Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - review

Background: Patients with congenital and acquired hemiparesis incur long-term functional deficits, among which the loss of prehension that may impact their functional independence. Identifying, understanding and comparing the underlying mechanisms of prehension impairments represent an opportunity t...

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Main Authors: Yannick eBleyenheuft, Andrew M. Gordon
Format: Article
Language:English
Published: Frontiers Media S.A. 2014-06-01
Series:Frontiers in Human Neuroscience
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00459/full
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author Yannick eBleyenheuft
Andrew M. Gordon
author_facet Yannick eBleyenheuft
Andrew M. Gordon
author_sort Yannick eBleyenheuft
collection DOAJ
description Background: Patients with congenital and acquired hemiparesis incur long-term functional deficits, among which the loss of prehension that may impact their functional independence. Identifying, understanding and comparing the underlying mechanisms of prehension impairments represent an opportunity to better adapt neurorehabilitationObjective: The present review aims to provide a better understanding of precision grip deficits in congenital and acquired hemiparesis and to determine whether the severity and type of fine motor control impairments depend on whether or not the lesions are congenital or acquired in adulthood. Methods: Using combinations of the following key words: fingertip force, grip force, precision grip, cerebral palsy, stroke, pubmed and Scopus databases were used to search studies from 1984 to 2013. Results: Individuals with both congenital and acquired hemiparesis were able to some extent to use anticipatory motor control in precision grip tasks, even if this control was impaired in the paretic hand. In both congenital or acquired hemiparesis, the ability to plan efficient anticipatory motor control when the less-affected hand is used provides a possibility to remediate impairments in anticipatory motor control of the paretic hand. Conclusion: Surprisingly we observed very few differences between the results of studies in children with congenital hemiplegia and stroke patients. We suggest that the underlying specific strategies of neurorehabilitation developed for each one could benefit the other.
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spelling doaj.art-0a9b7763b44a4019aaabd83716378cf62022-12-21T18:28:30ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612014-06-01810.3389/fnhum.2014.0045988331Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - reviewYannick eBleyenheuft0Andrew M. Gordon1Université catholique de LouvainColumbia UniversityBackground: Patients with congenital and acquired hemiparesis incur long-term functional deficits, among which the loss of prehension that may impact their functional independence. Identifying, understanding and comparing the underlying mechanisms of prehension impairments represent an opportunity to better adapt neurorehabilitationObjective: The present review aims to provide a better understanding of precision grip deficits in congenital and acquired hemiparesis and to determine whether the severity and type of fine motor control impairments depend on whether or not the lesions are congenital or acquired in adulthood. Methods: Using combinations of the following key words: fingertip force, grip force, precision grip, cerebral palsy, stroke, pubmed and Scopus databases were used to search studies from 1984 to 2013. Results: Individuals with both congenital and acquired hemiparesis were able to some extent to use anticipatory motor control in precision grip tasks, even if this control was impaired in the paretic hand. In both congenital or acquired hemiparesis, the ability to plan efficient anticipatory motor control when the less-affected hand is used provides a possibility to remediate impairments in anticipatory motor control of the paretic hand. Conclusion: Surprisingly we observed very few differences between the results of studies in children with congenital hemiplegia and stroke patients. We suggest that the underlying specific strategies of neurorehabilitation developed for each one could benefit the other.http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00459/fullCerebral PalsyStrokegrip forcePrecision Gripfingertip force
spellingShingle Yannick eBleyenheuft
Andrew M. Gordon
Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - review
Frontiers in Human Neuroscience
Cerebral Palsy
Stroke
grip force
Precision Grip
fingertip force
title Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - review
title_full Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - review
title_fullStr Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - review
title_full_unstemmed Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - review
title_short Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation - review
title_sort precision grip in congenital and acquired hemiparesis similarities in impairments and implications for neurorehabilitation review
topic Cerebral Palsy
Stroke
grip force
Precision Grip
fingertip force
url http://journal.frontiersin.org/Journal/10.3389/fnhum.2014.00459/full
work_keys_str_mv AT yannickebleyenheuft precisiongripincongenitalandacquiredhemiparesissimilaritiesinimpairmentsandimplicationsforneurorehabilitationreview
AT andrewmgordon precisiongripincongenitalandacquiredhemiparesissimilaritiesinimpairmentsandimplicationsforneurorehabilitationreview