oa South African Medical Journal - Should a hemiplegic arm be treated? : infantile cerebral palsy and speech disorders



The effect of a shift of handedness on speech, etc.independently from cerebral palsy-is shown. It is clear that much of the former concern regarding a shift of handedness, in children of schoolgoing age, has disappeared. It is, moreover, considered that, as a rule, all children should be taught to write with the right hand, unless signs of nervous strain develop. Concerning shift of handedness with hemiplegic children, various views of leading cerepalsists as well as logopedicians are given. Ascertaining hand dominance early in training seems important in order to avoid disorders of speech, etc. Usually the non-affected hand will be made dominant but the affected hand should also be treated to become an assisting hand. This should be done with certain precautions. The role heredity plays in the shift of handedness is discussed.


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