Rationale for prescription, and effectiveness of, upper limb orthotic intervention for children with cerebral palsy: a systematic review

Garbellini, Simon; Robert, Yvette; Randall, Melinda; Elliott, Catherine; Imms, Christine

doi:10.1080/09638288.2017.1297498

Cited by 16 publications

(10 citation statements)

References 40 publications

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“…If we study the upper limb orthotic intervention to the children with cerebral palsy, there is a lack of outcome evidence of treatment modality. It indicates the need for more research with vigorous methods to measure the effect of upper limb orthoses and its reliability [62]. According to the type of orthosis and severity of the condition, the orthosis applied to the children with cerebral palsy affects the gait pattern and postural support distinclty [63].…”

Section: Discussionmentioning

confidence: 99%

Orthoses in Conservative Management of Cerebral Palsy and Rehabilitation

Kumar¹,

Vinita²

2021

Prosthetics and Orthotics

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Cerebral palsy is the developmental and postural disorder that combines a group of conditions/disease (neuromuscular), occurs in the developing fetal or infant brain, affects movement and intelligence that are ascribed to non-progressive disturbances. Orthotics is the branch of modern health science and rehabilitation that deals with assessment, prescription, fabrication, fitment, and purposeful gait training to the individual who needs orthosis for optimal independence. Orthoses are external devices that applied to increase function, prevent contracture and deformity, maintain the limbs in a functional position, stabilize the segments of the body, support the weak muscle and its functions, increase motor control, reduce spasticity, protect the limbs, and body segments in the postoperative condition.

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Section: Discussionmentioning

confidence: 99%

Orthoses in Conservative Management of Cerebral Palsy and Rehabilitation

Kumar¹,

Vinita²

2021

Prosthetics and Orthotics

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“…It can be inferred that students who tend to slant to the right may have difficulty to control their wrists, as slanting to the right is not a good practice in Chinese handwriting. Therefore, slanting to the left can be an indicator of the potential neuromuscular disorder as it reflects less use of wrist [31]. This is also evidenced that tilt×SD_Pressure a stronger predictor than tilt and SD_Pressure individually, as lack of wrist agility influence slant, tilt and SD_Pressure at the same time.…”

Section: Discussionmentioning

confidence: 99%

Measuring the tilt and slant of Chinese handwriting in primary school students: A computerized approach

Leung

et al. 2019

PLoS ONE

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Background“Horizontal strokes should be level and vertical strokes should be straight” is a common guideline in the teaching of Chinese handwriting. Measuring deviations in level horizontal and straight vertical strokes in students’ Chinese handwriting is usually assessed manually. However, this task is time-consuming and may have inconsistent outcomes when judged by different people. In this paper, we aim to formulate a method to automatically evaluate the tilt and slant degrees of students’ Chinese handwriting using digital handwriting tablets. Furthermore, we analyze the relationship between the tilt and slant features of students’ Chinese handwriting and other demographic and handwriting features.MethodsFive hundred and ninety-one primary school students from grades 1 to 6 were recruited in Hong Kong. Before the assessment, a grid paper was attached to a digital handwriting tablet. The participants were then asked to copy 90 Chinese characters from a template to the grid paper. Their handwriting processes were recorded as two-dimensional points and then analyzed. The tilt and slant of the students’ handwriting were calculated based on the inclination level of their horizontal and vertical strokes. Linear regressions between slant/tilt degree of the manuscripts and other handwriting features were performed. The students’ demographic information was also explored.ResultsSlant was found to be significantly correlated to Gender (p < 0.001) and tilt×standard deviation of pen pressure (p < 0.001). Tilt was found to be significantly correlated to ground time (p < 0.001), slant (p < 0.001) and slant×special education need (p = 0.021).ConclusionsOur results demonstrate the relationship between slant, tilt and Chinese handwriting performance in primary school children. Slant and tilt can be adopted as an indicator in students’ special education need diagnosis, as tilt level in the students’ Chinese handwriting was related to ground time and slant× special education need, while slant is related to tilt×standard deviation of pen pressure and female students. These findings may also inspire ways to increase special education need students’ writing speed.

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“…121 There is inconclusive evidence of the effect of splinting and passive stretching to improve joint mobility and hand skills. [150][151][152][153] The effects of hand surgery are also indecisive, yet studies indicate positive structural outcomes of joint alignment, grasping ability, bimanual performance, and satisfaction with hand appearance. [154][155][156][157][158][159] Although BoNT-A injections are proven to be beneficial in reducing spasticity in target muscles, 160 there is limited evidence of an automatic transfer to improved motor function or activity performance.…”

Section: Impairment-directed Interventionsmentioning

confidence: 99%