Article

The purpose of this study was (1) to identify the most appropriate
splint from children's and parents' perspective as reflected by effectiveness and
adherence to home-based forced use therapy (FUT). (2) To provide guidance in the
development of a practical and effective protocol based on forced use principles.
METHOD: A crossover design with a convenience sample of children with hemiplegic
cerebral palsy and their parents was used to test three types of splint (mitt,
short splint and long splint) during home-based FUT. Children wore the splints
for a minimum of 1 h/ day during physical activity. Outcome measures included a
daily log and a questionnaire (completed by parents), an actometer worn on the
affected hand to quantify movement and video recordings to inform quality of
movement. RESULTS: The short splint was found to be the most effective and
acceptable restraining device. Wearing devices for more than 1 h per day was not
considered acceptable by either parents or children. CONCLUSION: A short splint,
worn for 1 h per day was found to be the most acceptable protocol.
Constraint induced therapy

Langue : ANGLAIS