Accuracy Constraints Improve Symmetric Bimanual Coordination for Children with and without Unilateral Cerebral Palsy.

Purpose: To evaluate the influence of accuracy constraints on functional symmetric bimanual coordination for children with Unilateral Spastic Cerebral Palsy (USCP). Methods: Ten children with USCP (average age: 9.6; MACS levels: I–II), ten typically developing children, and ten adults lifted a tray...

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Publicado en:Developmental Neurorehabilitation Vol. 23; no. 3; pp. 176 - 185
Autores principales: Hung, Ya-Ching, Zeng, Wenhui
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Apr2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2020
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      pub: Taylor & Francis Ltd
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        10.1080/17518423.2019.1616845
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        atl: Accuracy Constraints Improve Symmetric Bimanual Coordination for Children with and without Unilateral Cerebral Palsy.
      aug:
        au:
          Hung, Ya-Ching
          Zeng, Wenhui
        affil: Department of Family, Nutrition, and Exercise Sciences, Queens College, City University of New York, Flushing, NY, USA
      sug:
        subj:
          Cerebral Palsy Complications
          Psychomotor Performance
          Task Performance and Analysis
          Motor Skills Disorders
          Human
          Child
          Adult
          Elbow
          Arm
          Movement Disorders
          Child Development Disorders
          Child: 6-12 years
          Adult: 19-44 years
      ab: Purpose: To evaluate the influence of accuracy constraints on functional symmetric bimanual coordination for children with Unilateral Spastic Cerebral Palsy (USCP). Methods: Ten children with USCP (average age: 9.6; MACS levels: I–II), ten typically developing children, and ten adults lifted a tray with a water bottle on top. Two accuracy constraints of handle size and cap condition were manipulated. Results: Children with USCP exhibited greater bilateral asymmetry in hand vertical position, timing, upper arm, and elbow control than other groups. Smaller handle decreased bilateral timing differences at lift onset and offset, and decreased bilateral elbow asymmetry at reach and lift offset. Without a cap (accuracy constraint), they showed greater trunk involvement, and less bilateral vertical position and lift offset timing differences (all p <.05). Conclusions: Children with USCP showed impaired symmetric bimanual coordination. Higher accuracy constraints improved some bimanual spatial and temporal control. Therefore, task accuracy constraints should be manipulated carefully for training.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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