Immediate effect of a wrist and thumb brace on bimanual activities in children with hemiplegic cerebral palsy
| Autor: | Anke Meester-Delver, Annoek Louwers, Anita Beelen, Frans Nollet, Katinka Folmer |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
musculoskeletal diseases
Hemiplegic cerebral palsy medicine.medical_specialty business.industry Repeated measures design Wrist Thumb Brace Hand position Physical medicine and rehabilitation medicine.anatomical_structure Developmental Neuroscience Pediatrics Perinatology and Child Health medicine Physical therapy Upper limb Neurology (clinical) business human activities Cohort study |
| Zdroj: | Developmental Medicine & Child Neurology. 53:321-326 |
| ISSN: | 0012-1622 |
| Popis: | Aim The aim of this study was to determine the immediate effect of wearing a wrist and thumb brace on the performance of bimanual activities in children with spastic hemiplegic cerebral palsy. Method In a pre- and post-test cohort study of 25 children (age range 4-11y; mean age 8y 4mo [SD 2y 2mo]; 16 males, 9 females) with spastic hemiplegic cerebral palsy with a Zancolli classification hand score of I, IIA, or IIB (mild and moderate hand dysfunction; children with a Zancolli classification of III - severe hand dysfunction - were excluded from this study), performance of bimanual activities was evaluated with the Assisting Hand Assessment (AHA) on three occasions: one assessment with a static wrist and thumb brace placed on the affected hand and two other assessments without a brace. The differences between AHA scores obtained at the three assessments were evaluated using the repeated measures analysis of variance. Results Performance of bimanual activities while wearing the brace improved significantly compared to performance without the brace (p Interpretation In children with spastic hemiplegic cerebral palsy, bracing of the wrist and thumb immediately improves spontaneous use of the affected upper limb in bimanual activities, possibly because bracing permits a more functional hand position. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text