Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy

Objective. The aim of this study was to determine the correlation between manual dexterity evaluated with the Box and Block Test (BBT) and the performance of daily activities in children with bilateral cerebral palsy (CP). Methods. The BBT was applied to 162 children with cerebral palsy of bilateral...

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Main Authors: Vanessa Zapata-Figueroa, Fernando Ortiz-Corredor
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Occupational Therapy International
Online Access:http://dx.doi.org/10.1155/2022/9980523
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author Vanessa Zapata-Figueroa
Fernando Ortiz-Corredor
author_facet Vanessa Zapata-Figueroa
Fernando Ortiz-Corredor
author_sort Vanessa Zapata-Figueroa
collection DOAJ
description Objective. The aim of this study was to determine the correlation between manual dexterity evaluated with the Box and Block Test (BBT) and the performance of daily activities in children with bilateral cerebral palsy (CP). Methods. The BBT was applied to 162 children with cerebral palsy of bilateral distribution aged 6 to 13 years. The level of performance was evaluated according to the Manual Ability Classification System (MACS), Gross Motor Function Classification System (GMFCS), and Pediatric Evaluation of Disability Inventory (PEDI) in the domains of self-care, mobility, and social function. Correlations between the findings of the BBT and the PEDI were determined, and additionally, some specific toileting tasks of the PEDI were evaluated. Results. The results of the BBT were lower in the lowest functional levels of the MACS (p≤0.001). The BBT showed a strong correlation with the domains’ self-care (r=0.8), mobility (r=0.7), and social function (r=0.6) of the PEDI. The BBT was different between children who were able and children who were not able to perform the toileting tasks that were evaluated. A lower capacity in the BBT obtained in children with functional status GMFCS III, IV, and V was associated with poor performance in toileting tasks evaluated in the PEDI. Conclusion. The results of the BBT are correlated with the activities of daily living of children with bilateral CP. The data obtained from this test is used to predict the performance of daily activities of these patients in settings such as school and home and helps to identify contextual factors that influence the level of independence in children with bilateral CP.
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spelling doaj-art-6b8af4fd786b4cb090e41c9fe08963382025-02-03T01:20:11ZengWileyOccupational Therapy International1557-07032022-01-01202210.1155/2022/9980523Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral PalsyVanessa Zapata-Figueroa0Fernando Ortiz-Corredor1Department of Physical Medicine and RehabilitationCentro de Investigación en Fisiatría y Electrodiagnóstico (CIFEL)Objective. The aim of this study was to determine the correlation between manual dexterity evaluated with the Box and Block Test (BBT) and the performance of daily activities in children with bilateral cerebral palsy (CP). Methods. The BBT was applied to 162 children with cerebral palsy of bilateral distribution aged 6 to 13 years. The level of performance was evaluated according to the Manual Ability Classification System (MACS), Gross Motor Function Classification System (GMFCS), and Pediatric Evaluation of Disability Inventory (PEDI) in the domains of self-care, mobility, and social function. Correlations between the findings of the BBT and the PEDI were determined, and additionally, some specific toileting tasks of the PEDI were evaluated. Results. The results of the BBT were lower in the lowest functional levels of the MACS (p≤0.001). The BBT showed a strong correlation with the domains’ self-care (r=0.8), mobility (r=0.7), and social function (r=0.6) of the PEDI. The BBT was different between children who were able and children who were not able to perform the toileting tasks that were evaluated. A lower capacity in the BBT obtained in children with functional status GMFCS III, IV, and V was associated with poor performance in toileting tasks evaluated in the PEDI. Conclusion. The results of the BBT are correlated with the activities of daily living of children with bilateral CP. The data obtained from this test is used to predict the performance of daily activities of these patients in settings such as school and home and helps to identify contextual factors that influence the level of independence in children with bilateral CP.http://dx.doi.org/10.1155/2022/9980523
spellingShingle Vanessa Zapata-Figueroa
Fernando Ortiz-Corredor
Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy
Occupational Therapy International
title Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy
title_full Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy
title_fullStr Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy
title_full_unstemmed Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy
title_short Assessment of Manual Abilities Using the Box and Block Test in Children with Bilateral Cerebral Palsy
title_sort assessment of manual abilities using the box and block test in children with bilateral cerebral palsy
url http://dx.doi.org/10.1155/2022/9980523
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AT fernandoortizcorredor assessmentofmanualabilitiesusingtheboxandblocktestinchildrenwithbilateralcerebralpalsy