Topical Anesthesia versus Hand Weight Bearing on Modulating Upper Limb Spasticity in Hemiplegic Children

Abstract

Purpose: This study was conducted to compare between the effects of topical anesthesia and hand weightbearing on controlling upper limb spasticity in hemiplegic cerebral palsy children. Materials and Methods:Thirty hemiplegic cerebral palsy children from both sexes, ranging in age from 4 to 6 years with spasticitygrade of 1 to 1+. The patients were assigned randomly into two groups (I and II). The range of motionof elbow and wrist extension and hand grip strength were determined before and after three months oftreatment. Both groups received a designed exercise program, for one hour, 3 times / week for 3 successivemonths, in addition; group I received topical anesthesia on the affected upper limb for 30 minutes, whilegroup II received a maintained weight bearing in diagonal extension position for 30 minutes. Results: Studyresults revealed significant improvement in all measuring variables of both groups when comparing theirpre and post treatment mean values. Significant difference was observed in group II, when comparing thepost treatment mean values of the range of motion of both groups. Conclusion: Topical anesthesia and handweight bearing may be used for modulation of upper limb spasticity when combined with exercise programand increases the range of motion of elbow and wrist extension.