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ORIGINAL ARTICLE
Year : 2015  |  Volume : 1  |  Issue : 2  |  Page : 94-100

Relation of quality of upper limb to independent gross motor and manual ability function in children with spastic diplegia


1 Sancheti Institute College of Physiotherapy, Sancheti Hospital, Pune, Maharashtra, India
2 Department of Physiotherapy and Rehabilitation, Sancheti Hospital, Pune, Maharashtra, India

Correspondence Address:
Gajanan Bhalerao
Department of Physiotherapy and Rehabilitation, Sancheti Hospital, Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2395-4264.173446

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Background: Most of the children having spastic diplegia show variability in upper limb and upper trunk functions. Due to this variation in upper limb and upper trunk, the quality of upper limb function may affect and limit the independence of functional activities in these children. Hence, this study aimed to find the relation of the quality of upper limb function to independent gross motor and manual ability function in children with spastic diplegia. Materials and Methods: Overall, 30 children (both girls and boys) who were diagnosed with spastic diplegia (age ranged 4 to 8 years) were included. Children having any musculoskeletal deformity of upper limb or fracture or who had undergone administration of botulinum toxin or soft tissue release surgery in last 6 months or who were unable to follow commands were excluded from this study. Included children were classified in gross motor function classification system (GMFCS) and manual ability classification system (MACS) level. The outcome measures used were quality of upper limb function, which was assessed using quality of upper extremity skills test, and self care was assessed using self care domain of functional skills with its caregiver assistance of pediatric evaluation of disability inventory (PEDI). The data were analyzed. Results: Spearman coefficient of correlation was calculated. The quality was found having moderate correlation with GMFCS (−0.459) and MACS (−0.589), while it strongly correlated with self care domain of functional skills (0.647) and caregiver assistance of PEDI (0.666). Conclusion: The quality of upper limb functions was affected in children with spastic diplegia. This was reflected on self care domain along with caregiver assistance of PEDI.


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