A Pilot Evaluation of Cast Immobilization of Intact Upper Extremity: A New Therapeutic Approach for Spastic Hemiplegic Cerebral Palsy
Journal of the Korean Academy of Rehabilitation Medicine
;
: 828-832, 1998.
Article
in Korean
| WPRIM
| ID: wpr-724132
ABSTRACT
OBJECTIVE:
To investigate the functional facilitation effect on an affected side of spastic hemiplegic cerebral palsy by immobilizing the intact side with a cast.METHOD:
Five hemiplegic cerebral palsies, who had been treated by general rehabilitation therapy during previous 6 months and showed no functional improvement were studied. Their intact arms were immobilized by scotch short arm casts for 6 weeks. And, the therapeatic effects of this method were evaluated by the Box and Block Test of manual dexterity, Erhardt Developmental Prehension Assesment and Brain Perfusion SPECT.RESULTS:
1. Box and Block test Before the cast immobilization method, hemiplegic cerebral palsies could transfer a mean of 5.4+/-3.36 cubic rods from one to the other side, and after the treatment a mean of 8.0+/-1.41 cubic rods with the affected arm. 2. Erhardt Developmental Prehension Assesment Before the treatment, the grasp motion of round rod, cubic rod, and button suited in a mean of 5.1+/-3.0 months, and after the treatment, suited in a mean of 8.2+/-0.66 months. 3. Brain Perfusion SPECTs did not change before and after the cast immobilization method. 4. There was no adverse effect resulting from the cast immobilization method on an intact side.CONCLUSION:
We concluded that the cast immobilization method on an intact side could be a new beneficial rehabilitation method for the treatment of spastic hemiplegic cerebral palsies.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Perfusion
/
Arm
/
Rehabilitation
/
Brain
/
Tomography, Emission-Computed, Single-Photon
/
Cerebral Palsy
/
Hand Strength
/
Equidae
/
Upper Extremity
Type of study:
Practice guideline
Language:
Korean
Journal:
Journal of the Korean Academy of Rehabilitation Medicine
Year:
1998
Type:
Article
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