Coker-Bolt Patty, Downey Ryan J, Connolly Jacqueline, Hoover Reagin, Shelton Daniel, Seo Na Jin
Department of Health Professions, Division of Occupational Therapy, Medical University of South Carolina, Charleston, SC, USA.
Department of Health Sciences and Research, Medical University of South Carolina, Charleston, SC, USA.
J Pediatr Rehabil Med. 2017;10(1):27-36. doi: 10.3233/PRM-170408.
The aim of this pilot study was to determine the feasibility and use accelerometers before, during, and after a camp-based constraint-induced movement therapy (CIMT) program for children with hemiplegic cerebral palsy.
A pre-test post-test design was used for 12 children with CP (mean = 4.9 yrs) who completed a 30-hour camp-based CIMT program. The accelerometer data were collected using ActiGraph GT9X Link. Children wore accelerometers on both wrists one day before and after the camp and on the affected limb during each camp day. Three developmental assessments were administered pre-post CIMT program.
Accelerometers were successfully worn before, during, and directly after the CIMT program to collect upper limb data. Affected upper limb accelerometer activity significantly increased during the CIMT camp compared to baseline (p< 0.05). Significant improvements were seen in all twelve children on all assessments of affected upper limb function (p< 0.05) measuring capacity and quality of affected upper limb functioning.
Accelerometers can be worn during high intensity pediatric CIMT programs to collect data about affected upper limb function. Further study is required to determine the relationship between accelerometer data, measure of motor capacity, and real-world performance post-CIMT.
本初步研究旨在确定在针对偏瘫型脑瘫儿童的基于营地的强制性运动疗法（CIMT）项目之前、期间和之后使用加速度计的可行性。
采用前测后测设计，对12名完成了为期30小时基于营地的CIMT项目的脑瘫儿童（平均年龄4.9岁）进行研究。使用ActiGraph GT9X Link收集加速度计数据。儿童在营地前后一天在双腕佩戴加速度计，在每个营地日在患侧肢体佩戴。在CIMT项目前后进行了三项发育评估。
在CIMT项目之前、期间和之后均成功佩戴加速度计以收集上肢数据。与基线相比，在CIMT营地期间患侧上肢加速度计活动显著增加（p<0.05）。在所有十二名儿童的患侧上肢功能的所有评估（测量患侧上肢功能的能力和质量）中均观察到显著改善（p<0.05）。
在高强度儿科CIMT项目期间可佩戴加速度计以收集有关患侧上肢功能的数据。需要进一步研究以确定加速度计数据、运动能力测量与CIMT后实际表现之间的关系。
