Hand positioning sense in children with spina bifida myelomeningocele

Hwang, R., Kentish, M. and Burns, Y. (2002) Hand positioning sense in children with spina bifida myelomeningocele. Australian Journal of Physiotherapy, 48 1: 17-22.

Author Hwang, R.
Kentish, M.
Burns, Y.
Title Hand positioning sense in children with spina bifida myelomeningocele
Journal name Australian Journal of Physiotherapy   Check publisher's open access policy
ISSN 0004-9514
Publication date 2002
Sub-type Article (original research)
Volume 48
Issue 1
Start page 17
End page 22
Total pages 6
Editor Wendy Cross
Place of publication Australia
Publisher Australian Physiotherapy Association
Collection year 2002
Language eng
Subject C1
321029 Surgery
730303 Occupational, speech and physiotherapy
1103 Clinical Sciences
Abstract This study was undertaken to establish whether children with myelomeningocele have abnormal kinaesthesia of the hands. Twenty-one children with myelomeningocele and 21 control children, aged between six and 12 years, were involved in the study. The level of kinaesthetic awareness in the hands was measured by examining the child's ability to copy hand positions, using visual cueing and kinaesthetic cueing. Both accuracy and speed of copying hand gestures were assessed. Children with spina bifida were significantly less accurate in achieving hand positions than the control group (chi((1))(2) 22.60, p < 0.001), with 73% of the children with spina bifida achieving accurate replications compared with 87% in the control group. Furthermore, children with myelomeningocele were shown to be slower than the controls (F-(1,F-2810) = 15.49, p < 0.001). The impaired kinaesthetic awareness found in this study is considered to be one of the factors behind the poor hand function observed in children with myelomeningocele.
Keyword Rehabilitation
Sport Sciences
Arnold-chiari Malformation
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
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Created: Tue, 14 Aug 2007, 17:37:08 EST