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:: Volume 6, Issue 4 (3 2013) ::
mrj 2013, 6(4): 15-22 Back to browse issues page
The effects of static cock up c-bar splint on strength,spasticity, ROM , and dominant hand function in spastic diplegic children
Abolghasem Fallahzadeh Abarghuei, Mehdi Abdolvahab 1, Afsoon Hasani Mehraban, Faranak Aliabadi, Mahmood Jalili, Ahmad Reza Baghestani
Abstract:   (9992 Views)
Background and Aim: Cerebral Palsy (CP) children are the most clients referred to occupational therapy settings. Hand function is important in Activities of Daily living .There is a hand dysfunction in most cerebral palsy children. Orthosis and splints are commonly used to improve the position, range of motion, quality of movement and function of a person's arm or hand. The aim of this study was to investigate the effects of static cock up c-bar splint on strength,spasticity, range of motion, and dominant hand function in spastic diplegic children with 8 to 12 years old. 

Materials and Methods: This interventional study is in a before-after design. Thirteen spastic diplegic cerebral palsy children with 8 to 12 years old were selected through students who studied in physical disabled schools in Tehran city and had the inclusion criteria. Patients used a static cock up c-bar splint (wrist in 10 degrees of extension and thumb in palmar abduction and opposition) for two months, 2 hours daily and 4-6 hours at night. In this study the Jebsen Taylor test was used to evaluate hand function, the Modified Ashworth Scale was used to assess spasticity of thumb, wrist and elbow, ROM of thumb, wrist and elbow were tested with goniometer and power grip was evaluated with dynamometer.  

 Results : Results showed a significant improvement in hand function (p<0.001), in wrist`s spasticity (p<0.001), elbow`s spasticity(p<0.008), palmar abduction of thumb spasticity (p<0.002), wrist`s ROM (p<0.001), Palmar abduction of thumb ROM(p<0.001) and power grip(p<0.001). The data did not show significant improvement on elbow`s joint ROM. 

Conclusion: Information from present research shows that using static cock up c-bar splint for 2 months, 2 hours a day and 4 to 6 hours nightly, can be an effective method to improve power grip, hand function, thumb, wrist and elbow spasticity and range of motion of thumb and wrist of spastic diplegic CP children.

Keywords: Static cock up c-bar splint, Spasticity, Power grip, Hand function, Cerebral palsy
Full-Text [PDF 267 kb]   (2137 Downloads)    
Type of Study: Research | Subject: General
Received: 2012/06/12 | Accepted: 2012/08/28 | Published: 2013/07/13
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Fallahzadeh Abarghuei A, Abdolvahab M, Hasani Mehraban A, Aliabadi F, Jalili M, Baghestani A R. The effects of static cock up c-bar splint on strength,spasticity, ROM , and dominant hand function in spastic diplegic children. mrj. 2013; 6 (4) :15-22
URL: http://mrj.tums.ac.ir/article-1-13-en.html


Volume 6, Issue 4 (3 2013) Back to browse issues page
فصلنامه توانبخشی نوین Journal of Modern Rehabilitation
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