Use of Low Cost Prostheses to Improve Upper Extremity Function in Children With Cerebral Palsy

Use of Low Cost Prostheses to Improve Upper Extremity Function in Children With Cerebral Palsy

The purpose of the study is to assess the effectiveness of an upper extremity prosthesis in improving the upper extremity function of children with cerebral palsy who have limited use of their hands. Twelve children, aged 4-17 years, who have cerebral palsy and limitations in their ability to use their hands, will be enrolled. All participants will be fitted with a 3D printed arm/hand prosthesis and receive 8 occupational therapy sessions. Each subject will be evaluated pre-treatment, post-occupational therapy sessions and at 6 months follow-up. The evaluation will include assessment of (1)passive and active arm/hand movement and (2)functional hand skills using several standardized tests. The results from the pre-treatment and the two post-treatment evaluations will be compared.

Inclusion Criteria:

• Diagnosis: cerebral palsy
• 4-17 years old
• MACS levels III - V
• Active movement of wrist or elbow

Exclusion Criteria:

• MACS levels I, II
• Botox or orthopedic surgery in past 6 months
• Severe contractures
• Lack of voluntary arm motion