Improving Hand Function In Children With Cerebral Palsy - Theory, Evidence And Interventions Volume 178

Clinics in Developmental Medicine No. 178


For most children with cerebral palsy, the extent to which they can use their hands is critical to their overall development. Over the last two decades there have been major advances in the understanding of hand function. Particularly in children with cerebral palsy, assessment of hand function has become more exact and the range of possible interventions has expanded. Changes in treatment approaches can be seen in neurorehabilitation, orthopaedic management, developmental pediatrics and rehabilitation including occupational and physical therapy practices.In this book, selected experts from around the world in the fields of neuroimaging, neurology, orthopaedics, anatomy, motor control and motor learning provide fundamental theoretical information for the development of hand function in children with cerebral palsy. The book also shows how theory can be translated into practice by clinicians who provide assessment and intervention services to improve hand use in this population in sections written by researchers in occupational and physical therapy. Linking different fields of knowledge, this book highlights new perspectives and provides the best evidence for different types of intervention. By focusing only on hand function this essential book highlights new concepts for clinicians and others working towards the overall well-being of children with cerebral palsy.

● Presents the essentials of hand skills in children with cerebral palsy● Features chapters describing basic underlying mechanisms, hand development, different aspects of intervention and assessment● Presents current evidence to support intervention for this population of children● Written by an international team of contributors, offering a universal perspective on current research and practice● Contains interdisciplinary contributions from basic scientists, medical and therapy professionals

Ann-Christin Eliasson (Associate Professor, Department of Woman and Child Health, Astrid Lindgren Children’s Hospital, Karolinska Institute, Stockholm, Sweden)

Patricia A. Burtner (Associate Professor, Division of Occupational Therapy, Department of Pediatrics, 1 University of New Mexico, Albuquerque, New Mexico)

FOREWORD Hans Forssberg


INTRODUCTION Ann-Christin Eliasson and Patricia A. Burtner


* BRAIN PLASTICITY IN DEVELOPMENT AND DISEASE Hans Forssberg

* CORTICAL CONTROL OF HAND FUNCTION Johan Kuhtz-Buschbeck and Stephan Ulmer

* NEUROPSYCHOLOGY OF MOVEMENT SEQUENCE LEARNING Fredrik Ullén

* NEUROLOGICAL CLASSIFICATION AND NEURORADIOLOGY OF CEREBRAL PALSY Ingeborg Krägeloh-Mann and Martin Staudt

* NORMAL ANATOMY OF THE UPPER EXTREMITY Beth M. Jones

* MUSCLE ALTERATIONS DUE TO SPASTICITY Eva Pontén

* POSTURAL CONTROL FOR REACHING AND HAND SKILLS



* Mindy F. Levin and Heidi Sveistrup



* VISUAL IMPAIRMENT AND CONSEQUENCES FOR HAND FUNCTION Eugenio Mercuri, Andrea Guzzetta and Giovanni Cioni

* THE ROLE OF SENSATION FOR HAND FUNCTION IN CHILDREN WITH CEREBRAL PALSY Annette Majnemer, Daniel Bourbonnais and Victor Frak

* NORMAL AND IMPAIRED DEVELOPMENT OF THE UPPER LIMB Jeanne R. Charles

* BIMANUAL COORDINATION IN CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY Andrew M. Gordon and Bert Steenbergen

* CHOOSING AND USING ASSESSMENTS OF HAND FUNCTION Lena Krumlinde-Sundholm

* ORTHOPAEDIC INTERVENTION IN THE UPPER EXTREMITY IN CHILDREN WITH CEREBRAL PALSY: MUSCULOSKELETAL SURGERY L. Andrew Koman, Zhongyu Li and Beth Paterson Smith

* ORTHOPAEDIC INTERVENTION IN THE MANAGEMENT OF CEREBRAL PALSY: BOTULINUM TOXINS L. Andrew Koman, Zhongyu Li and Beth Paterson Smith

* THERAPEUTIC INTERVENTIONS AT THE BODY STRUCTURE AND FUNCTION LEVEL TO SUPPORT CHLDREN’S UPPER EXTREMITY FUNCTION Patricia A. Burtner and Janet L. Poole

* MOTOR LEARNING IN CHILDREN WITH CEREBRAL PALSY: IMPLICATIONS FOR REHABILITATION Shailesh S. Kantak, Katherine J. Sullivan and Patricia A. Burtner

* A COGNITIVE PERSPECTIVE ON INTERVENTION Angela A. Mandich, Helene J. Polatajko and Ann Zilberbrant

* GOAL-ORIENTED TRAINING OF DAILY ACTIVITIES: A MODEL FOR INTERVENTION Ann-Christin Eliasson and Birgit Rösblad

* VOLITION: CHILD-ORIENTED INTERVENTION FOR THE UPPER EXTREMITY Susan M. Cahill and Gary Kielhofner

* CONSTRAINT-INDUCED MOVEMENT THERAPY FOR CHLDREN WITH HEMIPLEGIA, Ann-Christin Eliasson and Andrew M. Gordon

* SELF CARE AND HAND FUNCTION Anne Henderson and Ann-Christin Eliasson

* WRITTEN COMMUNICATION: CLINICAL DECISION-MAKING FOR HANDWRITING IN CHILDREN WITH CEREBRAL PALSY Sonya Murchland, Alison Lane and Jenny Ziviani

* LEARNING TO PLAY: PROMOTING SKILLS AND QUALITY OF LIFE IN INDIVIDUALS WITH CEREBRAL PALSY Erna Imperatore Blanche and Susan Hirsch Knox

* ASSISTIVE TECHNOLOGY DEVICES IN COMPUTER ACTIVITIES Helene Lidström and Maria Borgestig

* PARTICIPATION: THE ULTIMATE CHALLENGE Jenny Ziviani and Margaret Wallen

* THE EVIDENCE BASE FOR UPPER-EXTREMITY INTERVENTION FOR CHLDREN WITH CEREBRAL PALSY Christine Imms



APPENDIX: ASSESSMENTS USED TO MEASURE HAND FUNCTION, ACTIVITIES AND PARTICIPATION OF CHLDREN WITH CEREBRAL PALSY Heidi Sanders