スプリントを用いた小児片麻痺のつまみ動作訓練 : 3症例の経験

概要

論文の詳細を見る
Hemiplegic children whose Brunnstrom Recovery Stage of the Hand is 3 or 4 can not perform practical pinch movements. So they are apt to pinch objects such as marbles, glass beads and othes by the unaffected hand only and to disregard the functional capacity of the affected hand. And then they will have troubles in activities of school living and in playing with other claildren. We conducted the pinch training by using an opponens splint for three hemipleqic. children They showed betterment of pinch movements by wearing the splint and were motivated to the functional training of the affected upper limb. This training with splint should be applied to the case whose Brunnstrom Recovery Stage of the Hand has attained 3 at least and that has no joint contractures of hand and fingers without too much hypertonicity. The main effect of this training with splint is to enhance the child's interest on activities performed by the affected hand through pinch movemennts. Two-hand activity training is important in the movement therapy of hemiplegic child. It is considered useful as a preparatory training to two-hand activity to facilitate fine movements of the affected hand by using this type of splint.
社団法人日本理学療法士協会の論文
1984-12-10