Upper limb management in cerebral palsy

2011 ◽  
Author(s):  
Rachel Buckingham
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Operative Treatment ◽  
Upper Limb ◽  
Individual Treatment ◽  
Treatment Goals ◽  
And Function

♦ Evaluation of the upper limb must assess all aspects of sensation, motor control, and function. Will the hand be used for bimanual activities?♦ Individual treatment goals must be established♦ Non-operative treatment may encourage use and awareness of the more affected limb♦ Many muscles cross two joints and therefore the limb must be considered as a whole and not as a series of isolated joints.

scholarly journals Operative treatment of orthopedic complications in upper limb in children and adults with cerebral palsy

2018 ◽  
Vol 24 (3) ◽  
pp. 312-320
Author(s):  
G.M. Chibirov ◽  
◽  
S.S. Leonchuk ◽  
K.S. Ezhova ◽  
E.B. Gubina ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Operative Treatment ◽  
Upper Limb

scholarly journals Effects of combining constraint-induced movement therapy and action-observation training on upper limb kinematics in children with unilateral cerebral palsy: A randomized controlled trial

2019 ◽  
Author(s):  
Cristina Simon-Martinez ◽  
Lisa Mailleux ◽  
Ellen Jaspers ◽  
Els Ortibus ◽  
Kaat Desloovere ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Upper Limb ◽  
Peak Velocity ◽  
Action Observation ◽  
Movement Patterns ◽  
Movement Duration ◽  
Constraint Induced Movement Therapy ◽  
Unilateral Cerebral Palsy ◽  
Observation Training

AbstractModified constraint-induced movement therapy (mCIMT) improves upper limb (UL) motor execution in unilateral cerebral palsy (uCP). As these children also show motor planning deficits, action-observation training (AOT) might be of additional value. Here, we investigated the combined value of AOT to mCIMT on UL kinematics in children with uCP. Thirty-six children with uCP completed an UL kinematic evaluation after participating in a 9-day mCIMT camp wearing a splint for 6 hours/day. The experimental group (mCIMT+AOT, n=20) received 15 hours of AOT, i.e. video-observation and execution of unimanual tasks. The control group (mCIMT+placebo, n=16) watched biological-motion free videos and executed the same tasks. We examined changes in motor control (movement duration, peak velocity, time-to-peak velocity, and trajectory straightness) and movement patterns (using Statistical Parametric Mapping) during the execution of three unimanual, relevant tasks before the intervention, after and at 6 months follow-up. Adding AOT to mCIMT mainly affected movement duration during reaching, whereas little benefit is seen on UL movement patterns. mCIMT, with or without AOT, improved peak velocity and trajectory straightness, and proximal movement patterns. These results highlight the importance of including kinematics in an UL evaluation to capture changes in motor control and movement patterns of the proximal joints.

scholarly journals Effectiveness of hand splints on upper limb skills and functional activities in children with cerebral palsy: a review

2021 ◽  
Vol 8 (5) ◽  
pp. 2614
Author(s):  
Rohina Kumari ◽  
Surbhi . ◽  
Sakshi Saharawat
Keyword(s):  
Cerebral Palsy ◽  
Muscle Strength ◽  
Upper Limb ◽  
Hand Function ◽  
Cochrane Library ◽  
Fine Motor ◽  
Functional Activities ◽  
Quality Of Motion ◽  
Motor Dexterity ◽  
And Function

Cerebral Palsy is a non-progressive neurological disorder in which children may experience similar physical limitations, including those related to upper limb skills that affect the child's ability to participate in age-specific activities. The use of hand-splints in children with neurological conditions is little reported, they continue to be widely used to improve upper limb skills and functional activities. This review was done to investigate the use and effects of hand splints in Cerebral Palsy patient as orthotic treatment found to be very positive result in correcting and maintaining the achieved results. Electronic database search was conducted using Google scholar, Science direct, Pub Med, Cochrane Library and reference lists from all retrieved articles. Common problems in upper limb due to CP are flexion contractures of the fingers and wrist due to spasticity, pronation deformity of the forearm, thumb-in-palm deformity and hand-related disabilities, all lead to decrease in grip and muscle strength. Hand splints are often used to help a weak or ineffective joint or muscle to enhance a person's arm or hand posture, mobility, quality of motion, and function. The findings suggest that children with CP experience increased grip strength and fine motor dexterity when using different hand splints. This review summarizes the present state of understanding the extent to which orthotic management in CP can improve in the patient’s skills and functional activities by improving the muscle strength and hand function, also offers clinical suggestions for prescribing orthosis in order to optimize efficacy.

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