Hand function in the play behavior of children with cerebral palsy.

OBJECTIVE The aim of this study was to evaluate the influence of hand function on the occupational performance of playing for children with cerebral palsy. METHODS Twenty children with cerebral palsy took part in the study, of both genders, aged 3-10 years, with motor abilities ranging from I to V and manual abilities from II to IV. Data were collected using the Assessment of Ludic Behaviour before and after botulinum toxin was applied in the upper limbs to reduce spasticity. RESULTS Significant differences were found between the scores before and after the application of botulinum toxin in relation to the total Assessment of Ludic Behaviour score (p < 0.001), as well as in basic ludic interest (p = 0.003), basic ludic ability (p < 0.001), ludic attitude (p = 0.008), and communication of needs and feelings (p = 0.025), except for general level of interest (p = 0.957). CONCLUSIONS The reduction of spasticity permits better handling of the play materials, which promotes the children's involvement in play situations.