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A case study examining the effects of upper extremity inhibitive casting for a child with spastic quadriplegia is presented. The subject was a 5 + year old girl with severe spasticity who has been receiving developmental therapy services since the age of six months. The purpose of the casts was to prevent further increase of progressive elbow flexion contractures. Graphs charting the progression of contractures both before and during casting suggest that the casts were helpful in preventing further increase ease in positioning and handling the child in the classroom and the ability to place the child with weightbearing on her
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Smith et al. (1985) studied this question.
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