Participation after childhood stroke: Is there a relationship with lesion size, motor function and manual ability?

Simon-Martinez, Cristina; Kamal, Sandeep; Frickmann, Fabienne; Steiner, Leonie; Slavova, Nedelina; Everts, Regula; Steinlin, Maja; Grunt, Sebastian (2021). Participation after childhood stroke: Is there a relationship with lesion size, motor function and manual ability? European journal of paediatric neurology, 35, pp. 16-26. Elsevier 10.1016/j.ejpn.2021.09.010

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BACKGROUND

Childhood arterial ischemic stroke (AIS) is associated with significant morbidity with up to 50% of affected children developing hemiparesis. Hemiparesis is assumed to influence participation within the peer group, but it is unclear to what extent its severity affects participation in different areas of social life.

METHODS

Thirteen children (mean age 9y6m) with AIS (6 without hemiparesis, 7 with hemiparesis) and 21 controls (mean age 9y8m) participated. We scored hemiparesis severity with hand strength asymmetry (pinch and grip strength), measured with a dynamometer. We assessed manual ability (ABILHAND-Kids), socioeconomic status (Family Affluence Scale) and participation (Participation and Environment Measure - Children and Youth). From structural MRI, we measured lesion size. We investigated differences in participation and its relationship with hemiparesis severity using non-parametric partial correlations (controlling for lesion size, manual ability, and socioeconomic status), interpreted as absent (r < 0.25), weak (r = 0.25-0.50), moderate (r = 0.50-0.75) or strong (r > 0.75). Analyses were performed in jamovi 1.6.3.

RESULTS

Children with AIS (with or without hemiparesis) showed reduced participation frequency at school (p < 0.001), whilst participation at home and in the community resembled that of their peers. Severity of hemiparesis was moderately related to frequency and involvement at home and to involvement and desire for change in the community, although unrelated to school participation.

CONCLUSION

Reduced participation in school life requires close attention in the follow-up of children with AIS - regardless of the severity of hemiparesis. Participation at home and in the community is related to hemiparesis severity and may be improved with participation-focused motor intervention strategies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic, Interventional and Paediatric Radiology
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Neuropaediatrics
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

Graduate School:

Graduate School for Health Sciences (GHS)

UniBE Contributor:

Simon-Martinez, Cristina; Kamal, Sandeep; Frickmann, Fabienne Conny Sara; Steiner, Leonie Serena; Slavova, Nedelina Bozhidarova; Everts, Regula; Steinlin, Maja and Grunt, Sebastian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1090-3798

Publisher:

Elsevier

Language:

English

Submitter:

Maria de Fatima Henriques Bernardo

Date Deposited:

19 Nov 2021 14:13

Last Modified:

15 Dec 2021 00:13

Publisher DOI:

10.1016/j.ejpn.2021.09.010

PubMed ID:

34592642

Uncontrolled Keywords:

Disability and health Hand strength International classification of functioning Ischemic stroke Patient participation Socioeconomic factors Upper extremity

BORIS DOI:

10.48350/160722

URI:

https://boris.unibe.ch/id/eprint/160722

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