How to implement the plan:
This study is a clinical trial and designed to investigate the effect of anti-pronation static splint on activities in 10 spastic hemiplegic cerebral palsy children with 8-12 years old. Two groups are participated in this study; an intervention group (N=10) and a control group (N=10). The patients who have inclusion criteria: 8-12 years old spastic hemiplegic cerebral palsy children; classification of 2 and 3 Gross Motor Function Classification System (GMFCS) selected randomly from therapeutic centers of Tehran. Exclusion criteria: Non-cooperation; Patients should fill the consent form and demographic questionnaire before starting the assessments. Assessments include box and block test, passive range of motion of elbow extension, forearm supination and wrist extension with goniometry, severity of spasticity with Modified Ashworth Scale, and performance of activities with Activities Scale for Kids. Colleague of examiner does the assessments in intervention and control group (10 children) and records the data. After the preliminary assessments, patients are divided into intervention and control groups. Masters will check groups with regard to severity of spasticity, level of performance, age, gender and homogeneity. In order to make of anti-pronation static splint, patients of intervention group are introduced to the research and therapeutic hand clinic in school of rehabilitation of Tehran University of Medical Sciences. After fabrication of positive mold, pattern of splint is cropped on thermoplastic material. This material is heated and placed on the positive mold and covers forearm from distal crease of ulnar side of wrist to two-thirds of upper forearm. Dorsal side on distal head of ulna is a landmark for producing a puncture. From this point a strip passes and a ring is clinched to the end of the strip. In order to prevent of pressure on the head of ulna, the pads put inside the splint and place it on the patient forearm so that the strip starts from distal and dorsal side of wrist, passes inside of splint , stands on volar side of wrist then passes from the ring and ends on velcro of palmar side of splint. Also another strip is prepared for stabilizing splint on forearm. Duration of therapy is 8 weeks and the splint should be used6- 8 hours during a day. The patients are trained on how to use and keep the splint. After 8 weeks of application of splints, assessments are repeated by colleague of examiner and the results will be analyzed statistically. Examiner colleague is blinded about the patients in intervention and control groups. During the intervention time, patients in intervention and control groups benefit from conventional treatments of occupational therapy such as Neurodevelopmental Treatment.