Evaluation of the strength of the upper extremity and the balance in pediatric population with hemiplegia after stroke
Keywords:
children, hemiplegia, jamar dynamometer, PBS, strokeAbstract
Introduction: The brain is a system with multidimensional organization and architecture and requires a continuous blood supply to function normally. If blood flow is interrupted for more than a few seconds, the brain is deprived of blood and oxygen, causing death in nerve cells in the affected area. The stroke in children after birth appears even more rarely than in adults. Methods: For the study, 20 children with hemiplegic cerebral palsy (14 boys and 6 girls) participated (mean age 10,9 years), from the “General Hospital Hippocratio” of Thessaloniki, according to the inclusion criteria. The strength of the upper extremity was measured using the Jamar dynamometer. To assess the balance, the Pediatric Balance Scale (PBS) Affected and contralateral hands results were analyzed and compared with norms for age and sex and related to the affected balance. Results: It was found that the strength of the non-affected upper extremities was also reduced according to the data of the normal children and the balance was also affected because of the stroke. Discussion: Physiotherapy programs may include exercises that emphasize the non-affected upper extremities, more similar research must be done on a bigger population.
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Bohannon, R. W., Peolsson, A., Massy-Westropp, N., Desrosiers, J., & Bear-Lehman, J. (2006). Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy, 92(1), 11-15. https://doi.org/10.1016/j.physio.2005.05.003 DOI: https://doi.org/10.1016/j.physio.2005.05.003
Brobeck, B. R., & Grant, P. E. (2005). Pediatric stroke: the child is not merely a small adult. Neuroimaging Clinics, 15(3), 589-607. DOI: https://doi.org/10.1016/j.nic.2005.08.013
Bryant, E. C., Trew, M. E., Bruce, A. M., Kuisma, R. M. E., & Smith, A. W. (2005). Gender differences in balance performance at the time of retirement. Clinical Biomechanics, 20(3), 330-335. https://doi.org/10.1016/j.clinbiomech.2004.11.006 DOI: https://doi.org/10.1016/j.clinbiomech.2004.11.006
Chabrier, S., Sébire, G., & Fluss, J. (2016). Transient cerebral arteriopathy, postvaricella arteriopathy, and focal cerebral arteriopathy or the unique susceptibility of the M1 segment in children with stroke. Stroke, 47(10), 2439-2441. DOI: https://doi.org/10.1161/STROKEAHA.116.014606
Chen, C. L., Shen, I. H., Chen, C. Y., Wu, C. Y., Liu, W. Y., & Chung, C. Y. (2013). Validity, responsiveness, minimal detectable change, and minimal clinically important change of Pediatric Balance Scale in children with cerebral palsy. Research in developmental disabilities, 34(3), 916-922. https://doi.org/10.1016/j.ridd.2012.11.006 DOI: https://doi.org/10.1016/j.ridd.2012.11.006
Fehlings, D., Rang, M., Glazier, J., & Steele, C. (2000). An evaluation of botulinum-A toxin injections to improve upper extremity function in children with hemiplegic cerebral palsy. The Journal of pediatrics, 137(3), 331-337. https://doi.org/10.1067/mpd.2000.108393 DOI: https://doi.org/10.1067/mpd.2000.108393
Fox, C. K., & Fullerton, H. J. (2010). Recent advances in childhood arterial ischemic stroke. Current atherosclerosis reports, 12, 217-224. DOI: https://doi.org/10.1007/s11883-010-0113-8
Freundlich, C. L., Cervantes-Arslanian, A. M., & Dorfman, D. H. (2012). Pediatric stroke. Emergency Medicine Clinics of North America, 30(3), 805-828. https://doi.org/10.1016/j.emc.2012.05.005 DOI: https://doi.org/10.1016/j.emc.2012.05.005
Friedman, N. (2009). Pediatric stroke: past, present and future. Advances in Pediatrics, 56(1), 271-299. DOI: https://doi.org/10.1016/j.yapd.2009.08.003
Jantakat, C., Ramrit, S., Emasithi, A., & Siritaratiwat, W. (2015). Capacity of adolescents with cerebral palsy on paediatric balance scale and Berg balance scale. Research in Developmental Disabilities, 36, 72-77. https://doi.org/10.1016/j.ridd.2014.09.016 DOI: https://doi.org/10.1016/j.ridd.2014.09.016
Katsantoni, D., Chalkia, A., Tsigaras, G., Besios, T., & Chandolias, K. (2023). Evaluation of the strength of the upper extremity in children with hemiplegia after stroke: a case series study. International Journal, 10(2), 182. DOI: https://doi.org/10.18203/2349-3259.ijct20230700
Kolk, A., Ennok, M., Laugesaar, R., Kaldoja, M. L., & Talvik, T. (2011). Long-term cognitive outcomes after pediatric stroke. Pediatric neurology, 44(2), 101-109. https://doi.org/10.1016/j.pediatrneurol.2010.08.012 DOI: https://doi.org/10.1016/j.pediatrneurol.2010.08.012
Laspa, V., Besios, T., Xristara, A., Tsigaras, G., Milioudi, M., Mauromoustakos, S., & Kottaras, S. (2020). Reliability and Clinical Significance of the Pediatric Balance Scale (PBS) in the Greek Language in Children Aged 4 to 18 Years. Open Journal of Preventive Medicine, 10(05), 73-81. DOI: https://doi.org/10.4236/ojpm.2020.105005
Pacheco, J. T., Siepmann, T., Barlinn, J., Winzer, S., Penzlin, A. I., Puetz, V., ... & Barlinn, K. (2018). Safety and efficacy of recanalization therapy in pediatric stroke: a systematic review and meta-analysis. European Journal of Paediatric Neurology, 22(6), 1035-1041. https://doi.org/10.1016/j.ejpn.2018.07.013 DOI: https://doi.org/10.1016/j.ejpn.2018.07.013
Rose, E. (2019). Pediatric Stroke: Diagnosis and Management in the Emergency Department.
Samanta, D. (2020). Management of alternating hemiplegia of childhood: a review. Pediatric neurology, 103, 12-20. https://doi.org/10.1016/j.pediatrneurol.2019.10.003 DOI: https://doi.org/10.1016/j.pediatrneurol.2019.10.003
Sofronas, M., Ichord, R. N., Fullerton, H. J., Lynch, J. K., Massicotte, M. P., Willan, A. R., & deveber, G. (2006). Pediatric stroke initiatives and preliminary studies: what is known and what is needed?. Pediatric neurology, 34(6), 439-445. https://doi.org/10.1016/j.pediatrneurol.2005.10.016 DOI: https://doi.org/10.1016/j.pediatrneurol.2005.10.016
Titomanlio, L., Zanin, A., Sachs, P., Khaled, J., Elmaleh, M., Blanc, R., & Piotin, M. (2013). Pediatric ischemic stroke: acute management and areas of research. The Journal of Pediatrics, 162(2), 227-235. DOI: https://doi.org/10.1016/j.jpeds.2012.09.018
Vannucci, S. J., & Hurn, P. D. (2009). Gender differences in pediatric stroke: is elevated testosterone a risk factor for boys?. Annals of neurology, 66(6), 713. DOI: https://doi.org/10.1002/ana.21925
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