribution of motor impairments to activity
limitations. Linear regression was used to determine the correlation between
activity and participation. RESULTS: The four motor impairments accounted for 63%
of the variance in upper limb activity with coordination independently accounting
for 21% (P<0.01). Upper limb activity accounted for 13% of the variance in
participation (P=0.10). CONCLUSIONS: The findings imply that coordination of four
motor impairments makes the largest independent relative contribution to activity
limitations, whereas upper limb activity makes less contribution to participation
in people with mild and moderate hemiplegic cerebral palsy.

Langue : ANGLAIS