Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Efficacy of Enhancement forearm Supination on Improvement of Finger Dexterity in Hemiplegic Cerebral Palsy Children


Affiliations
1 Department of Physiotherapy for Developmental Disturbance and Pediatric Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
     

   Subscribe/Renew Journal


Objective

The aim of this work was to show the effect of enhancement forearm supination on improvement of finger dexterity in hemiplegic cerebral palsy children.

Method

Thirty children were enrolled in this study and randomly assigned into two groups; group A (specialized treatment program for enhancement of supination plus traditional physiotherapy program) and group B (traditional physiotherapy program only). Nine peg hole test was used to detect and follow finger dexterity. This measurement were taken before initial treatment and after 12 weeks post treatment. The children parents in group A were instructed to complete 3 hours of specialized treatment program for enhancement of supination plus thumb abduction supination splint at home as routine program.

Results

Data analysis were available on 30 spastic hemiplegic CP children and it was insignificant in the variable related to age (p>0.05).Mean value of the time required to perform task in study group pre and post treatment was highly statistical significant differences p<.0001while The mean value of time required to perform task in the control group pre and post treatment was statistical significan differenc p<.05.

Conclusion

The use of specialized treatment program for enhancement of supination plus traditional physiotherapy program are superior to traditional treatment program only for finger dexterity improvement after 12 weeks follow up.


Keywords

Finger Dexterity, Pronation Deformity, Spasticity, Cerebral Palsy
Subscription Login to verify subscription
User
Notifications
Font Size


  • Backman CA, Gibson GF, Parsons JR. Assessment of hand function: The relationship between pegboard dexterity and applied dexterity. Canadian Journal of Occupational Therap. 1992; 59(4): 208–213.

  • Chan TH, Forssberg H. An investigation of finger and manual dexterity. Perceptual and MotorSkills. Developmental Medicine and Child Neurology .2002;90(6): 537–542.

  • Eliasson AC, Burtner PA. The evidence-base for upper extremity intervention for children with cerebral palsy. In Improving hand function in children with cerebral palsy: Theory, evidence and intervention.; Journal of Pediatrics. 2008;67(8):231-236

  • EliassonAC, Krumlinde LU, Shaw K E,Wang CY .Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy. Developmental Medicine and Child Neurology.2010; 47(4):266-275.

  • Exner C E,Lieber RL. In-hand manipulation skills in normal young children: A pilot study. OT Practice.2009; 56(7): 63– 72.

  • Graham K, Shaw K E. Botulinum toxin-A in cerebral palsy: functional outcomes. Journal of Pediatrics, 2000; 137(3):300-303.

  • Graham K and Selber PMusculoskeletal aspects of cerebral palsy. The Journal of Bone and Joint Surgery.2003; British 98(2):157-166.

  • Hoare BJ, Russo RO. Upper-limb movement training in children following injection of botulinum neurotoxin A. In International Handbook of Occupational Therapy Interventions Edited by Springer Publishers2009;P:343-350.

  • Hoare BJ, Wallen MA, Imms C, etal. toxin A as an adjunct to treatment in the management of the upper limb in children with spastic cerebral palsy. Developmental Medicine and Child Neurology.2010;52(9):543-550.

  • Hoare BJ, Imms CG, Carey LJ ,Wasiak J K. Constraintinduced movement therapy in the treatment of the upper limb in children with hemiplegiccerebral palsy: a Cochrane systematic review. Clinical Rehabilitation,2008; 21(8):675- 685.

  • Howard JH, Soo BK, Graham HK, Reddihough DS, etal. Cerebral palsy in Victoria: motor types, topography and gross motor function. Journal of Paediatric Child Health.2009; 41(7):479-483

  • Kuhtz PH, Krumlinde LU, Eliasson CO ForssbergGH. Quantitative assessment of mirror movements in children and adolescents with hemiplegic cerebral palsy. Developmental Medicineand Child Neurology. 2000;42(6):728-736.

  • Lieber RL, Friden JH. Spasticity causes a fundamental rearrangement of muscle-joint interaction. Developmental Medicineand Child Neurology.2005; 25(2):265-270.

  • Rosenbaum PG, aneth NO, et al. The definition and classification of cerebral palsy. Developmental Medicine

  • and Child Neurology.2009; 109:8-14.


Abstract Views: 423

PDF Views: 0




  • Efficacy of Enhancement forearm Supination on Improvement of Finger Dexterity in Hemiplegic Cerebral Palsy Children

Abstract Views: 423  |  PDF Views: 0

Authors

Ahmed M. Azzam
Department of Physiotherapy for Developmental Disturbance and Pediatric Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt

Abstract


Objective

The aim of this work was to show the effect of enhancement forearm supination on improvement of finger dexterity in hemiplegic cerebral palsy children.

Method

Thirty children were enrolled in this study and randomly assigned into two groups; group A (specialized treatment program for enhancement of supination plus traditional physiotherapy program) and group B (traditional physiotherapy program only). Nine peg hole test was used to detect and follow finger dexterity. This measurement were taken before initial treatment and after 12 weeks post treatment. The children parents in group A were instructed to complete 3 hours of specialized treatment program for enhancement of supination plus thumb abduction supination splint at home as routine program.

Results

Data analysis were available on 30 spastic hemiplegic CP children and it was insignificant in the variable related to age (p>0.05).Mean value of the time required to perform task in study group pre and post treatment was highly statistical significant differences p<.0001while The mean value of time required to perform task in the control group pre and post treatment was statistical significan differenc p<.05.

Conclusion

The use of specialized treatment program for enhancement of supination plus traditional physiotherapy program are superior to traditional treatment program only for finger dexterity improvement after 12 weeks follow up.


Keywords


Finger Dexterity, Pronation Deformity, Spasticity, Cerebral Palsy

References