Relationship between motor and cognitive function in hemiplegic cerebral palsy
DOI:
https://doi.org/10.33233/fb.v22i1.4387Keywords:
cerebral palsy, hemiplegia, motor performance, cognitive functionAbstract
Introduction: Children with hemiplegic cerebral palsy (HCP) exhibit functional difficulties in using the hemiparetic upper limb, negatively impacting their performance in carrying out activities of daily living. Currently, motor deficits in this population are accompanied by sensory disorders, learning difficulties, changes in behavior and communication and general cognitive deficits. Objective: To investigate the possible association between motor and cognitive deficits in children with PCH, also verifying the influence of laterality in hemiplegia. Methods: Thirty children with PCH participated in the study (mean age = 10.48 ± 2.46 years). Participants were subjected to the following tests: Assisting Hand Assessment (AHA), Raven's Colorful Progressive Matrices, the Wechsler Intelligence Scale for Children fourth Edition - WISC IV Subtest and the semantic verbal fluency of animals. Results: The groups were homogeneous in relation to sex and age (p > 0.05). The groups did not differ in relation to the level of motor performance, working memory, intelligence and verbal fluency (p> 0.05). Motor performance correlated with all cognitive variables. Conclusion: In children with PCH, motor performance correlated strongly with cognitive functions. In addition, the laterality of the brain injury did not influence performance in motor and cognitive tasks.
References
Korzeniewski SJ, Slaughter J, Lenski M, Haak P, Paneth N. The complex aetiology of cerebral palsy. Nature Reviews Neurology 2018;14(9):528-43. doi: 10.1038/s41582-018-0043-6
Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007;109(suppl 109):8-14. doi: 10.1111/j.1469-8749.2007.tb12610.x
Mancini MC, Fiúza PM, Rebelo JM, Magalhães LC, Coelho ZA, Paixão ML et al. Comparação do desempenho de atividades funcionais em crianças com desenvolvimento normal e crianças com paralisia cerebral. Arq Neuropsiquiatr 2002;60(2-B):446-52. doi: 10.1590/S0004-282X2002000300020
Rothstein JR, Beltrame TS. Características motoras e biopsicossociais de crianças com paralisia cerebral. Rev Bras Ciênc Mov 2013;21(3):118-26. doi: 10.18511/0103-1716/rbcm.v21n3p118-126
Morris C. Dfinition and classfication of cerebral palsy: A historical perspective. Dev Med Child Neurol Suppl 2007;49:3-7. doi: 10.1111/dmcn.2007.49.issue-s109
Bax M, Goldstein M, Rosenbaum P, Leviton A, Paneth N, Dan B, et al. Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child Neurol 2005;47:571–6. doi: 10.1017/S001216220500112X
Souto DO, Cruz TKF, Coutinho K, Julio-Costa A, Fontes PLB, Haase VG. Effect of motor imagery combined with physical practice on upper limb rehabilitation in children with hemiplegic cerebral palsy. Neuro Rehabil 2020:53-63. doi: 10.3233/ NRE-192931
Cockburn J, Haggard P, Cock J, Fordham C. Changing patterns of cognitive motor interference (CMI) over time during recovery from stroke. Clin Rehabil 2003;17(2):167-73. doi: 10.1191/0269215503cr597oa
Piek JP, Dawson L, Smith LM, Gasson N. The role of early fine and gross motor development on later motor and cognitive ability. Hum Mov Sci 2008;27(5):668-81. doi: 10.1016/j.humov.2007.11.002
Vuijk PJ, Hartman E, Scherder E, Visscher C. Motor performance of children with mild intellectual disability and borderline intellectual functioning. J Intellect Disabil Res 2010;54(11):955-65. doi: 10.1111/j.1365-2788.2010.01318.x
Ostensjo S, Carlberg EB, Vollestad NK. Motor impairments in young children with cerebral palsy: relationship to gross motor function and everyday activities. Dev Med Child Neurol 2004;46:580-9. doi: 10.1017/S0012162204000994
