Validity of Manipulation Taxonomy of Spastic Hemiplegic Cerebral Palsy (CP) Forms

Study Overview
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Brief Summary
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In recent years Ferrari et al. proposed a new classification of manipulation in children with spastic hemiplegia which describes five different classes by analyzing and integrating the kinematic patterns of the hand and its functional use. The investigators believe that this classification provides the clinician with clinically meaningful information, by identifying the useful strategies spontaneously adopted by the children during manipulation tasks. The aim of this study is to determine the criterion validity of the new classification of the pattern of manipulation in children with spastic hemiplegia by correlating hand manipulation classes with both the scores of the Assisting Hand Assessment and the scores of the Melbourne Assessment of Unilateral Upper Limb Function.

Official Title
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Validity of Manipulation Taxonomy of Spastic Hemiplegic Cerebral Palsy Forms Proposed by Ferrari A et.al.

Conditions
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Hemiplegia, Cerebral Palsy

Intervention / Treatment
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* Other: classification of hand manipulation function


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: clinical and instrumental (TC or RMN) diagnosis of child hemiplegia age > 5 years Exclusion criteria: acquired hemiplegia at the age > 3 years anti-spastic drug inoculations or functional surgery on the plegic UE 6 months prior to the video recordings severe mental retardation attested by the Diagnostic and Statistical Manual of mental disorders IV pharmaco-resistant epilepsy behavioural disorders

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| children with hemiplegia<br>To determine the criterion validity of the classification of the pattern of manipulation proposed by Ferrari et al. we correlated hand manipulation classes with both the scores of the two standard criteria chosen (AHA and Melbourne Assessment). | Other: classification of hand manipulation function<br>* To determine the criterion validity of the classification of the pattern of manipulation proposed by Ferrari et al. we correlated hand manipulation classes with both the scores of the two standard criteria chosen (AHA and Melbourne Assessment).<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assisting Hand Assessment (AHA) | correlation between the new classification of hand manipulation function and the AHA which measures the bi-manual performance, i.e. what the child usually does with the plegic hand | the 2 assessment has to be registered within 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Melbourne Assessment of Unilateral Upper Limb Function (Melbourne Assessment) | correlation between the new classification of hand manipulation function and the Melbourne Assessment which measures the bi-manual performance, i.e. what the child usually does with the plegic hand | the 2 assessment has to be registered within 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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cerebral palsy, hemiplegia, upper limb, assessment, classification system