Cortical control of hand function

Cor$cal  control  of  hand  func$on  

From child to adult

Maribel  Ródenas  Mar.nez  Pediatric  Physiotherapist  

Reach  and  grasp  an  object  located  visually,  grasping,  is  a  cor<cal  phenomenon.  

Grasping  involves  the  coordina<on  of  sensory,  cogni<ve  and  motor  skills    that  are  emerging  in  children  development  

Hand-­‐object  interac<on  

Motor  control:  moving  the  fingers  independently.    Sensory  guide  of  hand  movements.      Ability  to  transform  the  object  characteris<cs  (observed  visually)  in  an  adequate  hand  configura<on.      

Fingers  independent  movement  

Sensory  informa<on  

USE-­‐DEPENDENT  ORGANIZATION  

Visual  informa<on  

The  somatosensory  feedback  is  essen<al  for  learning  a  new  movement  

Key  moments  in  motor  development  

Don’t  forget  the  ICF’s  view  

A  new  way  to  understand,  treat  and  evaluate  children,  assessing:    •     What  can  they  really  do?  •     Under  which  circumstances  they  do…?  •     What  do  they  need  “to  be  able  to  do”?    •     How  can  we  help  them  to    achieve  their  own  goals?  

Don’t  forget  the  ICF’s  view  

How  to  transfer  all  this  theory  into  prac<ce?  

 Let´s  talk  about  it    

 @mrbrodenas  @Fisioinfancia