约束诱导运动疗法在约旦单侧脑瘫幼儿中的应用：一种基于家庭的模式。

Implementation of constraint-induced movement therapy for young children with unilateral cerebral palsy in Jordan: a home-based model.

机构信息

Physical Therapy Department, Faculty of Allied Health Sciences, Hashemite University, Jordan.

出版信息

Disabil Rehabil. 2011;33(21-22):2006-12. doi: 10.3109/09638288.2011.555594. Epub 2011 Feb 18.

DOI:10.3109/09638288.2011.555594

PMID:21332299

Abstract

PURPOSE

The aim of this study was to investigate the feasibility of implementing constraint-induced movement therapy (CIMT) in Jordan, a country with a different culture to that of the western world where CIMT has previously been investigated.

METHOD

Twenty children with unilateral cerebral palsy (CP) were randomised to either CIMT or neurodevelopmental treatment (NDT). NDT is the usual treatment method in Jordan for children with CP and was used in the control group. Fourteen children fulfilled the treatment; mean age was 47 months (SD 19 months) in the CIMT group and 65 months (SD26 months) in the NDT group. Jordanian therapists learned the CIMT method in a 2-day workshop. CIMT was based on 2-h per day for eight weeks, with the families being responsible for the training aside from a weekly session with the therapist, i.e. a home-based model. Children in the NDT group had 2 h of training per week by therapists.

RESULTS

Hand function, measured with Assisting Hand Assessment on a scale of 0-100 AHA-units, improved from 41.6 (12.6) to 48 (11.6) in the CIMT group and from 56 (18.7) to 56.6 (18.8) among controls. ANOVA show a group effect of treatment (F(1,12) = 7.77; p = 0.016).

CONCLUSIONS

A treatment effect of CIMT can be seen after a 2-day workshop in a novel environment.

摘要

目的

本研究旨在探讨在约旦实施强制性运动疗法（CIMT）的可行性，约旦的文化与之前开展 CIMT 研究的西方国家不同。

方法

20 名单侧脑瘫儿童被随机分为 CIMT 组或神经发育治疗（NDT）组。NDT 是约旦治疗脑瘫儿童的常用方法，用于对照组。14 名儿童完成了治疗；CIMT 组的平均年龄为 47 个月（SD 19 个月），NDT 组为 65 个月（SD 26 个月）。约旦治疗师在为期两天的研讨会上学习 CIMT 方法。CIMT 每天进行 2 小时，共 8 周，除了每周与治疗师进行一次治疗外，家庭负责训练，即家庭为基础的模式。NDT 组的儿童每周接受 2 小时的治疗。