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Short thumb opponens splint 착용이 뇌성마비 아동의손기능에 미치는 영향

The Effects of Short Thumb Opponens Splint on Hand Function in Cerebral Palsy

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초록

Thumb adduction is an abnormal pattern typically noted in children with spasticcerebral palsy. This abnormal pattern can limit hand function, specifically in the type andquality of prehension pattern used and in the coordination of release. This ABABsingle-subject research was designed to examine the effects of short thumb opponenssplint on hand function in cerebral palsy. The subject was a 4 years and 8 months oldboy with right upper extremity spasticity. The child was fitted with a short thumbopponens spIint, which was worn for 8 hours per day during the daytime. Two differentmeasures were used: (a) prehension component scores; (b) Bruininks-Oseretsky test ofmotor proficiency. Data was collected three times a week for 10 weeks. VisuaI analysisof data indicate that after the application of a short thumb opponens splint, improvementswere noted in the prehension pattern and fine motor functional task. The results of thisstudy suggest that short thumb opponens splint may prove efficaciousness in thetreatment of the child with cerebral palsy.

Abstract

Thumb adduction is an abnormal pattern typically noted in children with spasticcerebral palsy. This abnormal pattern can limit hand function, specifically in the type andquality of prehension pattern used and in the coordination of release. This ABABsingle-subject research was designed to examine the effects of short thumb opponenssplint on hand function in cerebral palsy. The subject was a 4 years and 8 months oldboy with right upper extremity spasticity. The child was fitted with a short thumbopponens spIint, which was worn for 8 hours per day during the daytime. Two differentmeasures were used: (a) prehension component scores; (b) Bruininks-Oseretsky test ofmotor proficiency. Data was collected three times a week for 10 weeks. VisuaI analysisof data indicate that after the application of a short thumb opponens splint, improvementswere noted in the prehension pattern and fine motor functional task. The results of thisstudy suggest that short thumb opponens splint may prove efficaciousness in thetreatment of the child with cerebral palsy.

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