TY - JOUR
T1 - Development of hand function during the first year of life in children with unilateral cerebral palsy
AU - Sakzewski, Leanne
AU - Sicola, Elisa
AU - Verhage, Cornelia H.
AU - Sgandurra, Giuseppina
AU - Eliasson, Ann Christin
N1 - Funding Information:
We thank Cathy Morgan for sharing some of her data with us. Likewise, we thank Lena Sjo€strand who collected and analysed most of the data from Sweden; she had regular contact with families in Sweden. We acknowledge Mark Chatfield for his statistical advice. LS was supported by a National Health and Medical Research Council of Australia Early Career Research Fellowship (1090828) and Foundation Frimurarna Barnhuset.
Funding Information:
We thank Cathy Morgan for sharing some of her data with us. Likewise, we thank Lena Sj?strand who collected and analysed most of the data from Sweden; she had regular contact with families in Sweden. We acknowledge Mark Chatfield for his statistical advice. LS was supported by a National Health and Medical Research Council of Australia Early Career Research Fellowship (1090828) and Foundation Frimurarna Barnhuset. ACE was supported by the Swedish Research Council (grant numbers 521-211-2655 and 521-2011-456), Stockholm City Council (2011-2117), Foundation Olle Engkvist Byggm?stare, and Foundation Frimurarna Barnhuset. The authors have stated that they had no interest that could be perceived as posing a conflict or bias.
Publisher Copyright:
© 2018 Mac Keith Press
PY - 2019/5
Y1 - 2019/5
N2 - Aim: To identify developmental trajectories of hand function in infants aged 3 months to 12 months with unilateral cerebral palsy (CP). Method: Infants at high risk of unilateral CP were recruited from 3 months of age from follow-up programmes and clinics in Sweden, the Netherlands, Italy, and Australia. Measurements on the Hand Assessment for Infants (HAI) were completed until 12 months of age. Group-based trajectory modelling was used to identify subgroups of infants with similar trajectories of development. Multinomial logistic regression determined associations between demographic variables and trajectory membership. Results: Ninety-seven infants (52 males, 45 females; median gestational age 38wks [interquartile range 30–40wks]) were included. Infants were assessed between two and seven times (mean 4, SD 1.2) with a total of 387 observations. A three-group trajectory model identified a ‘low-functioning group’ (n=45: 46%), ‘moderate-functioning group’ (n=30: 31%), and ‘high-functioning group’ (n=22: 23%). Mean posterior probabilities (0.91–0.96) and odds of correct classification (26.3–33.2) indicated good model fit. Type of brain lesion, sex, side of hemiplegia, country, gestational age, and access to intensive intervention were not associated with group membership. Interpretation: Three trajectories of hand function development for infants with unilateral CP were identified and indicate some greater distinctions between groups with increasing age. The HAI is a valuable measure, capturing development of hand function of infants with unilateral CP over time. What this paper adds: Three distinct developmental trajectories of hand function in infants with unilateral cerebral palsy were identified. A low-functioning group made little progress in development of hand function in the first year of life. The degree of impairment on the impaired hand at 6 months of age is highly associated with trajectory membership. Infants with all types of brain lesion were represented across each trajectory group.
AB - Aim: To identify developmental trajectories of hand function in infants aged 3 months to 12 months with unilateral cerebral palsy (CP). Method: Infants at high risk of unilateral CP were recruited from 3 months of age from follow-up programmes and clinics in Sweden, the Netherlands, Italy, and Australia. Measurements on the Hand Assessment for Infants (HAI) were completed until 12 months of age. Group-based trajectory modelling was used to identify subgroups of infants with similar trajectories of development. Multinomial logistic regression determined associations between demographic variables and trajectory membership. Results: Ninety-seven infants (52 males, 45 females; median gestational age 38wks [interquartile range 30–40wks]) were included. Infants were assessed between two and seven times (mean 4, SD 1.2) with a total of 387 observations. A three-group trajectory model identified a ‘low-functioning group’ (n=45: 46%), ‘moderate-functioning group’ (n=30: 31%), and ‘high-functioning group’ (n=22: 23%). Mean posterior probabilities (0.91–0.96) and odds of correct classification (26.3–33.2) indicated good model fit. Type of brain lesion, sex, side of hemiplegia, country, gestational age, and access to intensive intervention were not associated with group membership. Interpretation: Three trajectories of hand function development for infants with unilateral CP were identified and indicate some greater distinctions between groups with increasing age. The HAI is a valuable measure, capturing development of hand function of infants with unilateral CP over time. What this paper adds: Three distinct developmental trajectories of hand function in infants with unilateral cerebral palsy were identified. A low-functioning group made little progress in development of hand function in the first year of life. The degree of impairment on the impaired hand at 6 months of age is highly associated with trajectory membership. Infants with all types of brain lesion were represented across each trajectory group.
UR - https://www.scopus.com/pages/publications/85056175878
U2 - 10.1111/dmcn.14091
DO - 10.1111/dmcn.14091
M3 - Article
C2 - 30411327
AN - SCOPUS:85056175878
SN - 0012-1622
VL - 61
SP - 563
EP - 569
JO - Developmental Medicine and Child Neurology
JF - Developmental Medicine and Child Neurology
IS - 5
ER -