Daily‐life executive functions and bimanual performance in children with unilateral cerebral palsy

• DOI: 10.1111/dmcn.16297
• Publication Date: 2025-03-31T05:32:55Z
• Authors: Alexandra Kalkantzi; Lize Kleeren; Dieter Baeyens; Lisa Decraene; Monica Crotti; Katrijn Klingels; Anja Van Campenhout; Geert Verheyden; Els Ortibus; Hilde Feys; Lisa Mailleux
• Keywords: Executive dysfunction

Abstract Aim To explore daily‐life reported executive functions and their relation with bimanual performance in children unilateral cerebral palsy (CP). Method In this cross‐sectional study of 46 CP (mean age 11 years 10 months, standard deviation 2 months), were evaluated using the Behavior Rating Inventory Executive Function (BRIEF) Assisting Hand Assessment (AHA) Children's Hand‐use Experience Questionnaire (CHEQ). One‐sample z‐tests used to compare participants' population norms, while taking autism spectrum disorder (ASD, n = 16) as a comorbidity into account. Moreover, we regression analysis estimate effect manual ability (Manual Ability Classification System levels: I 25, II 15, III 6) having comorbid diagnosis ASD on ( p < 0.05, R ). Lastly, non‐parametric correlations r s , 0.05) calculated between BRIEF, CHEQ, AHA. Results general, poorer compared normative mean ≤ 0.024). However, when excluding participants ASD, no difference was found. A significant found for Inhibition 0.042), effects most BRIEF subscales 0.001). Multiple CHEQ −0.50 −0.29), only subscale significantly correlated AHA −0.35). Interpretation higher number exhibit difficulties functions, which appear be mainly co‐occurring ASD. Manual factor inhibition‐related behavioural challenges. Furthermore, there seems impaired decreased performance. The findings emphasize importance further research, including performance‐based assessments CP.