INTERPRETATION In children with CP , h and splints may have a small benefit for upper limb skills .
However , results are diminished after splint wearing stops .
AIM The aim of this review was to determine the effectiveness of h and splinting for improving h and function in children with cerebral palsy ( CP ) and brain injury .
Occupational Therapy Home Programs for Cerebral Palsy: Double-Blind, Randomized, Controlled Trial
OBJECTIVE : The goal was to assess the effectiveness of an occupational therapy home program ( OTHP ) , compared with no OTHP , with respect to function and parent satisfaction with child function , participation , goal attainment , and quality of upper limb skill in school-aged children with cerebral palsy . METHODS : Thirty-six children with cerebral palsy ( mean age : 7.7 years ; male : 69 % ; Gross Motor Function Classification System : level I , 47 % ; level II , 14 % ; level III , 16 % ; level IV , 7 % ; level V , 16 % ; spasticity , 85 % ; dyskinesia , 14 % ; ataxia , 3 % ) were r and omly and equally assigned to OTHPs for 8 or 4 weeks or to no OTHP . The primary end point was Canadian Occupational Performance Measure scores 8 weeks after baseline . Secondary measures were recorded at 4 and 8 weeks . RESULTS : Eight weeks of OTHP produced statistically significant differences in function and parent satisfaction with function , compared with no OTHP . Parents in the 4-week OTHP group did not discontinue use at 4 weeks , as instructed , and continued for 8 weeks ; results demonstrated statistically significant differences , compared with no OTHP . There was no difference in primary or secondary end point measures between intervention groups . CONCLUSION : Pediatricians can advise families that OTHPs developed with a collaborative , evidence -based approach and implemented by parents at home were clinical ly effective if implemented 17.5 times per month for an average of 16.5 minutes per session
INTERPRETATION In children with CP , h and splints may have a small benefit for upper limb skills .
However , results are diminished after splint wearing stops .
AIM The aim of this review was to determine the effectiveness of h and splinting for improving h and function in children with cerebral palsy ( CP ) and brain injury .