Article

OBJECTIVE: To describe the use of upper limb orthoses and assistive technologies
(AT) in a representative community-based sample of children with hemiplegic
cerebral palsy (HCP) and compare children on the basis of their prescription.
METHOD: Survey of all children with HCP entered on a population register. Outcome
measures included a clinical examination; Assessment of Motor and Process skills;
Self-perception Profile for Children; PedsQL version 4; Paediatric Evaluation of
Disability Inventory. RESULTS: Of 107 respondents, 56% were prescribed upper limb
orthoses and 46% AT; 48% of children prescribed upper limb orthoses were using
them, compared to 98% of children prescribed AT. Greater tone at the wrist was
associated with orthotic prescription (OR [95% CI] 39.6 [4.8, 323]). CONCLUSION:
Children with HCP prescribed orthoses and AT are a more severely affected group.
AT have higher utility than upper limb orthoses in children with HCP, with
orthoses having a high rate of abandonment.

Langue : ANGLAIS