Snodgrass C, Knott F. Theory of mind in children with traumatic brain injury. Brain Injury 2006;20(8):825-33. doi: 10.1080/02699050600832585
Beckung E, Hagberg G, Uldall P, Cans C. Probability of walking in children with cerebral palsy in Europe. Pediatrics 2008;121(1):e187-92. doi: 10.1542/peds.2007-0068
Tabaquim MDLM, Lima MPD, Ciasca SM. Avaliação neuropsicológica de sujeitos com lesão cerebral: uma revisão bibliográfica. Revista Psicopedagogia 2013;30(92):149-56. doi: 10.1080/02699050600832585
Souto DO, Cruz TKF, Fontes PL, Haase VG. Motor imagery in children with unilateral cerebral palsy: a case–control study. Dev Med Child Neurol 2020;62:1396-1405. doi: 10.1111/dmcn.14672
Vilibor RHH, Vaz RH. Correlação entre a função motora e cognitiva de pacientes com paralisia cerebral. Rev Neurociênc 2010;18(3):380-5. doi: 10.34024/rnc.2010.v18.8462
Krumlinde-Sundholm L, Holmefur M, Kottorp A, Eliasson A. The assisting hand assessment: current evidence of validity, reliability, and responsiveness to change. Dev Med Child Neurol 2007;49:259-64. doi: 10.1111/j.1469-8749.2007.00259.x
Angelini AL, Alves ICB, Custódio EM, Duarte WF, Duarte JLM. Manual: matrizes coloridas de Raven: Escala especial. São Paulo: Centro Editor de Testes e Pesquisas em Psicologia; 1999.
Figueiredo VD. WISC-III: Escala de Inteligência Wechsler para Crianças. Manual Adaptação e Padronização Brasileira; 2002.
Santos FH. Desenvolvimento da memória operacional. In: Mello CB, Miranda MC, Muszkat M, eds. Neuropsicologia do desenvolvimento: conceitos e abordagens. Memnon: São Paulo; 2005. p.77-92.
Dias NM, Maioli MCP, Santos CC, Mecca TP. Funções executivas e modelos explicativos de padrões comportamentais em pré-escolares. Neuropsicologia Latinoamericana 2018;10(1). doi: 10.5579/rnl.2016.0377
Strauss SS. A compendium of neuropsychological tests: administration, norms, and commentary. 3 ed. New York: Oxford University Press; 2006.
Dalvand H, Dehghan L, Hadian MR, Feizy A, Hosseini AS. Relationship between gross motor and intellectual function in children with cerebral palsy: a cross-sectional study. Arch Phys Med Rehabil 2012;93(3):480-4. doi: 10.1016/j.apmr.2011.10.019
van der Fels IM, Wierike SC, Hartman E, Elferink-Gemser MT, Smith J, Visscher C. The relationship between motor skills and cognitive skills in 4-16 years old typically developing children: A systematic review. J Sci Med Sport 2015;18(6):697-703. doi: 10.1016/j.jsams.2014.09.007
Sigurdardottir S, Vik T. Speech, expressive language, and verbal cognition of preschool children with cerebral palsy in Iceland. Dev Med Child Neurol 2011;53(1):74-80. doi: 10.1111/j.1469-8749.2010.03790.x
Carlsson G, Uvebrant P, Hugdahl K, Arvidsson J, Wiklund LM, von Wendt L. Verbal and non-verbal function of children with right- versus left-hemiplegic cerebral palsy of pre- and perinatal origin. Dev Med Child Neurol 1994;36(6):503-12. doi: 10.1111/j.1469-8749.1994.tb11880.x
Anguera JA, Reuter-Lorenz PA, Willingham DT, Seidler RD. Contributions of spatial working memory to visuomotor learning. J Cogn Neurosci 2010;22(9):1917-30. doi: 10.1162/jocn.2009.21351
Staudt M. Reorganization after pre- and perinatal brain lesions. J Anat 2010;217:469-70. doi: 10.1111/j.1469-7580.2010.01262.x
Eyre JA, Smith M, Dabydeen L, Clowry GJ, Petacchi E, Battini R et al. Is hemiplegic cerebral palsy equivalent to amblyopia of the corticospinal system? Ann Neurol 2007:62:493-503. doi: 10.1002/ana.21108
Published
Issue
Section
License
Copyright (c) 2021 Cláudio Henrique Vieira Gusmão, Esther Gonçalves Soares, Larissa Stephanie Maria Moreira, Bruno Fernandes Batista, Deisiane Oliveira Souto
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
