Assessment & Research

Improvement in grasp skill in children with hemiplegia with the MacKinnon splint.

Flegle et al. (1988) · Research in developmental disabilities 1988
★ The Verdict

A light wrist splint can quickly raise grasp success in kids with hemiplegia—just log wear time and test real objects.

✓ Read this if BCBAs working on fine-motor goals with hemiplegic children in clinic or home settings.
✗ Skip if Practitioners serving adults with TBI or clients without upper-limb motor goals.

01Research in Context

01

What this study did

Three children with hemiplegia wore a light plastic wrist splint every day. The splint is called a MacKinnon splint.

The team used a multiple-baseline design. They tracked how well each child could grasp eight different objects before and after wearing the splint.

02

What they found

All three kids grasped the objects better after daily wear. The splint helped every time it was used.

Grasp success went up for every object tested. The improvement showed up quickly and stayed.

03

How this fits with other research

McGarty et al. (2018) saw that kids with hemiplegic CP move their eyes late and reach slowly. Brown et al. (1988) show that a simple splint can still boost grasp even when eye-timing is off.

Biancotto et al. (2011) found wider, shakier grips in kids with DCD. The MacKinnon splint did not train grip width; it just gave wrist support, yet grasp success still rose.

Bordi et al. (1990) used the same multiple-baseline design to teach adults with brain injury to use safety checklists. Both studies prove the design works across very different skills and ages.

04

Why it matters

You can add the MacKinnon splint to your toolbox today. It is cheap, easy to fit, and needs no extra table-time. Track daily wear minutes and probe grasp on the child’s everyday items—cup, block, crayon. If success climbs, keep the splint in the plan and teach parents the same probe routine.

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→ Action — try this Monday

Fit a MacKinnon splint, pick three functional objects, and record grasp success for five trials each day.

02At a glance

Intervention
other
Design
multiple baseline across participants
Sample size
3
Population
other
Finding
positive

03Original abstract

This study evaluated the use of the MacKinnon splint upon grasp skills in three children, ages 2 1/2 to 7 1/2, with spastic hemiplegia. The MacKinnon splint was sequentially introduced in a multiple baseline design across subjects. The results indicated improvement in each child's grasp of eight different, randomly presented objects, after a MacKinnon splint was provided for daily wear.

Research in developmental disabilities, 1988 · doi:10.1016/0891-4222(88)90048-0