Bimanual Movement Characteristics and Real-World Performance Following Hand-Arm Bimanual Intensive Therapy in Children with Unilateral Cerebral Palsy.
Bimanual Movement Characteristics and Real-World Performance Following Hand-Arm Bimanual Intensive Therapy in Children with Unilateral Cerebral Palsy.
复制标题
单侧脑瘫儿童手臂双手强化治疗后的双手运动特征和现实世界表现。
DOI：
10.3390/bs13080681
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发表时间：
2023-08-13
影响因子：
2.6
通讯作者：
Surkar, Swati M.
中科院分区：
文献类型：
--
作者：
Gardas, Shailesh S.;Lysaght, Christine;Mcmillan, Amy Gross;Kantak, Shailesh;Willson, John D.;Patterson, Charity G.;Surkar, Swati M.
本研究的目的是量化双手运动强度的特点，在30小时的手臂双手强化治疗（HABIT）和双手性能（活动和参与）在现实世界中使用加速度计在单侧脑瘫（UCP）儿童。25名UCP儿童参加了一个30小时的HABIT计划。在30小时的HABIT期间从双侧腕戴式加速度计收集数据，以量化运动强度，并在HABIT前后三天评估真实世界的性能增益。运动强度和性能增益测量使用六个标准的加速度计衍生的变量。双手能力（身体功能和活动）进行了评估，使用标准化的手功能测试。我们发现，加速计变量增加显着在习惯，表明增加双手对称性和强度。在习惯之后，孩子们在所有加速计指标上都有了显着的改善，反映了现实世界的表现。HABIT治疗后，儿童的手功能也发生了显著的临床相关变化。因此，我们的研究结果表明，加速度计可以客观地量化双手运动强度在习惯。此外，HABIT增强了UCP儿童的手部功能以及在现实世界中的活动和参与。
The purpose of this study was to quantify characteristics of bimanual movement intensity during 30 h of hand–arm bimanual intensive therapy (HABIT) and bimanual performance (activities and participation) in real-world settings using accelerometers in children with unilateral cerebral palsy (UCP). Twenty-five children with UCP participated in a 30 h HABIT program. Data were collected from bilateral wrist-worn accelerometers during 30 h of HABIT to quantify the movement intensity and three days pre- and post-HABIT to assess real-world performance gains. Movement intensity and performance gains were measured using six standard accelerometer-derived variables. Bimanual capacity (body function and activities) was assessed using standardized hand function tests. We found that accelerometer variables increased significantly during HABIT, indicating increased bimanual symmetry and intensity. Post-HABIT, children demonstrated significant improvements in all accelerometer metrics, reflecting real-world performance gains. Children also achieved significant and clinically relevant changes in hand capacity following HABIT. Therefore, our findings suggest that accelerometers can objectively quantify bimanual movement intensity during HABIT. Moreover, HABIT enhances hand function as well as activities and participation in real-world situations in children with UCP.
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影响因子：
3.1
作者：
Hoyt CR;Brown SK;Sherman SK;Wood-Smith M;Van AN;Ortega M;Nguyen AL;Lang CE;Schlaggar BL;Dosenbach NUF
通讯作者：
Dosenbach NUF
影响因子：
4.3
作者：
Lang, Catherine E.;MacDonald, Jillian R.;Reisman, Darcy S.;Boyd, Lara;Kimberley, Teresa Jacobson;Schindler-Ivens, Sheila M.;Hornby, T. George;Ross, Sandy A.;Scheets, Patricia L.
通讯作者：
Scheets, Patricia L.
影响因子：
4.2
作者：
Bailey RR;Klaesner JW;Lang CE
通讯作者：
Lang CE
DOI：
10.1016/j.apmr.2008.11.015
发表时间：
2009-05-01
影响因子：
4.3
作者：
Holsbeeke, Laura;Ketelaar, Marjolijn;Gorter, Jan Willem
通讯作者：
Gorter, Jan Willem
影响因子：
3.1
作者：
Elad, Dina;Barak, Sharon;Brezner, Amichai
通讯作者：
Brezner, Amichai