Cohen-Holzer Marilyn, Sorek Gilad, Schweizer Maayan, Katz-Leurer Michal
Department of Occupational Therapy, Alyn Children's Hospital and Rehabilitation Center, Jerusalem, Israel.
Department of Physical Therapy, Alyn Children's Hospital and Rehabilitation Center, Jerusalem, Israel.
NeuroRehabilitation. 2017;41(1):119-126. doi: 10.3233/NRE-171463.
An intensive hybrid program, combining constraint with bimanual training, improves upper extremity function as well as walking endurance of children with unilateral cerebral palsy (UCP). Endurance improvement may be associated with the cardiac autonomic regulation system (CARS) adaptation, known to be impaired among these children.
To examine the influence of an intensive hybrid program on CARS, walking endurance and the correlation with upper extremity function of children with UCP.
Twenty-four children aged 6-10 years with UCP participated in a hybrid program, 10 days, 6 hours per day. Data were collected pre-, post- and 3-months post-intervention. Main outcome measures included the Polar RS800CX for heart rate (HR) and heart rate variability (HRV) data, the 6-Minute Walk Test (6MWT) for endurance, and the Assisting Hand Assessment (AHA) and Jebsen-Taylor Test of Hand Function (JTTHF) for bimanual and unimanual function.
A significant reduction in HR and an increase in HRV at post- and 3-month post-intervention was noted (χ22= 8.3, p = 0.016) along with a significant increase in 6MWT with a median increase of 81 meters (χ22= 11.0, p = 0.004) at the same interval. A significant improvement was noted in unimanual and bimanual performance following the intervention.
An intensive hybrid program effectively improved CARS function as well as walking endurance and upper extremity function in children with UCP (213).
一种强化混合训练方案，将强制性训练与双手训练相结合，可改善单侧脑瘫（UCP）患儿的上肢功能以及步行耐力。耐力的改善可能与心脏自主调节系统（CARS）的适应性有关，已知这些患儿的该系统受损。
探讨强化混合训练方案对UCP患儿CARS、步行耐力以及与上肢功能相关性的影响。
24名6-10岁的UCP患儿参加了为期10天、每天6小时的混合训练方案。在干预前、干预后及干预后3个月收集数据。主要结局指标包括用于心率（HR）和心率变异性（HRV）数据的Polar RS800CX、用于耐力的6分钟步行试验（6MWT），以及用于双手和单手功能的辅助手评估（AHA）和杰布森-泰勒手功能测试（JTTHF）。
干预后及干预后3个月时，HR显著降低，HRV增加（χ22 = 8.3，p = 0.016），同时6MWT显著增加，在相同时间段内中位数增加81米（χ22 = 11.0，p = 0.004）。干预后单手和双手功能有显著改善。
强化混合训练方案有效改善了UCP患儿的CARS功能、步行耐力和上肢功能（213）。
