Article

Investigations using motion capture to analyze limitations in range of motion
(ROM) of the upper extremity in adults with cerebral palsy (CP) are scarce. To
evaluate the influence of those limitations on activities of daily living (ADL)
and to determine potential mechanisms of compensation, we investigated 15 adults
with hemiplegic CP using motion capture while they performed 10 defined ADLs.
Data from the nonaffected body side and those from an age-matched able-bodied
group were also collected and compared with our subjects. We measured motion of
the elbow, shoulder, and trunk and found significant differences in ROM at these
sites. The most pronounced reduction in ROM was observed distally in supination
and pronation of the elbow. Here, the affected body side of the adults showed a
reduction in supination of 45 degrees compared to the able-bodied group.
Furthermore we found a correlation between the Manual Ability Classification
System (MACS) and the limitations in ROM. In summary, adults with spastic,
hemiplegic CP show limitations in ROM accentuated distally during ADLs. The MACS
gives conclusive information about those limitations.
CI - Copyright (c) 2012 Elsevier B.V. All rights reserved.

Langue : ANGLAIS