{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T04:10:41Z","timestamp":1775275841662,"version":"3.50.1"},"reference-count":41,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,8,17]],"date-time":"2021-08-17T00:00:00Z","timestamp":1629158400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003441","name":"Universitair Ziekenhuis Gent","doi-asserted-by":"publisher","award":["HA\/RP\/2017\/004"],"award-info":[{"award-number":["HA\/RP\/2017\/004"]}],"id":[{"id":"10.13039\/501100003441","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess the impact of neonatal brachial plexus palsy (NBPP) on higher\u2010order hand representation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Eighty\u2010two left\u2010handed children and adolescents with and without right\u2010sided NBPP were recruited. Thirty\u2010one participants with NBPP (mean age [SD] 11y 4mo [4y 4mo]; age range 6y 2mo\u201321y 0mo; 15 females; C5\u20136, <jats:italic>n<\/jats:italic>=4, C5\u20137, <jats:italic>n<\/jats:italic>=12, C5\u2013T1, <jats:italic>n<\/jats:italic>=11, C5\u2013T1 with Horner sign, <jats:italic>n<\/jats:italic>=4) were assessed along with 30 controls (mean age 11y 5mo [4y 4mo]; age range 6y 7mo\u201321y 7mo; 14 females). Participants\u2019 estimated hand size and shape on measure of implicit and explicit hand representation was assessed. A linear mixed model (LMM) was used to investigate the effect of condition, sensorimotor impairment, and age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Individuals with NBPP showed a significant difference in implicit hand representation between affected and non\u2010affected hands. LMM confirmed a significant influence of the severity of sensorimotor injury. Only the estimated implicit hand representation was associated with age, with a significant difference between 6\u2010 to 8\u2010year\u2010olds and 9\u2010 to 10\u2010year\u2010olds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>The effect of sensorimotor impairment on central hand representation in individuals with NBPP is specific due to its implicit component and is characterized by finger length underestimation in the affected hand compared to the characteristic underestimation in the unaffected hand. Neither NBPP nor age impacted the explicit hand estimate. This study confirms the importance of sensorimotor contribution to the development of implicit hand representation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.15008","type":"journal-article","created":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T03:56:49Z","timestamp":1629259009000},"page":"183-191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Neonatal brachial plexus palsy and hand representation in children and young adults"],"prefix":"10.1111","volume":"64","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4172-8658","authenticated-orcid":false,"given":"Ruth","family":"Van der Looven","sequence":"first","affiliation":[{"name":"Department of Physical and Rehabilitation Medicine Child Rehabilitation Ghent University Hospital Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Hermans","sequence":"additional","affiliation":[{"name":"Department of Physical and 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