Produção Nacional
Revisado por pares
Muscle stiffness and strength and their relation to hand function in children with hemiplegic cerebral palsy
2007; Wiley; Volume: 48; Issue: 9 Linguagem: Inglês
10.1111/j.1469-8749.2006.tb01357.x
ISSN1469-8749
AutoresDaniela Virgínia Vaz, Marisa Cotta, Sérgio T. Fonseca, Antônio Eustáquio de Melo Pertence,
Tópico(s)Neurogenetic and Muscular Disorders Research
ResumoDevelopmental Medicine & Child NeurologyVolume 48, Issue 9 p. 728-733 Free Access Muscle stiffness and strength and their relation to hand function in children with hemiplegic cerebral palsy Daniela Virgínia Vaz MSc PT, Corresponding Author Daniela Virgínia Vaz MSc PT Physical Therapy Department*Correspondence to first author at Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627 – Escola de Educaçäo Física, Fisioterapia e Terapia Ocupacional, CEP: 31270–010, Belo Horizonte, MG, Brazil. E-mail: [email protected]Search for more papers by this authorMarisa Cotta Mancini ScD OT, Marisa Cotta Mancini ScD OT Occupational Therapy DepartmentSearch for more papers by this authorSérgio T Fonseca ScD PT, Sérgio T Fonseca ScD PT Physical Therapy Department; Danielle Soares Rocha Vieira PTSearch for more papers by this authorAntônio Eustáquio De Melo Pertence ScD ME, Antônio Eustáquio De Melo Pertence ScD ME Mechanical Engineering Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.Search for more papers by this author Daniela Virgínia Vaz MSc PT, Corresponding Author Daniela Virgínia Vaz MSc PT Physical Therapy Department*Correspondence to first author at Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Av. Antônio Carlos 6627 – Escola de Educaçäo Física, Fisioterapia e Terapia Ocupacional, CEP: 31270–010, Belo Horizonte, MG, Brazil. E-mail: [email protected]Search for more papers by this authorMarisa Cotta Mancini ScD OT, Marisa Cotta Mancini ScD OT Occupational Therapy DepartmentSearch for more papers by this authorSérgio T Fonseca ScD PT, Sérgio T Fonseca ScD PT Physical Therapy Department; Danielle Soares Rocha Vieira PTSearch for more papers by this authorAntônio Eustáquio De Melo Pertence ScD ME, Antônio Eustáquio De Melo Pertence ScD ME Mechanical Engineering Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.Search for more papers by this author First published: 13 February 2007 https://doi.org/10.1111/j.1469-8749.2006.tb01357.xCitations: 10AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract This study compared the passive stiffness of wrist flexors and the strength of wrist flexors and extensors in three different wrist positions (30° of flexion, neutral, and 30° of extension) between children with cerebral palsy (CP) and typically developing (TD) comparison children. It also examined associations between these characteristics and manual function in children with C P. Eleven children with spastic hemiplegic CP (six females, five males; mean age 8y 5mo [SD 1y 8mo], range 6–11y) and 11 TD children, matched for age and sex, took part in this study. Passive stiffness of muscles was measured as the torque/angle relation during passive motion. Isometric strength tests were performed and the time needed to complete three tasks based on the Jebsen–Taylor Hand Function Test was recorded. Flexor stiffness was higher in the group with CP. Strength of flexors and extensors in the group with CP was lower with the wrist extended. No difference among test positions was found in the TD group. Moderate correlations were observed between manual function and variables related to strength and stiffness of wrist muscles in the group with CP. Children with CP showed muscle alterations coherent with the use of the wrist in flexion. Intervention on these characteristics could have a positive impact on manual function. References 1 Howle JMW. (1999) Cerebral Palsy. In: SK Campbell, editor. Decision Making in Pediatric Neurologic Physical Therapy. Philadelphia : Churchill Livingstone. p 23–83. Google Scholar 2 Damiano DL, Vaughan CL, Abel MF. (1995) Muscle response to heavy resistance exercise in children with spastic cerebral palsy. Dev Med Child Neurol 37: 731–739. 10.1111/j.1469-8749.1995.tb15019.x CASPubMedWeb of Science®Google Scholar 3 Giuliani CA. 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