Comparative Effects of Bilateral Hand Splints and an Elbow Orthosis on Stereotypic Hand Movements and Toy Play In 2 Children with Rett Syndrome

Comparative Effects of Bilateral Hand Splints and an Elbow Orthosis on Stereotypic Hand Movements and Toy Play In 2 Children with Rett Syndrome

Sharpe PA

American Journal of Occupational Therapy

1992

tone and motor problems; Rett syndrome; physical intervention; elbow orthosis; thumb abduction splints; stereotypic hand movements

A single-subject rapidly alternating treatment design was used to compare the effectiveness of bilateral band splints and an elbow orthosis in decreasing stereotypic band behaviors and increasing toy play in 2 children with Rett syndrome. The subjects' responses were compared across three treatment conditions: no intervention, hand splints, and elbow orthosis. The order of the treatment phases was randomly selected for each subject. Data were collected in both a free-time condition and a toy-play condition; the outcome measures were stereotypic band movements and band-to-toy contact. Both subjects demonstrated a decrease in stereotypic band movements and a corresponding increase in toy contact with the use of the elbow orthosis. The bilateral hand splints bad no obvious treatment effect.

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