强制性运动疗法对脑瘫儿童功能的影响。
The Effects of Constraint-Induced Movement Therapy on Functions of Cerebral Palsy Children.
作者信息
Jamali Ali Reza, Amini Malek
机构信息
Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Child Neurol. 2018 Fall;12(4):16-27.
OBJECTIVES
Constraint-Induced Movement Therapy (CIMT) is an intervention method that can enhance cerebral palsy (CP) children's hand function. CP is a pervasive and common disorder which affects many aspects of a child life. Hemiplegic CP affects one side of a child's hand and has great effect on child's independence. We investigated the CIMT's studies conducted in Iran, and indicated the effectiveness of CIMT on duration and children age?
MATERIALS & METHODS: This systematic review was conducted using the electronic databases such as Medline PubMed, CINAHL, etc. performed from 1990 to 2016. Iranian and foreigner famous journals in the fields of pediatrics such as Iranian Journal of Pediatrics (IJP), Iranian Rehabilitation Journal (IRJ) and Google scholar with some specific keywords such as CP, CIMT, and occupational therapy were searched.
RESULTS
Overall, 43 articles were found, from which, 28 articles were removed because of lack of relevancy. Ten article were omitted because of duplication and exclusion criteria, so finally 15 articles were included.
CONCLUSION
CIMT is effective compared to no intervention but there are some inconsistencies regarding some parts of CIMT effectiveness such as its effectiveness on muscle tone and protective extension.
目的
强制性运动疗法（CIMT）是一种可增强脑瘫（CP）儿童手部功能的干预方法。脑瘫是一种普遍且常见的疾病，会影响儿童生活的许多方面。偏瘫型脑瘫影响儿童一侧手部，对儿童的独立性有很大影响。我们调查了在伊朗进行的关于强制性运动疗法的研究，并指出了该疗法在治疗时长和儿童年龄方面的有效性。
材料与方法
本系统评价使用了1990年至2016年期间的电子数据库，如Medline PubMed、CINAHL等。检索了伊朗和国外儿科学领域的著名期刊，如《伊朗儿科学杂志》（IJP）、《伊朗康复杂志》（IRJ）以及谷歌学术，使用了一些特定关键词，如脑瘫、强制性运动疗法和职业疗法。
结果
总共找到43篇文章，其中28篇因缺乏相关性被剔除。10篇因重复和排除标准被省略，最终纳入15篇文章。
结论
与不进行干预相比，强制性运动疗法是有效的，但在该疗法有效性的某些方面存在一些不一致之处，比如其对肌张力和保护性伸展的有效性。
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