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Paper Information

Journal:   SCIENTIFIC JOURNAL OF REHABILITATION MEDICINE   SPRING 2016 , Volume 5 , Number 1 ; Page(s) 174 To 182.
 
Paper: 

EFFECT OF PADDLE STATIC SPLINT ON MUSCLE TONE, RANGE OF MOTION, AND DEXTERITY OF UPPER-EXTREMITY IN CHILDREN WITH SPASTIC HEMIPLEGIA

 
 
Author(s):  MOOSAVI SOURENA, AZAD AKRAM*, AMINI MALEK, EDRISY MONA, TAGHIZADEH GHORBAN
 
* OCCUPATIONAL THERAPY DEPARTMENT, SCHOOL OF REHABILITATION, IRAN UNIVERSITY OF MEDICAL SCIENCES (IUMS), TEHRAN, IRAN
 
Abstract: 

Background and Aims: The most common type of cerebral palsy is spastic hemiplegia, which can lead to functional limitations, especially in the upper limbs. The proposed rehabilitation method in the treatment of this group of children is using splints to improving range of motion, adjusting tone, and improving hand function. The aim of the present study was to assess the effect of Paddle splint in range of motion, tone, and dexterity of upper extremity spastic hemiplegia in 5-11 year-old children with.
Materials and Methods: The current study followed a randomized clinical trial, double-blind, and parallel design using paddles static splint in two groups on 30 5-11 year-old children with spastic hemiplegia. The control group used routine occupational therapy programs (Neuro-Developmental Treatment) and the intervention group, in addition to the routine treatment interventions, used Paddle splint for two months (4 hours daily and 4-6 hours at night). The assessments in the affected side included evaluation of tone using Modified Ashworth Scale (MAS), active and passive range of motion of wrist, Purdue-Pegboard and Box-Block tests to assess fine and gross hand dexterity before and two months after the treatment was administered.
Results: The results showed a significant difference in gross hand function using box and block test (p=0.001), active wrist range of motion (p=0.005), and spasticity of wrist and elbow flexors muscles in intervention group compared with those in the control group. The data did not show any significant difference in passive wrist range of motion (p=0.14) and fine hand dexterity using Purdue Pegboard test (p=0.18) between the two groups.
Conclusion: The results of the present study indicate that using splints paddles with Neuro-Developmental Treatment approach can improve the gross hand dexterity and active wrist extension range of motion and reduce spasticity in the flexor muscles of the wrist and elbow effective.

 
Keyword(s): PADDLE SPLINT, CEREBRAL PALSY, SPASTICITY, HAND DEXTERITY, RANGE OF MOTION
 
 
References: 
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Click to Cite.
APA: Copy

MOOSAVI, S., & AZAD, A., & AMINI, M., & EDRISY, M., & TAGHIZADEH, G. (2016). EFFECT OF PADDLE STATIC SPLINT ON MUSCLE TONE, RANGE OF MOTION, AND DEXTERITY OF UPPER-EXTREMITY IN CHILDREN WITH SPASTIC HEMIPLEGIA. SCIENTIFIC JOURNAL OF REHABILITATION MEDICINE, 5(1), 174-182. https://www.sid.ir/en/journal/ViewPaper.aspx?id=509451



Vancouver: Copy

MOOSAVI SOURENA, AZAD AKRAM, AMINI MALEK, EDRISY MONA, TAGHIZADEH GHORBAN. EFFECT OF PADDLE STATIC SPLINT ON MUSCLE TONE, RANGE OF MOTION, AND DEXTERITY OF UPPER-EXTREMITY IN CHILDREN WITH SPASTIC HEMIPLEGIA. SCIENTIFIC JOURNAL OF REHABILITATION MEDICINE. 2016 [cited 2021May15];5(1):174-182. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=509451



IEEE: Copy

MOOSAVI, S., AZAD, A., AMINI, M., EDRISY, M., TAGHIZADEH, G., 2016. EFFECT OF PADDLE STATIC SPLINT ON MUSCLE TONE, RANGE OF MOTION, AND DEXTERITY OF UPPER-EXTREMITY IN CHILDREN WITH SPASTIC HEMIPLEGIA. SCIENTIFIC JOURNAL OF REHABILITATION MEDICINE, [online] 5(1), pp.174-182. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=509451.



 
 
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