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Mollie Smiling During Treatment

Meet Molly

“We would advise every parent to do it! - Fran, Molly’s Mum
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Molly stacking cones.
“When she does use her left hand now, the quality of movement is much better!”
Rachel, Molly’s Mum.

The Challenge

Molly had very high tone in her fingers and thumb which delayed finger extension making the release of objects very difficult. Molly was unable to isolate her index finger and had reduced fine motor control. Molly demonstrated a strong preference towards her left hand and rarely incorporated her right hand in various activities.

“It's been such a tough week but so worth it... Don't know how u guys do it!” - Rachel, Molly’s Mum.

The Goals

  • To be able to point with her index finger
  • To hit a drum or tambourine
  • To be able to wave
  • To clench hand less
  • To hold a ball with both hands open

Our Approach

01

Shoulder strengthening and control

Molly playing in the mirror.
Molly with her cast on and playing with blocks.

02

Fine motor tasks

03

Index finger isolation practice

Molly reading a book during therapy.

The Science-y Bit

Having the cast on for 24 hours a day for 2 weeks, has allowed Molly to focus on only using her affected arm in activities, and increase her awareness of her right upper limb. This stimulates the formation of new pathways for movement, which “rewires” the brain - this means that a larger part of the brain becomes active when producing movement of the weaker arm.

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The static posture of the non-affected side in the cast, further assisted to reduce tone in Molly’s right arm and hand consequently promoting functional use. The high intensity and repetitive use of Molly’s affected upper limb over a relatively short period of time had produced a lasting change. As with most intensive therapies, the best results are seen with early intervention so Molly managed to achieve some really positive results in a relatively short space of time.

Karen Leslie portrait headshot

Karen Leslie - Neurological Physiotherapist

The Achievements

  • Molly’s thumb control improved, meaning that she no longer requires to wear a thumb splint.
  • Molly developed ability to isolate her index finger and had the strength to use it when pressing so she can now eat yoghurt independently.
  • Molly increased her quality in range of grasps including a pincer grip so she was able to pick up a variety of toys and also pick up and eat grapes or cheerios.

The Parents Feedback

“She is far more naturally bilateral than pretreatment. It’s a very intense time for the parents as well as the child but very worth it....it was a kick start to her achieving the next level of movement/physicality...definitely worth doing.” -Rachel, Molly’s Mum.

“She is far more naturally bilateral than pretreatment.” -Rachel, Molly’s Mum.

The Therapists Feedback

"Molly was such a sweet little girl and a true pleasure to work with! With the younger ones the cast is always a bit more of a concern but Molly was extremely brave and a total star! The improvements speak for themselves and all that’s left for me to say is; thank you Molly and best of luck!"

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"The improvements speak for themselves and all that’s left for me to say is; thank you Molly and best of luck!" - Karen, Therapist
Karen Leslie portrait headshot

Karen Leslie - Neurological Physiotherapist

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