Functional Splinting efficacy in a Specific Task Home Program for Children with Cerebral Palsy. A Randomized Controlled Trial

Dev Neurorehabil. 2022 Oct;25(7):469-478. doi: 10.1080/17518423.2022.2099027. Epub 2022 Jul 13.

Abstract

Background: The purpose of this study is to investigate whether wearing a functional hand splint adds benefit to carrying out a task-specific home program.

Methods: Thirty-three children were randomly assigned to the Specific Task and Splint Group or to a comparison group. Participants were evaluated before and after 6 weeks of intervention and at 14 weeks of follow-up.

Results: Both groups improved on the Assisting Hand Assessment and the Children's Hand-use Experience Questionnaire (AHA Units p = .000; CHEQ bimanual tasks p = .000; CHEQ grasp efficacy p = .000 and CHEQ time utilization p = .018). No differences were found between the groups after the intervention or after the follow-up.

Conclusions: Hand skills improved in both groups who received a task-specific home program. Wearing a functional hand splint did not appear to improve effectiveness in addition to the home program. This study is registered in ClinicalTrials.gov (NCT03282422).

Keywords: Home programs; assisting hand assessment; functional splint; unilateral cerebral palsy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Cerebral Palsy*
  • Child
  • Hand
  • Hand Strength
  • Humans
  • Occupational Therapy*
  • Upper Extremity

Associated data

  • ClinicalTrials.gov/NCT03282422