Lycra (R) arm splints improve movement fluency in children with cerebral palsy

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Abstract

Aims: To determine changes in upper limb movement substructures that denote fluency of movement in children with cerebral palsy (CP) following lycra (R) splint wear. Secondarily, to explore the efficacy of lycra (R) splints for those with spastic and dystonic hypertonia.Design: Randomised clinical trial whereby participants were randomised to parallel groups with waiting list control.Method: Sixteen children (mean age 11.5 years SD = 2.2) with hypertonic upper limb involvement (13 hemiplegia, 4 quadriplegia) were recruited. Children were randomly allocated either to a control group or to wear the lycra (R) splint for a period of three months. Three-dimensional (3D) upper limb kinematics was used to assess four functional tasks at baseline, on initial lycra (R) splint application, three months after lycra (R) splint wear, and immediately after splint removal. Movement substructures of the motion of the wrist joint center were analysed.Results: A significant difference was observed between baseline and three months of lycra (R) splint wear in the movement substructures; movement time, percentage of time and distance in primary movement, jerk index, normalised jerk and percentage of jerk in primary and secondary movements. The magnitude of changes in normalised jerk and the percentage of jerk in the primary movement from baseline to three months was greatest in children with dystonic hypertonia.Conclusions: The results indicate that lycra (R) arm splinting induced significant changes in movement substructures and motor performance in children with CP. This research demonstrates that fluency of movement can be quantified and is amenable to change with intervention. Crown Copyright (C) 2010 Published by Elsevier B.V. All rights reserved.
Original languageEnglish
Pages (from-to)214-219
JournalGAIT & POSTURE
Volume33
DOIs
Publication statusPublished - 2011

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Splints
Cerebral Palsy
Arm
Upper Extremity
Wrist Joint
Quadriplegia
Hemiplegia
Muscle Spasticity
Waiting Lists
Crowns
Biomechanical Phenomena
Randomized Controlled Trials
Control Groups
Research

Cite this

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title = "Lycra (R) arm splints improve movement fluency in children with cerebral palsy",
abstract = "Aims: To determine changes in upper limb movement substructures that denote fluency of movement in children with cerebral palsy (CP) following lycra (R) splint wear. Secondarily, to explore the efficacy of lycra (R) splints for those with spastic and dystonic hypertonia.Design: Randomised clinical trial whereby participants were randomised to parallel groups with waiting list control.Method: Sixteen children (mean age 11.5 years SD = 2.2) with hypertonic upper limb involvement (13 hemiplegia, 4 quadriplegia) were recruited. Children were randomly allocated either to a control group or to wear the lycra (R) splint for a period of three months. Three-dimensional (3D) upper limb kinematics was used to assess four functional tasks at baseline, on initial lycra (R) splint application, three months after lycra (R) splint wear, and immediately after splint removal. Movement substructures of the motion of the wrist joint center were analysed.Results: A significant difference was observed between baseline and three months of lycra (R) splint wear in the movement substructures; movement time, percentage of time and distance in primary movement, jerk index, normalised jerk and percentage of jerk in primary and secondary movements. The magnitude of changes in normalised jerk and the percentage of jerk in the primary movement from baseline to three months was greatest in children with dystonic hypertonia.Conclusions: The results indicate that lycra (R) arm splinting induced significant changes in movement substructures and motor performance in children with CP. This research demonstrates that fluency of movement can be quantified and is amenable to change with intervention. Crown Copyright (C) 2010 Published by Elsevier B.V. All rights reserved.",
author = "Catherine Elliott and Siobhan Reid and P. Hamer and Jacqueline Alderson and Bruce Elliott",
year = "2011",
doi = "10.1016/j.gaitpost.2010.11.008",
language = "English",
volume = "33",
pages = "214--219",
journal = "GAIT & POSTURE",
issn = "0966-6362",
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}

TY - JOUR

T1 - Lycra (R) arm splints improve movement fluency in children with cerebral palsy

AU - Elliott, Catherine

AU - Reid, Siobhan

AU - Hamer, P.

AU - Alderson, Jacqueline

AU - Elliott, Bruce

PY - 2011

Y1 - 2011

N2 - Aims: To determine changes in upper limb movement substructures that denote fluency of movement in children with cerebral palsy (CP) following lycra (R) splint wear. Secondarily, to explore the efficacy of lycra (R) splints for those with spastic and dystonic hypertonia.Design: Randomised clinical trial whereby participants were randomised to parallel groups with waiting list control.Method: Sixteen children (mean age 11.5 years SD = 2.2) with hypertonic upper limb involvement (13 hemiplegia, 4 quadriplegia) were recruited. Children were randomly allocated either to a control group or to wear the lycra (R) splint for a period of three months. Three-dimensional (3D) upper limb kinematics was used to assess four functional tasks at baseline, on initial lycra (R) splint application, three months after lycra (R) splint wear, and immediately after splint removal. Movement substructures of the motion of the wrist joint center were analysed.Results: A significant difference was observed between baseline and three months of lycra (R) splint wear in the movement substructures; movement time, percentage of time and distance in primary movement, jerk index, normalised jerk and percentage of jerk in primary and secondary movements. The magnitude of changes in normalised jerk and the percentage of jerk in the primary movement from baseline to three months was greatest in children with dystonic hypertonia.Conclusions: The results indicate that lycra (R) arm splinting induced significant changes in movement substructures and motor performance in children with CP. This research demonstrates that fluency of movement can be quantified and is amenable to change with intervention. Crown Copyright (C) 2010 Published by Elsevier B.V. All rights reserved.

AB - Aims: To determine changes in upper limb movement substructures that denote fluency of movement in children with cerebral palsy (CP) following lycra (R) splint wear. Secondarily, to explore the efficacy of lycra (R) splints for those with spastic and dystonic hypertonia.Design: Randomised clinical trial whereby participants were randomised to parallel groups with waiting list control.Method: Sixteen children (mean age 11.5 years SD = 2.2) with hypertonic upper limb involvement (13 hemiplegia, 4 quadriplegia) were recruited. Children were randomly allocated either to a control group or to wear the lycra (R) splint for a period of three months. Three-dimensional (3D) upper limb kinematics was used to assess four functional tasks at baseline, on initial lycra (R) splint application, three months after lycra (R) splint wear, and immediately after splint removal. Movement substructures of the motion of the wrist joint center were analysed.Results: A significant difference was observed between baseline and three months of lycra (R) splint wear in the movement substructures; movement time, percentage of time and distance in primary movement, jerk index, normalised jerk and percentage of jerk in primary and secondary movements. The magnitude of changes in normalised jerk and the percentage of jerk in the primary movement from baseline to three months was greatest in children with dystonic hypertonia.Conclusions: The results indicate that lycra (R) arm splinting induced significant changes in movement substructures and motor performance in children with CP. This research demonstrates that fluency of movement can be quantified and is amenable to change with intervention. Crown Copyright (C) 2010 Published by Elsevier B.V. All rights reserved.

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