Dong Vicky Anqin, Fong Kenneth N K, Chen Yun-Feng, Tseng Stella S W, Wong Louisa M S
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong SAR.
Guangzhou Rehabilitation Experimental School, Guangzhou, China.
Dev Med Child Neurol. 2017 Feb;59(2):160-167. doi: 10.1111/dmcn.13216. Epub 2016 Aug 9.
To evaluate 'remind-to-move' (RTM) treatment by comparing it with constraint-induced movement therapy (CIMT) and conventional rehabilitation of the upper extremity in children with hemiplegic cerebral palsy (CP).
Seventy-three children (44 males, 29 females; mean age 11y 8mo, standard deviation [SD] 3y 1mo) - with 20, 38, and 15 in Manual Ability Classification System levels I, II, and III respectively - were recruited from three special schools and randomly selected for an RTM (n=25) or CIMT (n=24) programme (for 75h over 3wks) or for conventional rehabilitation (n=24). The Jebsen-Taylor Hand Function Test, the Bruininks-Oseretsky Test of Motor Proficiency (Subtest 3), the Caregiver Functional Use Survey, and arm movement duration captured by accelerometers were used at the baseline, post-test, and 1-month and 3-month follow-ups.
Both the RTM and CIMT treatments achieved significant gains in manual capacities and spontaneous hand use immediately after the intervention compared with conventional rehabilitation, but there were no significant differences between the two interventions.
The RTM treatment demonstrated similar therapeutic effects with CIMT in manual dexterity and functional hand use, but both interventions were superior to conventional rehabilitation. RTM is recommended as an alternative treatment for the hemiplegic upper extremity in children with CP.
通过将“提醒移动”（RTM）疗法与强制性使用运动疗法（CIMT）以及偏瘫型脑瘫（CP）患儿上肢的传统康复方法进行比较，评估RTM疗法。
从三所特殊学校招募了73名儿童（44名男性，29名女性；平均年龄11岁8个月，标准差[SD]3岁1个月），其中分别有20名、38名和15名儿童的手动能力分类系统水平为I、II和III级。将他们随机分为RTM组（n = 25）或CIMT组（n = 24）进行为期3周共75小时的治疗方案，或分为传统康复组（n = 24）。在基线、测试后、1个月和3个月随访时，使用Jebsen - Taylor手功能测试、Bruininks - Oseretsky运动技能测试（子测试3）、照顾者功能使用情况调查以及通过加速度计记录的手臂运动持续时间。
与传统康复相比，RTM和CIMT治疗在干预后立即在手动能力和自发手部使用方面均取得了显著进展，但两种干预措施之间没有显著差异。
RTM治疗在手部灵活性和功能性手部使用方面显示出与CIMT相似的治疗效果，但两种干预措施均优于传统康复。建议将RTM作为CP患儿偏瘫上肢的替代治疗方法。
