Memory for words and drawings in children with hemiplegic cerebral palsy

A list-learning paradigm was used to study learning and memory of verbal and figurative material in children with right versus left-sided hemiplegic cerebral palsy. Thirty-one children with right (n=18), or left (n=13) congenital hemiplegia were compared with normal controls (n=19). All children had normal intelligence (IQ>80), and were attending standard schools. The inclusion criteria for the two hemiplegic groups were; no epilepsy, no hearing or visual impairments, and a mild to moderate hemiparesis. The aim of this study was to explore material-specific (words and drawings) differences in the acquisition, recall and serial position effects in children with an early unilateral brain lesion. The left-hemisphere impaired (i.e. right hemiplegia) group showed impaired acquisition for drawings, as compared with the normal controls. There was also a material-specific difference in the serial position effect for all three groups. Learning of words followed the primacy principle, whereas the learning of drawings followed the recency principle. There were no group-differences in delayed-recall (i.e. long-term memory) for either words or drawings. The results are discussed in terms of acquisition and retention of verbal and figurative materials in relation to lesion side and size.     

The brain's hemispheres and controlled search of the lexicon: evidence from fixated words and pseudowords

Difference between the brain's hemispheres in efficiency of intentional search of the mental lexicon with phonological, orthographic, and semantic strategies was investigated. Letter strings for lexical decision were presented at fixation, with a lateralized distractor to the LVF or RVF. Word results revealed that both hemispheres were capable of using each of the three strategies, but the right hemisphere had better baseline processing of orthography and was better at processing semantics. Pseudoword results supported the right hemisphere advantage for orthography and showed a left hemisphere advantage for phonology and assessment of possible semantic relationships. Taken together, the data support the idea that the right hemisphere uses orthography to make efficient decisions about novelty of an item, while the left engages in grapheme-to-phoneme conversion to test hypotheses about unfamiliar items. The convergence of data with previous research reveals that the procedure, as well as analyses of pseudowords, inform laterality research.     

Social environment elicits lateralized navigational paths in two populations of typically developing children

The current study provides the first evidence of human lateralized navigation of a social space within a naturalistic environment. We employed a quantitative, observational approach and report on a detailed set of nearly 700 independent navigational routes from two separate child populations consisting of over 300 typically developing children, aged five to fourteen years. The navigational path was considered across the sagittal plane (left, right) around three distinct target types (peer, adult and object). Both child populations expressed a significant bias for choosing a rightward navigational path around a human target (e.g. peer, adult) and no lateral preference for navigation around fixed, inanimate objects. A rightward navigational path provides an advantage for the left visual field and the right hemisphere, facilitating both the production and perception of social-emotion stimuli. The findings are consistent with evidence from studies of non-human animal species demonstrating that the social environment elicits predictable lateralized behavior, and support an early evolutionary delineation of functional processing by the two hemispheres.     

Effects of whole body vibration on spasticity and lower extremity function in children with cerebral palsy

AimThe aim of this study was to evaluate the effect of whole body vibration (WBV) on lower extremity spasticity and ambulatory function in children with cerebral palsy (CP) with a complete crossover design.MethodSixteen participants aged 9.8(2.3) years received a 20-min WBV and a control condition in a counterbalanced order on two separate days. Change scores of each outcome variable were used to show the improvement.ResultsRepeated-measures analyses revealed significant differences in condition scores among variables including active range-of-motion (active ROM, increased), relaxation index (RI, increased), Modified Ashworth Scale (MAS, decreased), timed up-and-go (TUG, decreased), and Six Minute Walk Test (6MWT, increased). Significant differences were also found in time change scores for MAS and 6MWT. Correlation results revealed that TUG was significantly correlated with RI (r = −.512, p = .042), and 6MWT (r = −.700, p = .003).InterpretationThis study suggested that WBV intervention can control the spasticity, enhance ambulatory performance and increase active ROM. Along with previous results, data from this study revealed the potential use of WBV in clinical rehabilitation in children with CP. Future investigations should focus on finding the combination of treatment frequency and duration to achieve an ideal result.     

Transfer Variables in Tracking Skills

In the present work the effect of two task variables on transfer were studied: shape of the track-circular or triangular; and target speed-constant or variable. One or both of these variables was changed on transfer. Experimental conditions were (a) 10 preshift and 10 post-shift trials, and (b) 20 single-trial alternations of two tasks. 22 groups of 12 Ss each were tested. Condition (a) showed positive transfer with single variable change and zero or negative transfer with simultaneous change in two variables, and condition (b) annulled all transfer effects. Results are discussed in terms of commonality between tasks and receptor and perceptual anticipation.     

