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Upper-extremity Spasticity-reducing Treatment in Adjunct to Movement Training and Orthoses in Children with Cerebral Palsy at Gross Motor Function- and Manual Ability Classification System Levels IV-V: A Descriptive Study
Habiliteringscentrum, Region Västerbotten.
Habiliteringscentrum, Region Västerbotten.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Hand Surgery.
Umeå University, Faculty of Social Sciences, Department of Psychology. Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Hand Surgery. Habiliteringscentrum, Region Västerbotten.ORCID iD: 0000-0003-0240-3690
2019 (English)In: Developmental Neurorehabilitation, ISSN 1751-8423, E-ISSN 1751-8431Article in journal (Refereed) Epub ahead of print
Abstract [en]

Covering a 20-year period of work with children with severe cerebral palsy (CP) within a Swedish habilitation service, changes in passive wrist extension with fingers extended (PWE-FE) and current hand function are described and compared between children receiving systematic upper-extremity treatment with botulinum neurotoxin type A and intervention programs from before 7 years of age (Group 1, n = 7), those whom for various reasons did not undergo this treatment (Group 2, n = 10), and those not having the option to receive treatment until later during childhood/adolescence (Group 3, n = 8). Group 3 showed more critical and less normal PWE-FE values for both wrists, and poorer hand function scores, particularly compared with Group 1. Findings cautiously suggest that repeated upper-extremity spasticity-reducing treatment and movement training/orthoses from an early age may help prevent critical loss of passive range of motion of the wrist joint flexion/extension and promote hand function development in children with severe CP.

Place, publisher, year, edition, pages
Taylor & Francis, 2019.
Keywords [en]
Severe cerebral palsy, botulinum toxin, upper-extremity interventions, passive wrist extension, hand function, development
National Category
Pediatrics
Research subject
Rehabilitation Medicine
Identifiers
URN: urn:nbn:se:umu:diva-163315DOI: 10.1080/17518423.2019.1655677ISI: 000482720500001PubMedID: 31437072Scopus ID: 2-s2.0-85071011008OAI: oai:DiVA.org:umu-163315DiVA, id: diva2:1351294
Funder
Västerbotten County CouncilKnut and Alice Wallenberg Foundation, 2015.0192Available from: 2019-09-13 Created: 2019-09-13 Last updated: 2019-09-20

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Blaszczyk, IzabelaDomellöf, Erik
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