alexa Hermansson LN, Skand#246;ld A, Eliasson AC (2013) Bimanual Hand-use in Children with Unilateral Hand Dysfunctionand#8211;Differences Related to Diagnosis Investigated by the Childrenand#8217;s Hand-use Experience Questionnaire | Abstract
ISSN: 2161-0665

Pediatrics & Therapeutics
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Research Article

Hermansson LN, Sköld A, Eliasson AC (2013) Bimanual Hand-use in Children with Unilateral Hand Dysfunction–Differences Related to Diagnosis Investigated by the Children’s Hand-use Experience Questionnaire

Liselotte Norling Hermansson1,2*, Annika Sköld3 and Ann-Christin Eliasson3

1Örebro University, School of Health and Medical Sciences, SE 701 82 Örebro, Sweden

2Department of Prosthetics and Orthotics, Örebro University Hospital, SE 701 85 Örebro, Sweden

3Karolinska Institutet, Department of Women’s and Children’s Health, Neuropediatric Unit Q2:07, Astrid Lindgrens Childrens Hospital, SE 171 76 Stockholm, Sweden

*Corresponding Author:
Liselotte Norling Hermansson
Department of Prosthetics and Orthotics
Örebro University Hospital
SE 701 85 Örebro, Sweden
Tel: +46 19 602 55 76
Fax: +46 19 12 20 10
E-mail: [email protected]

Received Date: August 08, 2013; Accepted Date: September 22, 2013; Published Date: September 26, 2013

Citation: Hermansson LN, Sköld A, Eliasson AC (2013) Bimanual Hand-use in Children with Unilateral Hand Dysfunction–Differences Related to Diagnosis Investigated by the Children’s Hand-use Experience Questionnaire. Pediat Therapeut 3:169. doi:10.4172/2161-0665.1000169

Copyright: © 2013 Hermansson LN, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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.  


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