比较单侧脑瘫儿童上肢功能的单手训练和双手训练
Comparing Unimanual and Bimanual Training in Upper Extremity Function in Children With Unilateral Cerebral Palsy.
作者信息
Klepper Susan E, Clayton Krasinski Debra, Gilb Meaghan C, Khalil Nashwa
机构信息
Program in Physical Therapy and Department of Rehabilitation and Regenerative Medicine (Drs Klepper and Krasinski), Columbia University, New York; Rusk Institute (Dr. Khalil), New York University Medical Center, New York; and Children's Health (Dr. Gilb), Children's Medical Center of Dallas, Dallas, Texas.
出版信息
Pediatr Phys Ther. 2017 Oct;29(4):288-306. doi: 10.1097/PEP.0000000000000438.
PURPOSE
This systematic review compared intensive bimanual therapy (IBT) and modified constraint-induced movement therapy (mCIMT) in upper limb function in children with unilateral cerebral palsy (CP).
METHODS
Four electronic databases were searched from 2009 through October 2015 for randomized control trials comparing IBT with mCIMT.
RESULTS
Eight articles met the inclusion criteria; 5 randomized clinical trials with 221 participants with unilateral CP, ages 1.5 to 16 years, who received the intervention in a day camp, clinical, or preschool setting were included. The IBT group performed bimanual motor activities; the mCIMT group performed unilateral motor activities.
CONCLUSION
There was a strong, nonspecific recommendation for either approach to improve quality of unimanual movement, bimanual capacity, and movement efficiency. There was a weak, specific recommendation for IBT in improving movement quality and a specific but weak recommendation favoring IBT to improve the child's performance on parent-reported outcomes.
目的
本系统评价比较了强化双手疗法（IBT）和改良强制性诱导运动疗法（mCIMT）对单侧脑瘫（CP）患儿上肢功能的影响。
方法
检索了4个电子数据库，时间跨度为2009年至2015年10月，以查找比较IBT与mCIMT的随机对照试验。
结果
8篇文章符合纳入标准；纳入了5项随机临床试验，共221例单侧CP患儿，年龄在1.5至16岁之间，他们在日间营地、临床或学前班环境中接受了干预。IBT组进行双手运动活动；mCIMT组进行单侧运动活动。
结论
对于改善单手运动质量、双手能力和运动效率的任何一种方法，都有强烈的、非特异性的推荐。对于IBT在改善运动质量方面有微弱的、特定的推荐，对于IBT在改善家长报告的结果方面有特定但微弱的推荐。
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