Reciprocal activation in the upper limb in patients with spastic hemiplegia

Physiotherapy ◽  
2015 ◽  
Vol 101 ◽  
pp. e1420
Author(s):  
J.M. Solomon ◽  
A.K. Blanchette ◽  
A. Shah ◽  
M.F. Levin
Keyword(s):  
Upper Limb ◽  
Spastic Hemiplegia

Functional Outcome of Upper Limb Tendon Transfers Performed in Children with Spastic Hemiplegia

1993 ◽  
Vol 18 (3) ◽  
pp. 299-303 ◽  
Author(s):  
J. H. ROTH ◽  
S. E. O’GRADY ◽  
R. S. RICHARDS ◽  
A. M. PORTE
Keyword(s):  
Upper Limb ◽  
Reconstructive Surgery ◽  
Rating Scale ◽  
Parental Satisfaction ◽  
Functional Abilities ◽  
Forearm Rotation ◽  
Wrist Motion ◽  
Tendon Transfers ◽  
Spastic Hemiplegia

Children with spastic hemiplegia often present with upper limb muscle imbalance. The purpose of this paper was to determine whether reconstructive surgery improved their functional ability. 17 children under the age of 16 years with spastic hemiplegia underwent reconstruction that included tendon transfers, tendon lengthenings and thumb metacarpophalangeal fusion. They were assessed pre-operatively and at an average follow-up period of 2.6 years. Children’s abilities were classified according to House’s functional rating scale. Tendon transfers improved functional grading by two grades, from good passive assist to fair active assist. Improvement in the arc of wrist motion and forearm rotation was also seen. Parental satisfaction was high. Reconstructive surgery improved the functional abilities in this group of children with spastic hemiplegia.

Impact of somatosensory interventions on upper limb function in children with hemiplegic cerebral palsy: a single-subject design study

2021 ◽  
Vol 28 (1) ◽  
pp. 1-13
Author(s):  
Moloud Khoshbakht ◽  
Parvin Raji ◽  
Noureddin Nakhostin Ansari ◽  
Mahmoud Mahmodian
Keyword(s):  
Cerebral Palsy ◽  
Upper Extremity ◽  
Upper Limb ◽  
Visual Analysis ◽  
Treatment Phase ◽  
Single Subject ◽  
Upper Limb Function ◽  
Hemiplegic Cerebral Palsy ◽  
Spastic Hemiplegia

Background/aims Hemiplegia is one of the most common types of cerebral palsy. Upper limb dysfunction in these children can affect their quality of life. The aim of this study was to investigate the effects of somatosensory interventions on upper extremity sensory and motor functions in spastic hemiplegic children. Methods This single-subject study was performed in the occupational therapy clinic of Tehran University of Medical Sciences. Three participants (two boys and one girl) aged 8–12 years with spastic hemiplegia were assessed during baseline, treatment and follow-up phases. During the treatment phase, the children received 12 tactile and proprioceptive stimulation (active, passive and playful) sessions over 4 weeks. Four sensory measures (tactile localisation, stereognosis, two-point discrimination, proprioception) and one motor measure (Box and Block Test) were assessed during each phase. Results Improvement in function was seen in all three children based on visual analysis, with significant differences between the baseline and treatment scores in the majority of measures for all participants. Changes were sustained at follow up for most tests. The effect size was large for all three children. Conclusions Despite the small number of participants, sensory intervention with a focus on sensory deficits could help to improve upper extremity sensory and motor function in children with spastic hemiplegia.

Phenol Nerve Block in the Treatment of Acquired Spastic Hemiplegia in the Upper Limb

1973 ◽  
Vol 55 (3) ◽  
pp. 580-585 ◽  
Author(s):  
RICHARD M. BRAUN ◽  
M. MARK HOFFER ◽  
VERT MOONEY ◽  
JOHN MCKEEVER ◽  
BRIAN ROPER
Keyword(s):  
Nerve Block ◽  
Upper Limb ◽  
Spastic Hemiplegia

scholarly journals Upper limb therapy in children with cerebral palsy (CP) – The Pirate Group

