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- Imms, Christine, et al.
(författare)
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Participation, both a means and an end : a conceptual analysis of processes and outcomes in childhood disability
- 2017
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Ingår i: Developmental Medicine & Child Neurology. - : Wiley-Blackwell. - 0012-1622 .- 1469-8749. ; 59:1, s. 16-25
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Forskningsöversikt (refereegranskat)abstract
- This review outlines a conceptual approach to inform research and practice aimed at supporting children whose lives are complicated by impairment and/or chronic medical conditions, and their families. ‘Participation’ in meaningful life activities should be an essential intervention goal, to meet the challenges of healthy growth and development, and to provide opportunities to help ensure that young people with impairments reach their full potential across their lifespan. Intervention activities and research can focus on participation as either an independent or dependent variable. The proposed framework and associated hypotheses are applicable to children and young people with a wide variety of conditions, and to their families. In taking a fresh ‘non-categorical’ perspective to health for children and young people, asking new questions, and exploring issues in innovative ways, we expect to learn lessons and to develop creative solutions that will ultimately benefit children with a wide variety of impairments and challenges, and their families, everywhere.
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| 2. |
- Zielinski, Ingar M., et al.
(författare)
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The relation between mirror movements and non-use of the affected hand in children with unilateral cerebral palsy
- 2017
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Ingår i: Developmental Medicine & Child Neurology. - : John Wiley & Sons. - 0012-1622 .- 1469-8749. ; 59:2, s. 152-159
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Tidskriftsartikel (refereegranskat)abstract
- Aim:In children with unilateral cerebral palsy (CP), it is widely believed that mirror movements contribute to non-use of the affected hand despite preserved capacity, a phenomenon referred to as developmental disregard. We aimed to test whether mirror movements are related to developmental disregard, and to clarify the relation between mirror movements and bimanual function.Method:A repetitive squeezing task simultaneously measuring both hands' grip-forces was developed to assess mirror movements by using maximum cross-correlation coefficient (CCCmax) as well as strength measures (MMstrength). Developmental disregard, bimanual performance, and capacity were assessed using a validated video-observation method. Twenty-one children with unilateral CP participated (Median age 10y 7mo, interquartile range [IQR] 10y 1mo–12y 9mo). Outcome measures of mirror movements were correlated to developmental disregard, bimanual performance, and capacity scores using Spearman's correlations (significance level: α<0.05).Results:Mirror movements were not related to developmental disregard. However, enhanced mirror movements in the less-affected hand were related to reduced performance (CCCmax: ρ=−0.526, p=0.007; MMstrength: ρ=−0.750, p<0.001) and capacity (CCCmax: ρ=−0.410, p=0.033; MMstrength: ρ=−0.679, p<0.001). These relations were only moderate (performance:MMstrength: ρ=−0.504, p=0.010), low (capacity: MMstrength: ρ=−0.470, p=0.016) or absent for mirror movements in the affected hand. Additionally, seven children showed stronger movements in their less-affected hands when actually being asked to move their affected hand.Interpretation:These findings show no relation between mirror movements and developmental disregard, but support an association between mirror movements and bimanual function.
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