基于中文版上肢技巧质量测试的改良强制性运动疗法对偏瘫型脑性瘫痪儿童上肢功能的效果

doi:10.3969/j.issn.1006-9771.2022.08.004

Abstract

Abstract:

Objective To explore the effect of modified constraint-induced movement therapy (mCIMT) based on Chinese version of Quality of Upper Extremity Skills Test (Ch-QUEST) on upper limb function in children with hemiplegic cerebral palsy.

Methods From January to November, 2021, 40 children with hemiplegic cerebral palsy in Xuzhou Rehabilitation Hospital were recruited and randomly divided into control group (n= 20) and observation group (n= 20). The control group received routine upper limb function training, and the observation group received mCIMT based on Ch-QUEST additionally, for twelve weeks. They were assessed with Ch-QUEST, Peabody Developmental Motor Scale-Fine Motor (PDMS-FM) and Function Independence Measure for Children (WeeFIM) before and after treatment.

Results After treatment, the scores of Ch-QUEST, DMS-FM (raw score) and WeeFIM significantly increased in both groups (|t| > 3.432, P< 0.01), and were higher in the observation group than in the control group (t > 2.032, P < 0.05).

Conclusion mCIMT based on Ch-QUEST could improve the upper limb function of children with hemiplegic cerebral palsy.

Key words: cerebral palsy, modified constraint-induced movement therapy, Chinese version of Quality of Upper Extremity Skills Test, upper limb function

CLC Number:

R742.3

LIU Peng,SU Chun,SHAO Lei,JIA Mengyi,WANG Haixia,TIAN Siyuan,GENG Kaiqing,ZHANG Yanan. Effect of modified constraint-induced movement therapy based on Chinese version of Quality of Upper Extremity Skills Test on upper limb function for children with hemiplegic cerebral palsy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(8): 897-902.

Figures/Tables 5

References 35

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组别	n	性别/n		年龄/岁	偏瘫侧/n
组别	n	男	女	年龄/岁	左	右
对照组	20	11	9	3.04±0.86	11	9
观察组	20	12	8	2.94±0.88	8	12
χ²/t值		0.102		0.33	0.902
P值		0.749		0.75	0.342

项目	示范动作
肩部	伸出上肢够取玩偶、触碰水泡泡等
肘部	击掌、把积木放在儿童手中、在手掌上贴纸画等
腕部	把玩具放在前臂末端,让儿童屈腕触摸等
手指	假装弹钢琴、手指敲桌子模拟下雨的声音、手模仿蜘蛛等
抓握	假装拿烫的鸡蛋、儿童拿秘密的玩具给你看(手掌向上)等

组别	n	治疗前	治疗后	t值	P值
对照组	20	44.8±15.1	48.7±15.3	-10.996	< 0.001
观察组	20	43.9±14.3	58.1±14.1	-26.017	< 0.001
t值		-0.183	2.032
P值		0.856	0.049

组别	n	治疗前	治疗后	t值	P值
对照组	20	117.1±20.6	121.4±23.3	-3.432	0.003
观察组	20	116.0±19.3	137.2±22.4	-18.730	< 0.001
t值		-0.175	2.184
P值		0.862	0.035

组别	n	治疗前	治疗后	t值	P值
对照组	20	50.0±14.4	56.9±12.8	-8.613	< 0.001
观察组	20	49.8±13.0	67.0±14.2	-16.348	< 0.001
t值		-0.058	2.360
P值		0.950	0.024

Effect of modified constraint-induced movement therapy based on Chinese version of Quality of Upper Extremity Skills Test on upper limb function for children with hemiplegic cerebral palsy

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