Forced-use, Without Therapy, in Children With Hemiplegia
| Autor: | Cecilia Stignani, Francesco Motta, Clara E. Antonello |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Hemiplegia Neurological disorder Cerebral palsy Upper Extremity Central nervous system disease Immobilization medicine Humans Orthopedics and Sports Medicine Child Hemiplegic cerebral palsy Rehabilitation business.industry Cerebral Palsy General Medicine medicine.disease medicine.anatomical_structure El Niño Case-Control Studies Child Preschool Pediatrics Perinatology and Child Health Orthopedic surgery Physical therapy Upper limb Female business Follow-Up Studies |
| Zdroj: | Journal of Pediatric Orthopaedics. 30:582-587 |
| ISSN: | 0271-6798 |
| DOI: | 10.1097/bpo.0b013e3181e88ee4 |
| Popis: | BACKGROUND Forced use (FU) is an emerging treatment for children with hemiplegic cerebral palsy (CP). It involves constraining the unaffected arm and no additional treatment of the affected arm. Our study examined a new approach to FU in children with hemiplegic CP: that is, restraint of the unaffected limb and no rehabilitation. METHODS Ten children with hemiplegic CP aged between 5 and 9 years were compared with 10 control children (aged between 5 and 8 y). All participants were classified as MACS level II.The FU group wore a fixed cast, on the unaffected arm for 21 consecutive days, and, such as the control group, did not receive any physical therapy.All participants were assessed by the Melbourne Assessment of Unilateral Upper Limb Function and the Shriners Hospital Upper Extremity Evaluation. RESULTS A statistically significant increase in both the functional scales was already apparent after cast removal and was maintained during follow-ups. The total Melbourne Assessment of Unilateral Upper Limb Function percentage score increased significantly to 9.5% and 12.3% on 3-week and 3-month follow-up examinations, respectively (P |
| Databáze: | OpenAIRE |
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