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The development of anticipatory action planning in children with unilateral cerebral palsy

Krajenbrink, Hilde
Crichton, Ali
Steenbergen, Bert
Hoare, Brian
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Abstract
Background: Previous studies suggest that compromised bimanual performance experienced by children with unilateral cerebral palsy (CP) is not only due to difficulties in action execution but may also be a result of impaired anticipatory action planning. Aims: The effect of age and side of hemiplegia were examined and the relationship between anticipatory action planning, unimanual capacity and bimanual performance was explored. Methods and procedures: Using a multi-centre, prospective, cross-sectional observational design, anticipatory action planning was analyzed in 104 children with unilateral cerebral palsy, aged 6–12 years, using the sword task. Outcomes and results: Anticipatory action planning did not improve with age in children with unilateral CP, aged between 6–12 years. No differences were found between children with left or right hemiplegia. Finally, anticipatory action planning was not related to unimanual capacity or bimanual performance. Conclusion and implications: This study demonstrates anticipatory action planning, measured using the sword task, does not improve with age in children with unilateral CP and is not related to bimanual performance or laterality. Future studies of anticipatory action planning in children with unilateral CP should consider using measures that require effective anticipatory action planning for successful task completion rather than end state comfort.
Keywords
cerebral palsy, upper limb, anticipatory action planning, motor planning, bimanual performance
Date
2019
Type
Journal article
Journal
Research in Developmental Disabilities
Book
Volume
85
Issue
Page Range
163-171
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ACU Department
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Open Access Status
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