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Case Report  |   September 1990
Upper Extremity Casting: Adjunct Treatment for a Child With Cerebral Palsy Hemiplegia
Author Affiliations
  • Audrey Yasukawa, MOT, OTR/L, is Chief of Occupational Therapy, La Rabida Children’s Hospital and Research Center, East 65th Street at Lake Michigan, Chicago, Illinois 60649
Article Information
Hand and Upper Extremity / Musculoskeletal Impairments / Neurologic Conditions / Pediatric Evaluation and Intervention / Departments / Case Report
Case Report   |   September 1990
Upper Extremity Casting: Adjunct Treatment for a Child With Cerebral Palsy Hemiplegia
American Journal of Occupational Therapy, September 1990, Vol. 44, 840-846. doi:10.5014/ajot.44.9.840
American Journal of Occupational Therapy, September 1990, Vol. 44, 840-846. doi:10.5014/ajot.44.9.840
Abstract

A common upper extremity deformity with hemiplegia is pronation contracture of the forearm in association with flexion contracture of the elbow. Early management of the child with hemiplegic cerebral palsy is critical in optimizing overall function. The use of inhibitory upper extremity casting can enhance function and improve arm-hand position. The present paper describes the evaluation process before casting, the goals of each phase of the casting program, and the follow-up.