Brauers L, Geijen M M E, Speth L A W M, Rameckers E A A
Adelante Centre of Expertise in Rehabilitation and Audiology, Valkenburg and Hoensbroek, The Netherlands.
Department Functioning and Rehabilitation, CAPHRI, FHML, UM Maastricht, The Netherlands.
J Pediatr Rehabil Med. 2017;10(1):11-17. doi: 10.3233/PRM-170406.
To investigate the effects of Hybrid-Constrained Induced Movement Therapy (H-CIMT), defined as CIMT combined with Bimanual Intensive Movement Therapy (BIMT), on grip and pinch strength and fatigability we measured grip and pinch strength and fatigability during clinical H-CIMT.
The children participated in a H-CIMT model organized in a therapeutic summer-camp. Children received 90 hours of intensive treatment. Grip and pinch strength and fatigability was measured and fatigue was calculated according to a Static Fatigue Index (SFI).
Pinch strength significantly increased, grip strength did not increase significantly. A non-significant decrease was seen in SFI in pinch and grip.
H-CIMT showed to be effective in increasing muscle pinch strength in the AH. Effectiveness in decreasing muscle fatigue during grip and pinch tests is not yet shown although there was a tendency towards a decrease in muscle fatigue. However, the long-term effects on these aspects are also important in future research.
研究混合约束诱导运动疗法（H-CIMT，定义为约束诱导运动疗法（CIMT）与双手强化运动疗法（BIMT）相结合）对握力、捏力及疲劳性的影响，我们在临床H-CIMT过程中测量了握力、捏力及疲劳性。
儿童参加了在治疗性夏令营中组织的H-CIMT模式。儿童接受了90小时的强化治疗。测量握力、捏力及疲劳性，并根据静态疲劳指数（SFI）计算疲劳程度。
捏力显著增加，握力无显著增加。捏力和握力的SFI有不显著的下降。
H-CIMT在增加AH的肌肉捏力方面显示出有效性。尽管在握力和捏力测试中肌肉疲劳有下降趋势，但尚未显示出在降低肌肉疲劳方面的有效性。然而，这些方面的长期影响在未来研究中也很重要。
