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Feasibility of Using an Arm Weight-Supported Training System to Improve Hand Function Skills in Children With Hemiplegia.

PUBLICATION: 
Journal Article
Authors: 
Krishnaswamy S, Coletti DJ, Berlin H, Friel K.
Year Published: 
2016
Publisher: 
Am J Occup Ther. 2016 Nov/Dec;70(6):7006220050p1-7006220050p7.
Identifiers: 
PMID:27767944
Abstract on PubMed

Abstract

OBJECTIVE:

This investigation was a pilot feasibility trial evaluating the use of an arm-weight-supported training device to improve upper-extremity function in children with hemiplegia.

METHOD:

A single-group within-subject design was used. Participants were 6 children ages 7-17 yr with upper-extremity weakness secondary to hemiplegia. The intervention consisted of 15-18 treatment sessions using an arm-weight-supported training device with the affected upper extremity. Fine motor function was assessed using the Jebsen-Taylor Hand Function Test, the Box and Block Test, and the Assisting Hand Assessment. We examined participants' interactions with the device and assessment scores pre- and postintervention.

RESULTS:

Five of the 6 children exhibited some changes after the therapy. The system required significant modifications to ensure appropriate positioning.

CONCLUSION:

The arm-weight-supported system may be viable for therapeutic use. Future studies should use randomized controlled designs and compare effectiveness of weight-supported training with that of other rehabilitation strategies.

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