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

Authors

  • Heba A. Bahey El-Deen1 , Hala Ibrahim Kassem2 , Khaled Takey Ahmed3*, Khaled Ahmed Olama4 , Radwa S. Abdul-Rahman5

DOI:

https://doi.org/10.37506/ijphrd.v12i1.13862

Keywords:

Cerebral Palsy – Hemiplegia – Topical Anesthesia – Hand Weight Bearing

Abstract

Purpose: This study was conducted to compare between the effects of topical anesthesia and hand weight
bearing 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 spasticity
grade of 1 to 1+. The patients were assigned randomly into two groups (I and II). The range of motion
of elbow and wrist extension and hand grip strength were determined before and after three months of
treatment. Both groups received a designed exercise program, for one hour, 3 times / week for 3 successive
months, in addition; group I received topical anesthesia on the affected upper limb for 30 minutes, while
group II received a maintained weight bearing in diagonal extension position for 30 minutes. Results: Study
results revealed significant improvement in all measuring variables of both groups when comparing their
pre and post treatment mean values. Significant difference was observed in group II, when comparing the
post treatment mean values of the range of motion of both groups. Conclusion: Topical anesthesia and hand
weight bearing may be used for modulation of upper limb spasticity when combined with exercise program
and increases the range of motion of elbow and wrist extension.

Author Biography

Heba A. Bahey El-Deen1 , Hala Ibrahim Kassem2 , Khaled Takey Ahmed3*, Khaled Ahmed Olama4 , Radwa S. Abdul-Rahman5

1
Associate Professor, Department of Physical Therapy and Health Rehabilitation, College of Applied Medical
Sciences, Jouf University, Kingdom of Saudi Arabia. Former Department of Physical Therapy for Surgery, Faculty
of Physical Therapy, Misr University for Science and Technology, Egypt. 2Professor, Department of Physical
Therapy for Pediatrics, Faculty of Physical Therapy, Delta University for Science and Technology, Egypt.
3Associate Professor, Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of
Physical Therapy, Misr University for Science and Technology, Egypt, 4 Professor, Department of Physical Therapy
for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt, 5 Lecturer, Department of Physical Therapy
for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt

Published

2021-01-07

How to Cite

Heba A. Bahey El-Deen1 , Hala Ibrahim Kassem2 , Khaled Takey Ahmed3*, Khaled Ahmed Olama4 , Radwa S. Abdul-Rahman5. (2021). Topical Anesthesia versus Hand Weight Bearing on Modulating Upper Limb Spasticity in Hemiplegic Children. Indian Journal of Public Health Research & Development, 12(1), 280-286. https://doi.org/10.37506/ijphrd.v12i1.13862