Adler Caroline, Hessenauer Melanie, Lipp Johanna, Kunze Silke, Geigenberger Carina, Hörning Andrea, Schaudeck Martina, Berweck Steffen, Staudt Martin
a Clinic for Neuropediatrics and Neurorehabilitation , Epilepsy Centre for Children and Adolescents , Vogtareuth , Germany.
b Public Health Faculty of Medicine Gustav Carl Carus , TU Dresden , Dresden, Germany.
Dev Neurorehabil. 2019 Feb;22(2):141-146. doi: 10.1080/17518423.2018.1474501. Epub 2018 May 22.
Mirror movements (MM) in unilateral spastic cerebral palsy (USCP) interfere with many bimanual activities of daily living.
Here, we developed a specific bimanual therapeutic regimen, focusing on asymmetric simultaneous movements of the two hands. Twelve children (6-17 years old; complete data available in ten children) with USCP and MM were included.
After three weeks of inpatient rehabilitation, we observed significant improvements for two self-defined bimanual goal activities (Goal Attainment Scaling, Canadian Occupational Performance Measure) and for bimanual performance in general (Assisting Hand Assessment). These improvements were still present 6 months later. In contrast, even immediately after therapy, the severity of MM had not changed.
Hence, targeted bimanual therapy improved bimanual performance, but did not lead to a reduction of MM. The results of this pilot study might suggest that children with MM benefit more from acquiring strategies to cope with MM than by an active training which aimed to reduce MM.
单侧痉挛性脑瘫（USCP）中的镜像运动（MM）会干扰许多双手的日常生活活动。
在此，我们制定了一种特定的双手治疗方案，重点关注双手的不对称同步运动。纳入了12名患有USCP和MM的儿童（6 - 17岁；10名儿童有完整数据）。
经过三周的住院康复治疗后，我们观察到两项自行定义的双手目标活动（目标达成量表、加拿大职业表现测量）以及总体双手表现（辅助手评估）有显著改善。这些改善在6个月后仍然存在。相比之下，即使在治疗后立即观察，MM的严重程度也没有改变。
因此，有针对性的双手治疗改善了双手表现，但并未导致MM减少。这项初步研究的结果可能表明，患有MM的儿童从获得应对MM的策略中获益更多，而非通过旨在减少MM的积极训练。
