Exploring hand dexterity in children with myelomeningocele

Author:

Steinhart Shoshana1,Kornitzer Emmanuel1,Weiss Patrice L.12,Katz-Leurer Michal3

Affiliation:

1. Rehabilitation Department, ALYN Hospital Pediatric and Adolescent Rehabilitation Center, Jerusalem, Israel

2. Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel

3. Department of Physical Therapy, Tel Aviv University, Tel Aviv, Israel

Abstract

PURPOSE: To assess hand dexterity in children with myelomeningocele (MMC) and to explore factors related to hand dexterity in these children. METHODS: Ninety-four children with myelomeningocele, aged 4 to 18 years, were assessed. Demographic characteristics, disease factors, visual perception (Beery test of Visual Motor Integration), cognition (WeeFunctional Independence Measure), and self-care (Pediatric Evaluation of Disability Inventory) were assessed in relation to the Nine-Hole Peg Test (9HPT) for hand dexterity using Spearmen correlations and linear regressions. RESULTS: The children’s performance on the 9HPT in both hands was significantly slower than the norms for their age groups. Children without a shunt showed significantly better function in both hands (p = .005) than those with a shunt. Factors most related to hand dexterity were neurological spinal level of MMC, presence of shunt, age, cognitive ability, and years of mother’s education. CONCLUSION: Children with MMC appear to have poorer hand skills than typically developed children, which was related to pathology as well as functional and environmental factors. When addressing hand dexterity in children with MMC, it is important that rehabilitation professionals continue to work with these children as they get older, and put greater emphasis on parent education using materials that are adapted to varying educational levels.

Publisher

IOS Press

Subject

Rehabilitation,Physical Therapy, Sports Therapy and Rehabilitation,Pediatrics, Perinatology and Child Health

Reference35 articles.

1. Incidence and risk factors of spina bifida in children;Ryznychuk;Wiad Lek,2018

2. Functioning of the corpus collosum in children with early hydrocephalus;Hannay;J Int Neuropsychol Soc,2000

3. Continuing concepts in the management of spina bifida;McLone;Pediatr Neurosurg,1992

4. Change in spinal curvature following release of tethered spinal cord associated with spina bifida;Reigel;Pediatra Neurosurg,1994

5. The impact of spina bifida on development across the first three years;Lomax-Bream;Dev Neuropsychol,2007

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