Use of SWASH Brace to facilitate sitting balance And Function And Ambulation In Presence Of Adductor Spasticity Childhood Disability Update 2005 pediatric oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Disability Update 2005

Use of SWASH Brace

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Use of S.W.A.S.H. Brace to facilitate sitting balance, function and ambulation in presence of adductor spasticity

Childhood Disability Update 2005

NUZHAT PEWEKAR, SINI JOSEPH
PHYSIOTHERAPISTS
CP UNIT
CHILDREN'S ORTHOPAEDIC HOSPITAL, MUMBAI

ABSTRACT:

Purpose of the study:

Use of S.W.A.S.H brace to facilitate sitting balance, function and ambulation in presence of adductor spasticity.
A single case study of Physiologic Cost Index (PCI) with Hip Abduction Orthoses and S.W.A.S.H brace and without both braces.

Methodology: 3 severe spastic quadriplegics were studied.

A video camera was used to study the sitting balance of 2 subjects.
A comparative study of the PCI with Hip Abduction Orthoses (HAO) and S.W.A.S.H brace and without brace was performed in the third subject with bilateral hip dislocation. The child ambulated with posterior walker on a 6.1 meter (20 feet) track.

Discussion: Improved range of abduction at hips increases the base of support in sitting thereby improving trunk posture and balance. This in turn facilitates weight-bearing, upper extremity function, manipulation and head control to some extent. A fair amount of abduction in cases of adductor spasticity or scissoring gait can improve step and stride length.

Conclusion: Use of S.W.A.S.H brace in two of the cases gave a visible benefit of improvement in sitting balance, standing posture and stability. Use of this brace in the third child showed improvement in gait and low energy expenditure as compared to ambulating with Hip Abduction Orthoses and without any brace (as measured by PCI).

Last Updated on 15-01-2006

How to cite this url

Childhood Disability Update 2005 - Conference Abstracts. Pediatric Oncall [serial online] 2006 [cited 15 January 2006(Supplement 1)];3. Available from:
http://www.pediatriconcall.com/fordoctor/Conference_abstracts/
S.W.A.S.H._Brace.asp

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