Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model
Effects of constraint-induced movement therapy in young children with hemiplegic cerebral palsy: an adapted model
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DOI：
10.1111/j.1469-8749.2005.tb01132.x
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发表时间：
2005-04-01
影响因子：
3.8
通讯作者：
Wang, C
中科院分区：
文献类型：
--
作者：
Eliasson, AC;Krumlinde-Sundholm, L;Wang, C
本研究的目的是评估约束诱导（CI）运动疗法的改良版本对偏瘫性脑瘫（CP，年龄范围18岁至4岁）儿童双手使用的影响，并与常规儿科治疗进行比较。21名儿童（13名女性，8名男性）完成了CI治疗方案，20名儿童（12名男性，8名女性）作为对照组。CI治疗组儿童每天佩戴约束手套2小时，持续2个月。训练是基于在游戏和动机设置中使用的运动学习原则。采用辅助手评估法（AHA）评价治疗效果。评估分三次进行：发病时、2个月后和首次评估后6个月。组与AHA测量之间存在显著的交互作用（方差分析，F-2,F-74=5.64, p=0.005）。2个月后，即治疗后，接受CI治疗的患儿偏瘫手的使用能力明显高于对照组患儿。治疗后效应量高，6个月时仍为中等。由于治疗是根据每个孩子的能力和兴趣量身定制的，孩子们很少感到沮丧。
The aim of this study was to evaluate the effects of a modified version of constraint-induced (CI) movement therapy on bimanual hand-use in children with herniplegic cerebral palsy (CP; age range 18mo to 4y) and to make a comparison with conventional paediatric treatment. Twenty-one children (13 females, eight males) completed the CI therapy programme and 20 children (12 males, eight females) served as a control group. Children in the CI therapy group were expected to wear a restraint glove for 2 hours each day over a period of 2 months. The training was based on principles of motor learning used in play and in motivational settings. To evaluate the effect of treatment, the Assisting Hand Assessment (AHA) was used. Assessments took place on three occasions: at onset, after 2 months, and 6 months after the first assessment. A significant interaction was found between group and AHA measure (ANOVA, F-2,F-74=5.64, p=0.005). The children who received CI therapy improved their ability to use their hemiplegic hand significantly more than the children in the control group after 2 months, i.e. after treatment. Effect size was high after treatment and remained medium at 6 months. As the treatment was tailored to each child's capacity and interests, little frustration was experienced by the children.