Title page for ETD etd-11062007-135438

Document Type Master's Dissertation
Author Delgado, Madalene C
Email madalened@worldonline.co.za
URN etd-11062007-135438
Document Title Effect of a supination splint on upper limb function of cerebral palsy children after Botulinum Toxin A
Degree M (Occupational Therapy)
Department Occupational Therapy
Advisor Name Title
Ms M Graham
  • botulinum toxin A
  • supination splint
  • spasticity
  • range of movement
  • upper limb function
  • cerebral palsy
Date 2006-11-20
Availability unrestricted

To investigate the effect a supination splint would have on upper limb function of cerebral palsy children for six months after receiving Botox® injections.


Ten children attending weekly therapy enrolled in this prospective Quasi-experimental design where each child acted as his own control. Intervention was a supination splint and stretch massage. Assessment was based on pre- and post-intervention records of Modified Ashworth Scale, goniometry, Quality of Upper Extremity Skills Test (QUEST), and an independent panel assessment of videotaped records of hand function.


Results show that spasticity declined in the forearm pronators, wrist flexors and thumb adductors. Active movement improved significantly in forearm supination and wrist extension. The QUEST demonstrated a significant change. Improvement in the hand function assessment was evident from the second month.


Findings support the premise that the supination splint is effective in improving upper limb function of cerebral palsy children after Botox® injections.

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