The effect of sensory cueing and limb activation treatment on the hemiplegic upper limb function in children with spastic hemiplegic Cerebral Palsy

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The effect of sensory cueing and limb activation treatment on the hemiplegic upper limb function in children with spastic hemiplegic Cerebral Palsy

 

Author: Jim, Sze-wan Eska
Title: The effect of sensory cueing and limb activation treatment on the hemiplegic upper limb function in children with spastic hemiplegic Cerebral Palsy
Degree: M.Sc.
Year: 2010
Subject: Hong Kong Polytechnic University -- Dissertations
Cerebral palsied children -- Rehabilitation
Hemiplegics
Arm -- Diseases -- Treatment
Department: School of Nursing
Pages: 66 leaves : ill. (some col.) ; 30 cm.
InnoPac Record: http://library.polyu.edu.hk/record=b2405541
URI: http://theses.lib.polyu.edu.hk/handle/200/5905
Abstract: Purpose: This study investigated the effect of sensory cueing and limb activation treatment on the hemiplegic upper limb function for children with spastic hemiplegia Cerebral Palsy (CP). Method: The study adopted a single-group pre/post longitudinal study design. 8 children diagnosed with hemiplegic CP (mean age of 13.9 ± 3.2 years; 3 males, 5 females; 2 at normal, 4 at mild and 2 at moderate intellectual abilities) were recruited by convenience sampling from a special school for children with physical handicapped in Hong Kong. All of them were required to undergo two treatments - with or without sensory cueing. The only difference for both treatments was with or without sensory cueing in terms of vibration signal as emitted from the wristwatch and limb activation after cueing. In both treatments, they were required to wear the sensory cueing wristwatch device (SCW-V2) over the hemiplegic upper limb for 6 hours daily, 5 days per week, for 3 weeks and undergo conventional rehabilitation process. The second treatment was followed by a 3-week no-cueing period to measure carry-over effect. All participants received 4 hours conventional individual occupational therapy (OT) within a 3-week treatment period at the meantime which included splinting, muscle strengthening, passive stretching, and functional training on unilateral and bimanual upper limb tasks with daily home exercise. Assessments including measurements of upper limb functions, functional use of hand, and hand strength at intake, pre-test, post-test and follow-up evaluation. All children were assessed for 5 times at the 3-week interval -before treatment, twice after the conventional OT or wearing the SCW-V2 at 1 week and at 3 week. Conclusion: All the variables except muscle tone and grip strength have significant improvement after sensory cueing and limb activation treatment. However, the effects on improving upper extremity efficiency only be maintained at 3 weeks follow-up. Results: The preliminary findings of this study suggest that the sensory cueing and limb activation treatment shows a positive effect on the hemiplegic upper limb function of children with hemiplegia CP. It provides information on the effect of using sensory cueing on children with hemiplegia and shed lights to existing upper limb training with minimum cost (other than the cost of the apparatus) required. Future studies with larger sample size and better controlled confounding variables are required to verify the preliminary results obtained in this study.

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