Advertisement

Topics

Immediate effect of a wrist and thumb brace on bimanual activities in children with hemiplegic cerebral palsy.

06:00 EST 15th January 2011 | BioPortfolio

Summary of "Immediate effect of a wrist and thumb brace on bimanual activities in children with hemiplegic cerebral palsy."

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<0.001). With the brace, the mean AHA score increased by 3.2 (95% confidence interval 2.1-4.3) from 59.1 to 62.3. The scores of the two assessments without the brace did not differ significantly. 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.

Affiliation

 Department of Rehabilitation, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands  Rehabilitation Center 'De Trappenberg', Huizen, the Netherlands.

Journal Details

This article was published in the following journal.

Name: Developmental medicine and child neurology
ISSN: 1469-8749
Pages:

Links

DeepDyve research library

PubMed Articles [21760 Associated PubMed Articles listed on BioPortfolio]

Handgrip strength deficits best explain limitations in performing bimanual activities after stroke.

[Purpose] To evaluate the relationships between residual strength deficits (RSD) of the upper limb muscles and the performance in bimanual activities and to determine which muscular group would best e...

Three-dimensional analysis of the upper limb movement asymmetry during a bimanual grasp task in children with hemiplegic cerebral palsy.

Children with hemiplegic cerebral palsy (HCP) have upper limb deficiencies and movement abnormalities causing difficulties in bimanual activities. The objective of this study was to analyze the abnorm...

Trends in the Utilization of Total Wrist Arthroplasty versus Wrist Fusion for Treatment of Advanced Wrist Arthritis.

Total wrist arthroplasty (TWA) provides the requisite range of motion to accomplish activities of daily living, especially for low-demand patients with bilateral wrist arthritis. However, there are no...

Life span changes: Performing a continuous 1:2 bimanual coordination task.

The experiment was conducted to determine the influence of mirror movements in bimanual coordination during life span. Children, young adults, and older adults were instructed to perform a continuous ...

Weaning results of a consecutive series of 125 adolescent idiopathic scoliosis treated by the new Lyon Brace (ART brace).

ART is the acronym for Asymmetry, Rigid, Torsion. The realization of this brace is based on new concepts (circled helicoid, global detorsion, Soft Contact, Mayonnaise tube effect, axilla baby lift, wr...

Clinical Trials [5860 Associated Clinical Trials listed on BioPortfolio]

Brace Versus Casting in Pediatric Low Risk Ankle Fractures

Acute ankle fractures are common in children. Most of these are stable and have a low risk of problems in the future. Even though these fractures are benign, these injuries are often cast...

Combined Constraint Therapy and Bimanual Therapy for Children With Unilateral Brain Injury

To examine efficacy of combined unimanual and bimanual intensive therapy in children with unilateral brain injury. A key question in hemiplegia therapy is whether the affected hand should ...

Effect of Immobilization of the Metacarpophalangeal Joint in Thumb Osteoarthritis

The aim of this study is to compare the effect of Whale and Colditz static orthosis on pain and functional abilities of hand in thumb carpometacarpal osteoarthritis as a unique treatment. ...

Clinical Algorithm for Post-Stroke Gait Training With C-Brace

The purpose of this study is to develop a clinical algorithmic-based evaluation and treatment approach for C-Brace for use by persons with hemiparesis or hemiplegia due to stroke.

Life Balance and Bimanual Activities After Stroke

The Flemish version of the Life Balance Inventory (LBI), measuring central constructs of life balance, will be validated in a stroke population. Upon approval by the ethical committee, str...

Medical and Biotech [MESH] Definitions

Disease involving the ULNAR NERVE from its origin in the BRACHIAL PLEXUS to its termination in the hand. Clinical manifestations may include PARESIS or PARALYSIS of wrist flexion, finger flexion, thumb adduction, finger abduction, and finger adduction. Sensation over the medial palm, fifth finger, and ulnar aspect of the ring finger may also be impaired. Common sites of injury include the AXILLA, cubital tunnel at the ELBOW, and Guyon's canal at the wrist. (From Joynt, Clinical Neurology, 1995, Ch51 pp43-5)

Children with mental or physical disabilities that interfere with usual activities of daily living and that may require accommodation or intervention.

Injuries to the wrist or the wrist joint.

Disease involving the RADIAL NERVE. Clinical features include weakness of elbow extension, elbow flexion, supination of the forearm, wrist and finger extension, and thumb abduction. Sensation may be impaired over regions of the dorsal forearm. Common sites of compression or traumatic injury include the AXILLA and radial groove of the HUMERUS.

Devices that babies can suck on when they are not feeding. The extra sucking can be comforting to the babies and pacify them. Pacifiers usually are used as a substitute for the thumb in babies who suck on their thumb or fingers almost constantly.

Quick Search
Advertisement
 


DeepDyve research library

Relevant Topics

Pediatrics
Pediatrics is the general medicine of childhood. Because of the developmental processes (psychological and physical) of childhood, the involvement of parents, and the social management of conditions at home and at school, pediatrics is a specialty. With ...

Urology
Benign Prostatic Hyperplasia (BPH) Erectile Dysfunction Urology Urology is the branch of medicine concerned with the urinary tract and diseases that affect it. Examples include urethritis, urethrostenosis and incontinence. Urology is a su...


Searches Linking to this Article