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Precision grip control while walking down a step in children with unilateral cerebral palsy.

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Ebner Karestinos, Daniela Silvia [UCL] Flament, Benoît Arnould, Carlyne Thonnard, Jean-Louis [UCL] Bleyenheuft, Yannick [UCL]

(eng) AIM: To compare grip force (GF) and load force (LF) coordination while walking down a step between children with unilateral cerebral palsy (UCP) and typically developing (TD) children. METHODS: Twenty-five children with UCP (age 9.3±1.7 y) and 25 TD controls (age 9.4±2.1 y) walked down a step while holding a grip-lift manipulandum. Dynamic and temporal variables were analyzed. The maximum voluntary contraction (MVC) was also assessed. RESULTS: The temporal course was perturbed mainly in the more affected hand of children with UCP when compared to TD children because the increases in GF and LF onset occurred in a reversed order. Compared with the TD controls, the children with UCP presented higher LF values on both hands and a higher GF on the less affected hand. In children with UCP, the GF to LF adaptation was adequate on the less affected hand but overestimated on the more affected hand. Furthermore, children with UCP presented a lower MVC in the more affected hand, leading to a higher percentage of MVC used during the task. INTERPRETATION: Our findings highlight an anticipatory control of precision grip during a stepping down task in children with UCP that is adequate for the less affected hand but altered for the more affected hand.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2018
Language Anglais
Journal information "PLoS One" - Vol. 13, no. 2, p. e0191684 [1-14] (2018)
Peer reviewed yes
Publisher Public Library of Science ((United States) San Francisco, CA)
e-issn 1932-6203
Publication status Publié
Affiliations UCL - SSS/IONS/COSY - Systems & cognitive Neuroscience
UCL - (SLuc) Service de médecine physique et de réadaptation motrice
UCL - SST/ICTM/INMA - Pôle en ingénierie mathématique
Louvain Bionics - Center of Interdisciplinary Expertise
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Bibliographic reference Ebner Karestinos, Daniela Silvia ; Flament, Benoît ; Arnould, Carlyne ; Thonnard, Jean-Louis ; Bleyenheuft, Yannick. Precision grip control while walking down a step in children with unilateral cerebral palsy.. In: PLoS One, Vol. 13, no. 2, p. e0191684 [1-14] (2018)
Permanent URL http://hdl.handle.net/2078.1/194848