Observational Study of Dynamic Splints on Daily Activity Task Achievement For Children With Spastic Cerebral Palsy

Ahmad Syamsul Rizal; Triyani; Suci Anatasia; Luthfi  Rizqi Pranoto

doi:10.36082/jpost.v3i1.1577

Authors

Ahmad Syamsul Rizal Poltekkes Kemenkes Jakarta I
Triyani Poltekkes Kemenkes Jakarta I
Suci Anatasia Poltekkes Kemenkes Jakarta I
Luthfi Rizqi Pranoto Poltekkes Kemenkes Jakarta I

DOI:

https://doi.org/10.36082/jpost.v3i1.1577

Keywords:

Cerebral palsy, spastic, dynamic splint, functional hand, Jebsen-Taylor Hand Function Test

Abstract

Background: Cerebral palsy is a developmental brain disorder that leads to decreased motor function of the extremities, especially on the hands. The provision of dynamic splints would be expected over time to contribute to functional hand improvement, such as gross motor function. Aims: To observe the time in daily activity achievement for patients with spastic cerebral palsy while wearing dynamic hand orthosis. Methods: Quantitative with pre-test post-test design. Ten CP children with an age range of 8 - 17 years with mild to moderate spasticity were observed before wearing and after wearing dynamic hand orthosis to do 7 tasks (Jebsen-Taylor Hand Function Test). Results: After 2 weeks wearing the device, all participants showed different results indicating an improvement of 5.5 seconds to all tasks on the Jebsen Taylor Hand Function Test. Conclusion: Dynamic splints have an influence on increasing the time to complete the tasks, thus can be considered along with regular exercise.

Downloads

Download data is not yet available.

References

Al-Azzawi, A. T. H. (2020). Skeletal deformities of children with cerebral palsy (Clinicoepidemilogical study). International Journal of Pharmaceutical Research, 12(4), 1939. https://doi.org/10.31838/IJPR/2020.12.04.279

Arner, M., Eliasson, A. C., Nicklasson, S., Sommerstein, K., & Hägglund, G. (2008). Hand function in cerebral palsy. Report of 367 children in a population-based longitudinal health care program. The Journal of Hand Surgery, 33(8), 1337–1347. https://doi.org/10.1016/J.JHSA.2008.02.032

Arnould, C., Bleyenheuft, Y., Thonnard, J.-L., & Steenbergen, P. (2014). Hand functioning in children with cerebral palsy. https://doi.org/10.3389/fneur.2014.00048

Brooks, J. C., Strauss, D. J., Shavelle, R. M., Tran, L. M., Rosenbloom, L., & Wu, Y. W. (2014). Recent trends in cerebral palsy survival. Part II: Individual survival prognosis. Developmental Medicine and Child Neurology, 56(11), 1065–1071. https://doi.org/10.1111/DMCN.12519

Burtner P. A., Poole Janet L, & Torres Theresa. (2008). Effect of Wrist Hand Splints on Grip, Pinch, Manual Dexterity, and Muscle Activation in Children with Spastic Hemiplegia: A Preliminary Study. Journal of Hand Therapy, 21(1), 36–43. https://doi.org/https://doi.org/10.1197/j.jht.2007.08.018

Jackman, S. L., Beneduce, B. M., Drew, I. R., & Regehr, W. G. (2014). Achieving High-Frequency Optical Control of Synaptic Transmission. https://doi.org/10.1523/JNEUROSCI.4694-13.2014

Maas, J. C., Dallmeijer, A. J., Huijing, P. A., Brunstrom-Hernandez, J. E., van Kampen, P. J., Jaspers, R. T., & Becher, J. G. (2012). Splint: the efficacy of orthotic management in rest to prevent equinus in children with cerebral palsy, a randomised controlled trial. BMC Pediatrics, 12, 38. https://doi.org/10.1186/1471-2431-12-38

McKee, P., & Nguyen, C. (2007). Customized Dynamic Splinting: Orthoses that Promote Optimal Function and Recovery after Radial Nerve Injury: A Case Report. Journal of Hand Therapy, 20(1), 73–88. https://doi.org/10.1197/J.JHT.2006.11.013

Patel, D. R., Neelakantan, M., Pandher, K., & Merrick, J. (2020). Cerebral palsy in children: a clinical overview. Translational Pediatrics, 9(Suppl 1), S125–S135. https://doi.org/10.21037/TP.2020.01.01

Ppm, H., & Monaghan K, L. P. (2017). Physical treatment interventions for managing spasticity after stroke (Protocol) Physical treatment interventions for managing spasticity after stroke (Protocol). https://doi.org/10.1002/14651858.CD009188.pub2

Russo, V., Messina, A., Moscatelli, F., Villano, I., Esposito, T., Monda, V., Anna, V., Giuseppe, C., Messina, G., & Monda, M. (2017). A Medical Device, called RUGRAN, Improves the Correction and Stabilization of Posture. Biology and Medicine, 9(1), 1–4. https://doi.org/10.4172/0974-8369.1000370

Sadowska, M., Sarecka-Hujar, B., & Kopyta, I. (2020). Cerebral palsy: Current opinions on definition, epidemiology, risk factors, classification and treatment options. Neuropsychiatric Disease and Treatment, 16, 1505–1518. https://doi.org/10.2147/NDT.S235165

Saharan A.K. (2023). Performance of children with cerebral palsy in play & leisure activity assessed on gmfcs and macs | International Journal of Development Research (IJDR). International Journal of Development Research. https://www.journalijdr.com/performance-children-cerebral-palsy-play-leisure-activity-assessed-gmfcs-and-macs

Tofani, M., Ranieri, A., Fabbrini, G., Berardi, A., Pelosin, E., Valente, D., Fabbrini, A., Costanzo, M., & Galeoto, G. (2020). Efficacy of Occupational Therapy Interventions on Quality of Life in Patients