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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
     

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

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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