Chamudot Rena, Parush Shula, Rigbi Amihai, Horovitz Roni, Gross-Tsur Varda
Rena Chamudot, PhD, OT, is Lecturer, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel, and Occupational Therapy Director, Dvorah Agmon Pre-School Development Center, Jerusalem, Israel. At the time of the study, she was Doctoral Student, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Israel;
Shula Parush, PhD, OT, is Professor Emeritus, School of Occupational Therapy, Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Am J Occup Ther. 2018 Nov/Dec;72(6):7206205010p1-7206205010p9. doi: 10.5014/ajot.2018.025981.
We examined the effectiveness of modified constraint-induced movement therapy (mCIMT) in treating infants with hemiplegic cerebral palsy and compared therapy outcomes with a nonconstraining bimanual therapy (BIM) of equal intensity.
In a single-blinded randomized controlled trial, 33 infants with hemiplegia (mean corrected age = 11.1 mo, standard deviation = 2.2) received either mCIMT (n = 17) or BIM (n = 16). Both interventions included home programs encouraging the use of the affected hand during daily 1-hr play sessions for 8 wk. Outcome measures were administered pre- and posttreatment and included the Mini-Assisting Hand Assessment for babies and the Functional Inventory. At baseline, parents also filled out the Dimensions of Mastery Questionnaire.
Both groups demonstrated a significantly large and equal improvement in hand and gross motor function posttreatment (p < .001) and high treatment compliance.
mCIMT and BIM are equally effective methods for treating infants with hemiplegia.
我们研究了改良强制性运动疗法（mCIMT）治疗偏瘫型脑瘫婴儿的有效性，并将治疗结果与同等强度的非强制性双手疗法（BIM）进行比较。
在一项单盲随机对照试验中，33例偏瘫婴儿（平均矫正年龄 = 11.1个月，标准差 = 2.2）接受了mCIMT（n = 17）或BIM（n = 16）治疗。两种干预措施均包括家庭训练计划，鼓励在为期8周的每日1小时玩耍时段使用患手。在治疗前和治疗后进行结果测量，包括针对婴儿的迷你辅助手评估和功能量表。在基线时，家长还填写了掌握程度问卷。
两组在治疗后手部和粗大运动功能均有显著且同等程度的改善（p < .001），且治疗依从性高。
mCIMT和BIM是治疗偏瘫婴儿的同等有效方法。
