Developmental and acquired brain injury have opposite effects on finger coordination in children.

cerebral palsy children coordination development fingers force traumatic brain injury uncontrolled manifold hypothesis

Journal

Frontiers in human neuroscience
ISSN: 1662-5161
Titre abrégé: Front Hum Neurosci
Pays: Switzerland
ID NLM: 101477954

Informations de publication

Date de publication:
2023
Historique:
received: 28 10 2022
accepted: 02 01 2023
entrez: 9 2 2023
pubmed: 10 2 2023
medline: 10 2 2023
Statut: epublish

Résumé

The ability to coordinate finger forces to dexterously perform tasks develops in children as they grow older. Following brain injury, either developmental (as in cerebral palsy-CP) or acquired (as in traumatic brain injury-TBI), this developmental trajectory will likely be impaired. In this study, we compared finger coordination in a group of children aged 4-12 with CP and TBI to a group of typically developing children using an isometric pressing task. As expected, deficits were observed in functional tests (Jebsen Taylor test of hand function, Box and Block test) for both groups, and children in both groups performed the pressing task less well than the control group. However, differing results were observed between the CP and TBI groups when using the uncontrolled manifold hypothesis to look at the synergy index. This index measures the relative amount of "good" (does not affect the outcome measure) and "bad" (does affect the outcome measure) variability, where in this case the outcome measure is the total force produced by the fingers. While children with CP were more variable in their performance, their synergy index was not significantly different from typically developing children, suggesting the development of compensatory strategies. In contrast, the children following TBI showed performance that got worse as a function of age (i.e., the older children with TBI performed worse than the younger children with TBI). These differences between the groups may be a result of different areas of brain injury typically observed in CP and TBI, and the different amount of time that has passed since the injury.

Identifiants

pubmed: 36755895
doi: 10.3389/fnhum.2023.1083304
pmc: PMC9899809
doi:

Banques de données

figshare
['10.6084/m9.figshare.21430227']

Types de publication

Journal Article

Langues

eng

Pagination

1083304

Informations de copyright

Copyright © 2023 Mimouni-Bloch, Shaklai, Levin, Ingber, Karolitsky, Grunbaum and Friedman.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Aviva Mimouni-Bloch (A)

Pediatric Neurology and Development Unit, Loewenstein Rehabilitation Medical Center, Ra'anana, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.

Sharon Shaklai (S)

Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv-Yafo, Israel.
Department of Child and Youth Rehabilitation, Loewenstein Rehabilitation Medical Center, Ra'anana, Israel.

Moran Levin (M)

Department Physical Therapy, Sackler Faculty of Medicine, School of Health Professions, Tel Aviv University, Tel Aviv-Yafo, Israel.

Moria Ingber (M)

Department of Child and Youth Rehabilitation, Loewenstein Rehabilitation Medical Center, Ra'anana, Israel.

Tanya Karolitsky (T)

Department of Child and Youth Rehabilitation, Loewenstein Rehabilitation Medical Center, Ra'anana, Israel.

Sigal Grunbaum (S)

Department of Child and Youth Rehabilitation, Loewenstein Rehabilitation Medical Center, Ra'anana, Israel.

Jason Friedman (J)

Department Physical Therapy, Sackler Faculty of Medicine, School of Health Professions, Tel Aviv University, Tel Aviv-Yafo, Israel.
Sagol School of Neuroscience, Tel Aviv University, Tel Aviv-Yafo, Israel.

Classifications MeSH