Implementation of constraint-induced movement therapy for young children with unilateral cerebral palsy in Jordan: a home-based model
Implementation of constraint-induced movement therapy for young children with unilateral cerebral palsy in Jordan: a home-based model
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DOI：
10.3109/09638288.2011.555594
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发表时间：
2011-01-01
影响因子：
2.2
通讯作者：
Eliasson, Ann-Christin
中科院分区：
文献类型：
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作者：
Al-Oraibi, Saleh;Eliasson, Ann-Christin
目的。本研究的目的是调查在约旦实施约束诱导运动疗法 (CIMT) 的可行性，约旦是一个与西方世界文化不同的国家，之前曾对 CIMT 进行过研究。 20 名单侧脑瘫 (CP) 儿童被随机接受 CIMT 或神经发育治疗 (NDT)。 NDT 是约旦治疗 CP 儿童的常用方法，并用于对照组。 14名儿童完成了治疗； CIMT 组的平均年龄为 47 个月（SD 19 个月），NDT 组的平均年龄为 65 个月（SD 26 个月）。约旦治疗师在为期 2 天的研讨会上学习了 CIMT 方法。 CIMT 的基础是每天 2 小时，持续八周，除了每周与治疗师进行的课程外，家庭还负责培训，即家庭模式。 NDT 组的儿童每周接受治疗师 2 小时的训练。结果。通过辅助手部评估以 0-100 AHA 单位进行测量，CIMT 组的手部功能从 41.6 (12.6) 提高到 48 (11.6)，对照组从 56 (18.7) 提高到 56.6 (18.8)。方差分析显示治疗的群体效应（F(1,12) = 7.77；p = 0.016）。结论。在新环境中进行为期两天的研讨会后，可以看到 CIMT 的治疗效果。
Purpose. The aim of this study was to investigate the feasibility of implementing constraint-induced movement therapy (CIMT) in Jordan, a country with a different culture to that of the western world where CIMT has previously been investigated.Method. Twenty children with unilateral cerebral palsy (CP) were randomised to either CIMT or neurodevelopmental treatment (NDT). NDT is the usual treatment method in Jordan for children with CP and was used in the control group. Fourteen children fulfilled the treatment; mean age was 47 months (SD 19 months) in the CIMT group and 65 months (SD 26 months) in the NDT group. Jordanian therapists learned the CIMT method in a 2-day workshop. CIMT was based on 2-h per day for eight weeks, with the families being responsible for the training aside from a weekly session with the therapist, i.e. a home-based model. Children in the NDT group had 2 h of training per week by therapists.Results. Hand function, measured with Assisting Hand Assessment on a scale of 0-100 AHA-units, improved from 41.6 (12.6) to 48 (11.6) in the CIMT group and from 56 (18.7) to 56.6 (18.8) among controls. ANOVA show a group effect of treatment (F(1,12) = 7.77; p = 0.016).Conclusions. A treatment effect of CIMT can be seen after a 2-day workshop in a novel environment.