动作观察疗法对痉挛型脑性瘫痪偏瘫患儿上肢功能的效果

doi:10.3969/j.issn.1006-9771.2018.04.010

Abstract

Abstract: Objective To explore the effect of action observation therapy (AOT) on upper limb function in children with spastic hemiplegic cerebral palsy, and the better program.Methods From March to November, 2017, 45 children with spastic hemiplegic cerebral palsy were randomly assigned to control group and AOT group. The control group was further divided into group A (n=11) and group B (n=11), and received conventional rehabilitation treatment and scenic-observation therapy, 20 minutes every time for group A, and 30 minutes every time for group B. AOT group was further divided into group C (n=10) and group D (n=11), and received AOT in addition, 20 minutes every time for group C, and 30 minutes every time for group D, five times each week for twelve weeks for all the groups. Before treatment, eight and twelve weeks after treatment, they were assessed with hand grip strength, Upper Extremities Functions Test (UEFT), and Wee Functional Independence Measure (WeeFIM).Results After treatment, the hand grip strength and the score of UEFT were better in group D than in groups B and C (P<0.05), and were better at twelve weeks than at eight weeks (P<0.05). No significant difference was found in the score of WeeFIM among groups after treatment (P>0.05).Conclusion AOT could improve upper limp function in children with spastic hemiplegic cerebral palsy, and it's more effective after more training.

Key words: cerebral palsy, hemiplegia, action observation therapy, hand function, mirror neurons

CLC Number:

R742.3

WEI Ya-min, JIANG Zhi-mei, TANG Jing-hua, DU Jia-yin, LI Xue-mei, WANG Ya-nan, LI Meng-qing. Effect of Action Observation Therapy on Upper Limb Function in Children with Spastic Hemiplegic Cerebral Palsy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(4): 432-436.

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Effect of Action Observation Therapy on Upper Limb Function in Children with Spastic Hemiplegic Cerebral Palsy

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