Alyn Hospital, Pediatric and Adolescent Rehabilitation Center, Jerusalem, Israel.
NeuroRehabilitation. 2011;29(1):29-36. doi: 10.3233/NRE-2011-0674.
To examine the influence of combining restraint therapy with bimanual intensive therapy on the unimanual and bimanual function among children with hemiparetic cerebral palsy (CP). Included were nine children (ages 6-9 yr), with Manual Ability Classification System scores of 2-3, Gross Motor Functional Classification System 1-2;
10 days, six hours per day including one hour of restraint followed by five hours of bimanual activities.
One month and immediately prior to the intervention (as the control period), immediately, two months and six months post-intervention. The Assisting Hand Assessment was the primary outcome measure, along with the Jebsen-Taylor Test of Hand Function, the Jamar pinch gauge for grip and pinch, and the Pediatric Evaluation of Disability Inventory (PEDI).
No significant change was observed during the pre-intervention control period in any of the outcome measures; a significant improvement in all outcome parameters was noted after the intervention as compared to the control period. These achievements were still significantly higher than baseline values at six months post-intervention.
Children with hemiparetic CP at this level of impairment might benefit from a short daily intervention program of combining restraint with bimanual training in order to improve unimanual and bimanual function.
研究约束治疗与双手密集训练相结合对偏瘫脑瘫患儿单手和双手功能的影响。纳入 9 名年龄在 6-9 岁之间、手功能分类系统评分为 2-3 分、粗大运动功能分类系统 1-2 级的患儿；
每天 10 天，6 小时，包括 1 小时约束，随后进行 5 小时双手活动。
干预前 1 个月和即刻（作为对照期）、即刻、2 个月和 6 个月后。主要的评估结果是辅助手评估，以及 Jebsen-Taylor 手功能测试、Jamar 握力和捏力计、小儿残疾评估量表（PEDI）。
在干预前的对照期内，所有评估结果均无显著变化；与对照期相比，干预后所有评估参数均显著改善。这些结果在 6 个月后仍明显高于基线值。
在这种损伤水平的偏瘫脑瘫患儿可能受益于每天短时间的干预计划，将约束与双手训练相结合，以提高单手和双手功能。
