[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Registration :: Submission :: Current Issue :: Archive :: Contact :: Search ::
:: Volume 9, Number 2 (5-2015) ::
mrj 2015, 9(2): 52-61 Back to browse issues page
The effects of static anti pronation splint on dominant upper extremity function in spastic diplegic cerebral palsy children with 8 to 12 years old
Mohammad Reza Akrami Abarghuei1, Mehdi Abdolvahab 2, Hossein Bagheri3, Mahmoud Jalili4, Ahmad Reza Baghestani5
1- M.Sc of Occupational Therapy
2- Lecturer of Tehran University of Medical Sciences , mehdiabdolvahab@yahoo.com
3- Full Professor of Tehran University of Medical Sciences
4- Teacher of Tehran University of Medical Sciences
5- Department of Biostatistics,Faculty of Paramedical Sciences Shahid Beheshti University of Medical Sciences
Abstract:   (3053 Views)

Background and Aim : Cerebral palsy (CP) children are the most referral patients to occupational therapy centers. Hand function is important in activity of daily living. There is a hand dysfunction in most cerebral palsy children. Orthosis and splint are commonly used to improve the position , range of motion, quality of movement, arm and hand function. The aim of this study was to investigate the effects of static anti-pronation splint on dominant upper extremity function in spastic diplegic cerebral palsy children with 8 to 12 years old.

  

Materials and Methods : This interventional study is in a before-after design for two group case and control. Thirty spastic diplegic cerebral palsy children with 8 to 12 years old who had the inclusion criteria, were randomly assigned to case and control group. Patients of case group used a static anti-pronation splint for 2 months, 8 hours daily. In this study the Jebsen Taylor test was used to evaluate upper extremity function, the Goniometer was used to measure ROM of elbow, forearm and wrist, the Modified Ashworth Scale was used to assess spasticity of elbow, forearm and wrist. Power grip and pinch were assessed with MIE device.

  

Results : In the case group results showed a significant improvement in upper extremity function (0.026), forearm supination ROM (0.007), wrist extention ROM (0.005), forearm muscle pronator spasticity (0.001), wrist muscle flexsor spasticity (0.009), power grip (0.001) and pinch (0.001). The data did not show significant improvement on elbow extention ROM (0.075), elbow muscle flexsor spasticity (0.164). In comparison with control group, the data showed a significant improvement in upper extremity function (P=0.001), forearm supination ROM (p=0.034), wrist extention ROM (P=0.042), forearm muscle pronator spasticity (P=0.009), power grip (P=0.001) and pinch (P=0.001). The data did not show significant improvement on elbow extention ROM (P=0.140), elbow muscle flexsor spasticity (P=0.638) and wrist muscle flexsor spasticity (P=0.105).

  

Conclusion : The findings show that using static anti-pronation splint for 2 months , 8 hours a day , can be an effective method to improve upper extremity function , range of motion of forearm and wrist , forearm spasticity and power grip and pinch in spastic diplegic cerebral palsy children with 8 to 12 years old .

  

Key word : Cerebral palsy, Static anti pronation splint, Upper extremity function, Spasticity, Power

Keywords: Cerebral palsy, Static anti pronation splint, Upper extremity function, Spasticity, Power
Full-Text [PDF 233 kb]   (670 Downloads)    
Type of Study: Research | Subject: Special
Received: 2015/05/11 | Accepted: 2015/05/11 | Published: 2015/05/11
Send email to the article author

Add your comments about this article
Your username or email:

Write the security code in the box >



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Akrami Abarghuei M R, Abdolvahab M, Bagheri H, Jalili M, Baghestani A R. The effects of static anti pronation splint on dominant upper extremity function in spastic diplegic cerebral palsy children with 8 to 12 years old. mrj. 2015; 9 (2) :52-61
URL: http://mrj.tums.ac.ir/article-1-5268-en.html
Volume 9, Number 2 (5-2015) Back to browse issues page
فصلنامه توانبخشی نوین Journal of Modern Rehabilitation
Persian site map - English site map - Created in 0.259 seconds with 838 queries by yektaweb 3501