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Motor and sensory impairments in children with intractable epilepsy.

Artikel i vetenskaplig tidskrift
Författare Eva Beckung
Paul Uvebrant
Publicerad i Epilepsia
Volym 34
Nummer/häfte 5
Sidor 924-9
ISSN 0013-9580
Publiceringsår 1993
Publicerad vid Institutionen för kvinnors och barns hälsa
Institutionen för kvinnors och barns hälsa, Avdelningen för pediatrik
Sidor 924-9
Språk en
Länkar www.ncbi.nlm.nih.gov/entrez/query.f...
Ämnesord Adolescent, Adult, Cerebral Palsy, complications, diagnosis, Child, Child, Preschool, Disabled Persons, classification, Epilepsy, complications, diagnosis, Female, Humans, Infant, Male, Mental Retardation, complications, diagnosis, Movement Disorders, complications, diagnosis, Musculoskeletal Equilibrium, Neurologic Examination, Psychomotor Performance, Sensation Disorders, complications, diagnosis, Videotape Recording
Ämneskategorier Barn

Sammanfattning

During a 3-year period (1988-1991), 72 children with severe intractable epilepsy were studied. A standardized protocol for assessment of motor and sensory function was designed for school age children. Function was quantified on a 4-point scale on 47 items, including gross motor function, balance, coordination, strength, range of motion (ROM), velocity, fine motor function, sensation, perception, and neurologic tests. Classification of handicaps according to World Health Organization (WHO) definitions was performed. Videotape documentation completed the assessment. Evaluation of treatment services showed that provision of rehabilitation services had been insufficient and provided only for children with additional major movement disorders, mainly cerebral palsy (CP) cases. To minimize the handicap in children with severe epilepsy, it is essential to clarify the total sensorimotor impairment pattern, including balance, coordination, and perceptual capacity. Impairments in these functions are, as shown in this study, frequent and exist independent of major disabilities such as mental retardation or cerebral palsy. When several neuroimpairments were identified, a multiplicative rather than an additive effect on the total handicap was evident.

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