title: Activities of daily living in children with hemiparesis: influence of cognitive abilities and motor competence.
abstract: OBJECTIVE
  The aim of the article is to investigate whether motor competence and cognitive abilities influence the quality of performance of activities of daily living (ADL) in children with hemiparesis. Patients and
  
  
  METHODS
  A total of 20 children with hemiparesis (age, 6-12 years; 11 congenital, 9 acquired during childhood) were studied. Motor competence was assessed with the Assisting Hand Assessment, cognitive abilities with the German version of the Wechsler Intelligence Scale for Children IV, and the quality of ADL performance with the Assessment of Motor and Process Skills (AMPS).
  
  
  RESULTS
  The motor skills scale of the AMPS correlated with motor competence, and the process skills scale of the AMPS correlated with cognitive abilities.
  
  
  CONCLUSIONS
  The quality of ADL performance is influenced not only by motor competence but also by the cognitive abilities of a hemiparetic child. This suggests that, in addition to motor-oriented training programs, an optimal therapy for hemiparetic children should also consider cognitive approaches.
authors.affiliation: Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany.
authors.forename: Caroline
authors.initials: C
authors.lastname: Adler
authors.affiliation: Department of Neuropediatrics, St. Vinzenz Krankenhaus, Zams, Austria.
authors.forename: Markus
authors.initials: M
authors.lastname: Rauchenzauner
authors.affiliation: Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany.
authors.forename: Martin
authors.initials: M
authors.lastname: Staudt
authors.affiliation: Clinic for Neuropediatrics and Neurorehabilitation, Epilepsy Center for Children and Adolescents, Schön Klinik Vogtareuth, Germany.
authors.forename: Steffen
authors.initials: S
authors.lastname: Berweck
mesh_terms: D000203:Activities of Daily Living; D002547:Cerebral Palsy / Q000150:complications / Q000503:physiopathology* / Q000523:psychology*; D002648:Child; D003071:Cognition; D005260:Female; D006801:Humans; D008297:Male; D009048:Motor Skills; D010291:Paresis / Q000150:complications / Q000503:physiopathology* / Q000523:psychology*