Spencer Kevin, Yuen Hon K, Jenkins Gavin R, Kirklin Kimberly, Griffin Angla R, Vogtle Laura K, Davis Drew
Hocus Focus, Inc., Lynchburg, VA, USA.
Department of Education, Carlow University, Pittsburgh, PA, USA.
Occup Ther Health Care. 2020 Apr;34(2):155-170. doi: 10.1080/07380577.2020.1741055. Epub 2020 Mar 23.
This single-group open trial was designed to evaluate the effectiveness of a two-week magic camp as a means of hand-arm motor skills training to improve upper limb motor function (unilateral and bilateral) in children with hemiparesis. Seven children with hemiparesis participated in a magic camp program which met 3 days a week, 4 hours each day, for two consecutive weeks for a total of 24 hours. Participants completed three assessments at the beginning of the camp, post-camp, and at a three-month follow-up: the Jebsen Hand Function Test (JHFT), Children's Hand Experience Questionnaire (CHEQ), and a box opening task that required coordination of both upper limbs. A Wilcoxon signed-rank test revealed significant improvement in JHFT composite scores of the affected limb at post-camp ( = .04) and three-month follow-up ( = .04). In addition, a significant improvement in the number of activities performed using two hands from baseline to three-month follow-up was observed ( = .03). This pattern of improvement was also observed in the speed of completion for the box opening task. The improvement in motor function seems related to the participants' continuing performing daily activities with the affected hand and two hands after the magic camp.
这项单组开放性试验旨在评估为期两周的魔术营作为一种手臂运动技能训练手段，对改善偏瘫儿童上肢运动功能（单侧和双侧）的有效性。七名偏瘫儿童参加了一个魔术营项目，该项目每周进行3天，每天4小时，连续进行两周，共计24小时。参与者在营期开始时、营期结束后以及三个月随访时完成了三项评估：杰布森手功能测试（JHFT）、儿童手部体验问卷（CHEQ）以及一项需要双侧上肢协调的开箱任务。威尔科克森符号秩检验显示，营期结束时（P = .04）和三个月随访时（P = .04），患侧肢体的JHFT综合评分有显著改善。此外，从基线到三个月随访，观察到双手进行活动的数量有显著增加（P = .03）。在开箱任务的完成速度方面也观察到了这种改善模式。运动功能的改善似乎与参与者在魔术营结束后继续使用患手和双手进行日常活动有关。
