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Effects of Upper Extremity Mobilization Techniques on Fine-Motor Performance in Children with Neuromotor Disorders

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Three children with neuromotor disorders were evaluated pre and post mobilization techniques for a period of 6 days. The purpose was to determine the relationship between soft tissue and joint restrictions and fine motor performance. Children with neuromotor disorders develop patterns of movement that are characterized by limitations in joint range and muscle function. These patterns are often described as abnormal or atypical patterns of movement, characterized by flexion and pronation of the wrist, pronation of the forearm with elbow flexion, and protraction of the shoulder with scapular abduction and general limitation of shoulder mobility. When there is a restriction of joint mobility and dynamic musculoskeletal function, there are corresponding changes in tissue structure and function. Fascia restrictions interfere with effective elongation and folding of tissue. They adapt to places in the body where movement is inefficient. Tissue contracts and binds down in areas of postural stress, which can profoundly affect posture and movement. These characteristics inhibit the child with neuromotor disorders to develop more dynamic function, particularly in the upper extremities and specifically hand function. Hand function that is efficient requires a complex interaction of postural factors.
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