Lower Extremity Kinetics for Balance Control in Children With Cerebral Palsy

The authors examined and compared the effect of support-surface perturbations of various magnitudes on lower extremity kinetics of 7 children with cerebral palsy (CP) and 8 typically developing (TD) children. Results showed that the highest velocity tolerated without stepping was slower in children with CP than in either age-matched TD or younger TD children. Multimodal torque profiles were more frequent in children with CP than in TD controls. TD groups temporally and spatially organized torque activation, whereas children with CP activated all joints simultaneously and showed altered torque contribution patterns among joints. Those results suggest that impairments in reactive postural control in children with CP result not only from developmental delay but also from pathology. Evidence for pathology included increased numbers of torque bursts required to regain stability and less efficient temporal and spatial organization of torque activation patterns.     

Processing Demands During Movement

Subjects made a speeded stylus movement along a track to a stop and simultaneously performed a simple reaction-time task designed to assess the processing demands of the movement task. Movement task variables were: (a) number of alternative ending positions — either one or two — with the choice executed during movement, and (b) presentation time for the endpoint signals in the two-choice conditions, either prior to movement initiation (immediate) or during movement execution (delay). Processing demands were higher during all movement conditions than in a control condition that did not require movement. Processing demands during execution of the one-and two-choice movement with immediate signals did not differ. However, processing demands during the two-choice movements with delayed signals were higher than demands during the two-choice movement with immediate signals.     

Stress and Coping: A Comparison of Self-Report Measures of Functioning in Families of Young Children with Cerebral Palsy or No Medical Diagnosis

We analyzed data from 87 mothers of children ages 15 to 44 months with cerebral palsy (CP) or no diagnosis, who completed the Dyadic Adjustment Scale, Parenting Stress Index, Support Functions Scale, and Inventory of Social Support. Principal components analysis of the 15 subscales from the 5 measures revealed few cross-measure loadings. Mothers of children with CP (severe or mild) reported higher levels of parenting stress than did mothers of controls. However, cluster analysis of self-report measures yielded a 5-cluster solution, with no diagnostic group differences across clusters. That is, there were no overall differences in self-reported family functioning according to presence or severity of the child's disability. The results are discussed in terms of the organization of family systems and their relationship to child diagnosis. Clinical implications for assessing and working with families are noted.     

Learning Persistence Through Sports: Three Autoethnographic Sketches

In this paper, I use autoethnographic sketches (Rambo, 2007 Rambo, C. (2007). Sketching as autoethnographic practice. Symbolic Interaction, 30(4), 531–542. doi:10.1525/si.2007.30.4.531[Crossref], [Web of Science ®] , [Google Scholar]) to examine the way that sports have taught me the value of persistence. Specifically, I explore the way that (a) playing baseball as a young child, (b) serving as the team manager on the high school football team, and (c) working out as an adult have each equipped me to cope with the limitations associated with my physical disability, cerebral palsy, while also allowing me to articulate my relationship to my body on my own terms. I hope that this paper encourages readers to examine the practices that undergird their lives and to explore the origins of the values that motivate their everyday experiences.     

Effects of sensory manipulations on the dynamical structure of center-of-pressure trajectories of children with cerebral palsy during sitting

Aim: To investigate the effects of manipulating visual information and the compliance of the support surface on the area of sway and dynamical trajectories of center-of-pressure (CoP) in children with CP and children with typical development during static sitting. Methods: 32 typical children, 14 children with mild CP and 12 with moderate-to-severe CP were tested for CoP sway during static sitting under four sensory conditions: (1) eyes open on a rigid surface; (2) eyes closed on a rigid surface; (3) eyes open on foam; (4) eyes closed on foam. Results: Children with moderate-to-severe CP showed greater regularity and local stability of dynamical CoP trajectories and lower complexity in their motor patterns than typical children and children with mild CP. Moreover, removing vision and sitting on a compliant surface reduced the regularity of CoP trajectories. Conclusion: Children with CP were able to adjust the structure and complexity of their postural control responses to sensory challenges, although the structure of their postural responses was poorer than in typical children.