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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	
  
	
  

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Cortical control of hand function

  • 1. Cor$cal  control  of  hand  func$on   From child to adult Maribel  Ródenas  Mar.nez   Pediatric  Physiotherapist  
  • 2. 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  
  • 3. 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.      
  • 4. Fingers   independent   movement   Sensory   informa<on   USE-­‐DEPENDENT   ORGANIZATION   Visual   informa<on  
  • 5. The  somatosensory  feedback  is  essen<al   for  learning  a  new  movement  
  • 6. Key  moments  in  motor  development  
  • 7. Don’t  forget  the  ICF’s  view  
  • 8. 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  
  • 9.     How  to  transfer  all  this  theory  into   prac<ce?     Let´s  talk  about  it       @mrbrodenas   @Fisioinfancia