HIV encephalopathy with bilateral lower limb spasticity: upper limb motor function and level of activity and participation.
Dev Med Child Neurol
; 59(4): 412-419, 2017 04.
Article
em En
| MEDLINE
| ID: mdl-27573542
ABSTRACT
AIM:
To describe upper limb motor function and level of activity and participation in children with HIV encephalopathy (HIVE) and bilateral lower limb (BLL) spasticity.METHOD:
Thirty ambulant children with HIVE and BLL spasticity and 20 typically developing children, between 5 years and 12 years, were recruited. Upper limb motor function was assessed using the Purdue Pegboard and level of activity and participation using the Computer-Adapted Pediatric Evaluation of Disabilities Inventory (PEDI-CAT).RESULTS:
The HIVE group comprised 14 males and 16 females (mean age [SD] 8y 8mo [2y 2mo], Gross Motor Function Classification System (GMFCS) level I [n=10], II [n=11], and III [n=9]) and the typically developing group comprised 11 males and 9 females (mean age 8y 8mo [2y 3mo]). The HIVE group had lower scores than the typically developing group for all pegboard tasks and three of the four PEDI-CAT domains (p≤0.001). However, individual outcome scores varied substantially within each GMFCS level.INTERPRETATION:
Children with HIVE and BLL spasticity may have significantly poorer upper limb motor performance and lower levels of activity and participation than typically developing children. These findings suggest that an assessment of upper limb motor function should form part of optimal care for this population.
Texto completo:
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Bases de dados:
MEDLINE
Assunto principal:
Atividades Cotidianas
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Complexo AIDS Demência
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Extremidade Superior
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Atividade Motora
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Espasticidade Muscular
Limite:
Child
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Child, preschool
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Female
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Humans
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Male
Idioma:
En
Revista:
Dev Med Child Neurol
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
África do Sul