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Tactile sensory abilities in cerebral palsy: deficits in roughness and object discrimination
- Source :
- Developmental Medicine & Child Neurology. 50:832-838
- Publication Year :
- 2008
- Publisher :
- Wiley, 2008.
-
Abstract
- Motor deficits in cerebral palsy (CP) have been well documented; however, associated sensory impairment in CP remains poorly understood. We examined tactile object recognition in the hands using geometric shapes, common objects, and capital letters. Discrimination of tactile roughness was tested using paired horizontal gratings of varied groove widths passively translated across the index finger. We tested 17 individuals with hemiplegia (mean 13y 9mo [SD 5y 2mo]; 6 males, 11 females), 21 with diplegia (mean 14y 10mo [SD 7y]; 10 males, 11 females), and 21 without disabilities (mean 14y 10mo [SD 5y 1mo]; 11 males, 10 females). All participants with CP fell within level I or II of the Gross Motor Function Classification System and level I or II of the Manual Abilities Classification System. Individuals with CP were significantly less accurate compared with those without disabilities on all tactile object-recognition tasks using their non-dominant hand. Both groups of patients also had significantly higher thresholds for groove-width differences with both hands compared with those without disabilities. Within the group with diplegia, only roughness discrimination differed between hands, whereas within the group with hemiplegia, significant between-limb differences were present for all tasks. Despite mild motor deficits compared with the entire population of individuals with CP, this sample demonstrated ubiquitous tactile deficits.
- Subjects :
- Male
medicine.medical_specialty
Adolescent
Hemiplegia
Sensory system
Audiology
Article
Developmental psychology
Cerebral palsy
Judgment
Discrimination, Psychological
Developmental Neuroscience
Sensory impairment
medicine
Humans
Entire population
Cerebral Palsy
Diplegia
Gross Motor Function Classification System
Index finger
medicine.disease
medicine.anatomical_structure
Touch
Pediatrics, Perinatology and Child Health
Female
Neurology (clinical)
Psychology
Subjects
Details
- ISSN :
- 14698749 and 00121622
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Developmental Medicine & Child Neurology
- Accession number :
- edsair.doi.dedup.....e1003a135c2e68650a044f1473fe3b5f