Quote:
Originally Posted by muhana85d
how I can improve the hand and arm function in hemiplegic child ?
Before the UL functions are embarked on, check on the trunk. If the trunk is not stable, UL will not achieve control. Think trunk first. Most often, the flexors are spastic. Hence the arm must go outwards. They are stuck in midrange & inner ranges. Hence target should be outer ranges. Do not stretch. rehablitation should be painfree. Pain increases spasticity which increases spasticity again, & a vicous circle is set. Inhibit pects & biceps;get controlled extension. Inhibit pronaters & facilitate supinators. Approximate UL & give compression at elbow downward towards wrist. do not handle biceps at this time. You'll get wrist extension.As you make child sit on a balancing disc/ ball etc, work on the trunk & get lot of functional work on childs post deltoid & ext rot's. Hope this is helpful.