《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (02): 95-96.

• 专题 • 上一篇    下一篇

强制性诱导运动疗法对偏瘫型脑瘫患儿上肢功能的影响

马海霞; 李晓曦; 桑琳; 李红英; 杨亚丽   

  1. 山东大学齐鲁儿童医院 山东济南市 250022
  • 收稿日期:2005-12-14 出版日期:2006-02-25 发布日期:2006-02-25

Effects of Constraint-induced Movement Therapy on Upper-extremity Function of Children with Hemiplegic Cerebral Palsy

MA Hai-xia, LI Xiao-xi, SANG Lin, et al   

  1. Qi Lu Children's Hospital of Shandong University, Jinan 250022, Shandong, China
  • Received:2005-12-14 Published:2006-02-25 Online:2006-02-25

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摘要： 目的观察强制性诱导运动疗法(CI MT)对偏瘫型脑瘫患儿上肢功能的影响。方法22例0～3岁偏瘫型脑瘫患儿随机分为两组,对照组应用常规康复治疗;观察组在常规康复治疗基础上应用CI MT治疗,用低温板材塑形制作限制性器具,限制健侧手活动,对患儿进行集中、大量、重复的练习和与日常生活相关的活动,设计循序渐进的治疗方案,每天4h,每周6d,疗程2个月。治疗前后采用脑瘫儿童精细运动功能评估量表评定疗效。结果治疗后,两组患儿的精细运动能力均较治疗前提高(P<0.05),但观察组的疗效优于对照组(P<0.05)。结论应用CI MT治疗偏瘫型脑瘫患儿可提高患儿上肢功能的康复效果。

关键词: 强制性诱导运动疗法, 脑瘫, 上肢, 功能

Abstract: ObjectiveTo observe the effects of a modified version of constraint-induced movement therapy (CIMT) on upper-extremity function of children with hemiplegic cerebral palsy.Methods22 patients were divided randomly into treatment group (n=10) and control group (n=12). Cases of control group received routine rehabilitation therapy, otherwise, those of treatment group were treated with CIMT. It involved restraining the unimpaired extremity with a restraining-instrument, and having the child engage in activities with the involved extremity 4 hours a day for 2 months repeatedly. Before and after treatment, affected upper-extremity function of all children were assessed with the Fine Motor Function Measure (FMFM) scale.ResultsThe fine motor function of all children in two groups improved significantly(P<0.05), but effect of treatment group was better than that of control group (P<0.05).ConclusionThe treatment of CIMT can improve upper-extremity function of children with hemiplegic cerebral palsy.

Key words: constraint-induced movement therapy (CIMT), cerebral palsy (CP), upper-extremity, function