Developmental medicine and child neurology · 2026
Upper-limb movement in infants at risk for unilateral spastic cerebral palsy: A scoping review.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Verhage Cornelia H, Kooij Martijn, De Vries Linda S, Gorter Jan Willem, Van Der Aa Niek E, Van Brussel Marco
Аннотация
AIM: To identify and map current knowledge regarding early upper-limb movement in infants from birth to 12 months, which are indicative for development of unilateral spastic cerebral palsy (USCP).
METHOD: A scoping review was conducted involving a comprehensive and systematic literature search in PubMed/MEDLINE, Embase, and CINAHL. Articles were screened according to title and abstract and relevant data were extracted. Studies were eligible if they included infants aged 0 to 12 months at risk of developing USCP and reported early upper-limb movement characteristics indicative of USCP.
RESULTS: Twelve of 5482 studies were included. Three categories of assessments were recognized: (1) spontaneous upper-limb movements; (2) pre-reaching; and (3) upper-limb skills. Across these categories, asymmetry was observed, namely in spontaneous wrist and digit movements, pre-reaching trajectories, and reduced use of the contralesional hand in infants who developed USCP. From 15 weeks of age onwards, asymmetry was more evident not only in upper-limb movement patterns but also in object-related upper-limb skills.
INTERPRETATION: Clinical signs of USCP in upper-limb movements are noticeable from the age of 12 weeks. Preceding signs may be subtle. Three-dimensional motion analysis and wearable sensors may enhance early detection, enabling timely diagnosis and intervention.
METHOD: A scoping review was conducted involving a comprehensive and systematic literature search in PubMed/MEDLINE, Embase, and CINAHL. Articles were screened according to title and abstract and relevant data were extracted. Studies were eligible if they included infants aged 0 to 12 months at risk of developing USCP and reported early upper-limb movement characteristics indicative of USCP.
RESULTS: Twelve of 5482 studies were included. Three categories of assessments were recognized: (1) spontaneous upper-limb movements; (2) pre-reaching; and (3) upper-limb skills. Across these categories, asymmetry was observed, namely in spontaneous wrist and digit movements, pre-reaching trajectories, and reduced use of the contralesional hand in infants who developed USCP. From 15 weeks of age onwards, asymmetry was more evident not only in upper-limb movement patterns but also in object-related upper-limb skills.
INTERPRETATION: Clinical signs of USCP in upper-limb movements are noticeable from the age of 12 weeks. Preceding signs may be subtle. Three-dimensional motion analysis and wearable sensors may enhance early detection, enabling timely diagnosis and intervention.