Upper limb motion analysis in children with hemiplegic cerebral palsy: Proximal kinematic changes after distal botulinum toxin or surgical treatments

Abstract

Dynamic shoulder or elbow limitations in children with mild hemiplegia involvement could be related to a compensatory movement strategy and/or co-contractions. As these proximal kinematics anomalies are improved after treatments performed at the forearm, wrist and thumb, they should not be treated first but should be reconsidered after the treatment of more distal problems.