Abstract
Introduction: Everyday activities assume the use of two hands; hence, unilateral hand dysfunction is commonly targeted for interventions. Purpose: To explore how the use of the affected hand is experienced in bimanual activities, and the influence of diagnosis on use and experience. Methods: The Children’s Hand-use Experience Questionnaire (CHEQ) was completed for 110 individuals aged 6–18 years diagnosed with unilateral cerebral palsy (CP), obstetric brachial plexus palsy (OBPP), or upper limb reduction deficiency (ULRD) in a cross-sectional study. Results: The children experienced problems when performing the activities, with mean CHEQ experience scores (0–100) of: Time taken 66.9, Grasp efficacy 68.7, and Feeling bothered 68.7. Participants with unilateral CP had significantly lower scores on all scales. The ULRD group performed most activities and used both hands more than the unilateral CP or OBPP groups. Conclusion: Unilateral dysfunction has differential impact on use and experience of the hand depending on diagnosis.
Highlights
Everyday activities assume the use of two hands; unilateral hand dysfunction is commonly targeted for interventions.Purpose: To explore how the use of the affected hand is experienced in bimanual activities, and the influence of diagnosis on use and experience
A newly developed test, the Children’s Hand-use Experience Questionnaire (CHEQ) [4], is an instrument that covers these aspects of hand function
For the variable Holding objects, the participants used the affected hand for holding objects in 54% (SD 39) of the activities, and performed the remaining 46% of the activities with the affected hand used only as a support (Table 2)
Summary
Everyday activities assume the use of two hands; unilateral hand dysfunction is commonly targeted for interventions.Purpose: To explore how the use of the affected hand is experienced in bimanual activities, and the influence of diagnosis on use and experience. For children and adolescents with reduced function in one hand, the performance of such activities can be difficult [1,2,3]. If the treatment should have an impact on the child’s daily life it is probably important to recognize the child’s experience of using the affected hand whilst performing different activities that require the use of two hands. According to the International Classification of Functioning, Disability and Health [5], the CHEQ covers the level of activity and participation. This is the level of hand function that this study attempted to compare
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