ITB offers several advantages, such as graduated control of abnormal tone, flexible dosing patterns, and reversible effects.
Ideally, we could prevent the deformities caused by the abnormal tone and weakness that affect children with cerebral palsy.
The basic objectives for maximizing the potential of children with cerebral palsy include: 1) developing effective communication skills through techniques such as gestures or signs, assistive communication devices, and oral or written language; 2) improving motor skills by managing abnormal tone and movements, promoting strengthening and coordination, using supportive devices, and preventing and correcting orthopedic deformities; 3) developing independence in daily living activities such as feeding, dressing, and personal hygiene; 4) treating and/or preventing associated problems such as eye-crossing, hearing deficit, malnutrition, aspiration, drooling, gastro-esophageal reflux, constipation, seizures, behavioral problems, and sleep disturbances.
Abnormal tone is indicated by the head falling backward or requiring support.
Abnormal tone is present when this normal stretch is absent, with persistence of increase in tone or the absence of flexion in a flaccid posture.
Because muscle tone depends on the integrity of the nervous system, abnormal tone is extremely common after a stroke.
Slings also tend to reinforce the abnormal tone, and, by immobilizing the arm, they prevent the musculature from getting stronger.
Standing programs provide multiple health benefits to individuals who do not stand under their own power and spend the majority of their time sitting or lying down because of weakness, abnormal tone
, or developmental delays.