title: Precision grip in congenital and acquired hemiparesis: similarities in impairments and implications for neurorehabilitation.
abstract: BACKGROUND
  Patients with congenital and acquired hemiparesis incur long-term functional deficits, among which the loss of prehension that may impact their functional independence. Identifying, understanding, and comparing the underlying mechanisms of prehension impairments represent an opportunity to better adapt neurorehabilitation.
  
  
  OBJECTIVE
  The present review aims to provide a better understanding of precision grip deficits in congenital and acquired hemiparesis and to determine whether the severity and type of fine motor control impairments depend on whether or not the lesions are congenital or acquired in adulthood.
  
  
  METHODS
  Using combinations of the following key words: fingertip force, grip force, precision grip, cerebral palsy, stroke, PubMed, and Scopus databases were used to search studies from 1984 to 2013.
  
  
  RESULTS
  Individuals with both congenital and acquired hemiparesis were able to some extent to use anticipatory motor control in precision grip tasks, even if this control was impaired in the paretic hand. In both congenital and acquired hemiparesis, the ability to plan efficient anticipatory motor control when the less-affected hand is used provides a possibility to remediate impairments in anticipatory motor control of the paretic hand.
  
  
  CONCLUSIONS
  Surprisingly, we observed very few differences between the results of studies in children with congenital hemiplegia and stroke patients. We suggest that the underlying specific strategies of neurorehabilitation developed for each one could benefit the other.
authors: Institute of Neuroscience, Université Catholique de Louvain , Brussels , Belgium.
authors: Yannick
authors: Y
authors: Bleyenheuft
authors: Department of Biobehavioral Sciences, Teachers College, Columbia University , New York, NY , USA.
authors: Andrew M
authors: AM
authors: Gordon
keywords: cerebral palsy; fingertip force; grip force; precision grip; stroke