2017 ◽  
Vol 31 (4) ◽  
pp. 57-67
Author(s):  
Marta Pawlak ◽  
Beata Wnuk ◽  
Daniela Kowalicka ◽  
Aleksandra Rosłoniec
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Movement Therapy ◽  
Limb Function ◽  
Upper Limb Function ◽  
Constraint Induced Movement Therapy ◽  
Significant Difference ◽  
Children With Cerebral Palsy ◽  
Bimanual Training ◽  
Spastic Hemiplegia

Abstract Introduction: Children with cerebral palsy (CP) in the form of spastic hemiplegia experience numerous difficulties concerning an affected upper limb such as reaching for objects, gripping or manipulating them. These limitations affect their everyday activity. Conducting an effective and simultaneously an interesting therapy aimed at meeting the child’s individual needs and improving upper limb function is a challenge for a physiotherapist. The aim of the study was to assess the effectiveness of upper limb therapy carried out within the project titled “The Pirate Group” based on Constraint-Induced Movement Therapy (CIMT) and Bimanual Training (BIT) conducted in a specially arranged environment. Material and methods: The research included 16 children with CP in the form of spastic hemiplegia. Mean age of the study participants was 4.23 years. The children underwent a two-week Constraint-Induced Movement Therapy (CIMT) combined with Bimanual Training (BIT). In order to evaluate the effects of the therapy, each child underwent the Assisting Hand Assessment (AHA) prior to the therapy and after its completion. Results: Statistical analysis revealed a significant difference (p<0.05) between the results of AHA prior to and after the therapy (t(14)=9.12, p<0.0001). An improvement in the affected upper limb function was noted in all the children participating in the research. Conclusions: The project titled “The Pirate Group”, based on CIMT and BIT is an effective therapeutic intervention which improves spontaneous activity of the affected upper limb in children with hemiplegia.

Combined therapy using botulinum toxin A and single-joint hybrid assistive limb for upper-limb disability due to spastic hemiplegia

2017 ◽  
Vol 373 ◽  
pp. 182-187 ◽  
Author(s):  
Kazuya Saita ◽  
Takashi Morishita ◽  
Koichi Hyakutake ◽  
Hiroyuki Fukuda ◽  
Etsuji Shiota ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Upper Limb ◽  
Botulinum Toxin A ◽  
Combined Therapy ◽  
Toxin A ◽  
Spastic Hemiplegia ◽  
Hybrid Assistive Limb

Effect of Botulinum Toxin A for Upper Limb Function in Post Stroke Spastic Hemiplegia

2010 ◽  
Vol 3 (2) ◽  
pp. 99
Author(s):  
Chin Wook Chung ◽  
Hyun Jung Chang ◽  
Suk Hoon Ohn ◽  
Won Hyuk Chang ◽  
Peter K.W. Lee ◽  
...  
Keyword(s):  
Botulinum Toxin ◽  
Upper Limb ◽  
Botulinum Toxin A ◽  
Toxin A ◽  
Limb Function ◽  
Post Stroke ◽  
Upper Limb Function ◽  
Spastic Hemiplegia

Reflex Responses in Upper Limb Muscles to Cutaneous Stimuli

1993 ◽  
Vol 20 (04) ◽  
pp. 271-278 ◽  
Author(s):  
R. Chen
Keyword(s):  
Stimulus Intensity ◽  
Upper Limb ◽  
Healthy Subjects ◽  
Voluntary Contraction ◽  
Cutaneous Reflexes ◽  
Focal Lesions ◽  
Normal Ranges ◽  
Conduction Velocities ◽  
Limb Muscles ◽  
Biphasic Responses

ABSTRACT:Cutaneous reflexes in the upper limb were elicited by stimulating digital nerves and recorded by averaging rectified EMG from proximal and distal upper limb muscles during voluntary contraction. Distal muscles often showed a triphasic response: an inhibition with onset about 50 ms (Il) followed by a facilitation with onset about 60 ms (E2) followed by another inhibition with onset about 80 ms (12). Proximal muscles generally showed biphasic responses beginning with facilitation or inhibition with onset at about 40 ms. Normal ranges for the amplitude of these components were established from recordings on 22 arms of 11 healthy subjects. An attempt was made to determine the alterent fibers responsible for the various components by varying the stimulus intensity, by causing ischemic block of larger fibers and by estimating the afferent conduction velocities. The central pathways mediating these reflexes were examined by estimating central delays and by studying patients with focal lesions

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