Splints and a Task-oriented Approach Improve Upper Extremity Function in Children with Spastic Quadriplegic Cerebral Palsy

Abstract

To investigate the combined impact of splints and Task-Oriented Approach(TOA) on Upper Extremity (UE) skills in children with Motor learning and motor movement execution were both necessary for the development of upper extremity (UE) skills. The UEs' musculoskeletal stability was necessary for the execution of motor motions. Spasticity, a frequent issue in kids with cerebral palsy (CP), can hinder and limit participant ability and activity. In this study, we investigated how task-oriented approach (TOA) intervention and splints could benefit quadriplegic CP children with spastic upper limbs. To evaluate the combined impact of splints and TOA vs the individual effects of splints and TOA on UE’s skills. Using a quasi-experimental design, 15 kids were chosen using inclusion and exclusion criteria and then randomly allocated to one of three groups, A, B, or C, each consisting of five kids. During the four-week intervention program, children in Group A received splints together with TOA, children in Group B received splints, and children in Group C received TOA. The results of the PDMS-2 Peabody Developmental Motor Scales 2nd edition, PDMS-2 standardized test evaluation were used to examine each kid one week before and immediately after the four-week intervention. The statistical findings showed that when the intervention was concentrated on TOA together with the usage of splint and the full groups were compared to each other, there is a significant observable improvement in UE's abilities function in children with spastic quadriplegic CP group A comparing to group B and group C children. This study found that the assumption of motor learning, which states that an adequate neuromotor system combined with repeated practice will develop motor skills, is true when the goal of a treatment plan for children with quadriplegic CP is to develop UE skills.