Flexor Carpi Ulnaris Myotendinous Lengthening Improves Function in Children with Spastic Hemiplegic Cerebral Palsy

Children with spastic hemiplegic cerebral palsy with dynamic wrist flexion position during tasks, but with volitional wrist extension in isolation are often treated with Botox, which may limit muscle strength and growth. As the dynamic limitations in wrist movement are due to both abnormal myofascial loads as well as to abnormal patterns of muscle activation, we hypothesize that reducing the non-neural component via myotendinous lengthening of the flexor carpi ulnaris can reduce wrist impairment while maintaining muscle strength.
Source: The Journal of Hand Surgery - Category: Surgery Authors: Source Type: research