The Effects of a Short Thumb Opponens Splint on Hand Function in Cerebral Palsy: A Single-Subject Study.

An AB single-subject research design was used to assess the effectiveness of a short thumb opponens splint on hand function in a 4-year-old girl with cerebral palsy. Baseline data for active range of motion, grip and pinch strength, grasp patterns, the Box and Block Test of manual dexterity (Mathiow...

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Publicado en:American Journal of Occupational Therapy Vol. 45; no. 8; pp. 726 - 732
Autores principales: Goodman, Glenn, Bazyk, Susan
Formato: case study pictorial research tables/charts Journal Article
Publicado: American Occupational Therapy Association Aug1991
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug1991
      vid: 45
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: The Effects of a Short Thumb Opponens Splint on Hand Function in Cerebral Palsy: A Single-Subject Study.
      aug:
        au:
          Goodman, Glenn
          Bazyk, Susan
        affil: Assistant Professor, Occupational Therapy Program, Cleveland State University, 1983 East 24th Street, Fenn Tower #701, Cleveland, Ohio 44115
      sug:
        subj:
          Cerebral Palsy Rehabilitation
          Splints Utilization
          Hand Physiology
          Functional Status In Infancy and Childhood
          Muscle Spasticity Rehabilitation
          Human
          Child, Preschool
          Female
          Rehabilitation, Pediatric
          Pediatric Occupational Therapy Methods
          Range of Motion In Infancy and Childhood
          Grip Strength In Infancy and Childhood
          Agility In Infancy and Childhood
          Clinical Assessment Tools
          Treatment Outcomes In Infancy and Childhood
          Descriptive Statistics
          Ohio
          Child, Preschool: 2-5 years
          Female
      ab: An AB single-subject research design was used to assess the effectiveness of a short thumb opponens splint on hand function in a 4-year-old girl with cerebral palsy. Baseline data for active range of motion, grip and pinch strength, grasp patterns, the Box and Block Test of manual dexterity (Mathiowetz, Voland, Kashman, & Weber, 1985), and 1-in. cube stacking were collected twice a week for 4 weeks. The child was fitted with a short thumb opponens splint, which was worn 6 hr during the day and all night for 4 weeks. The twice-weekly measures of the dependent variables continued during the treatment phase. Visual and statistical analysis of the data indicate that the child showed a clinically significant improvement in palmar and radial abduction, thumb opposition, grip strength, performance on the Box and Block Test scores, cube stacking, and lateral pinch. These results suggest that for this child with cerebral palsy, the use of a short thumb opponens splint improved underlying aspects of hand function as well as hand function itself. Replication of this study with a more complex single-subject design involving more subjects is recommended to confirm these results.
      pubtype: Academic Journal
      doctype:
        case study
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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