Department of Physical Therapy and Rehabilitation, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Disabil Rehabil. 2022 Dec;44(24):7500-7507. doi: 10.1080/09638288.2021.2002441. Epub 2021 Nov 13.
To investigate effect of modified constraint-induced movement therapy (mCIMT) administered on consecutive or intermittent days on upper limb function in children with hemiparetic cerebral palsy (CP).
Thirty-three children (age range 5-18 y) with hemiparetic CP separated into three groups: consecutive mCIMT group ( = 11), intermittent mCIMT group ( = 11), control group ( = 11). The outcome measures consist of Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Pediatric Balance Scale (PBS), Modified Tardieu Scale (MTS), Jebsen-Taylor Hand Function Test (JTHFT), Children's Hand Use Experience Questionnaire (CHEQ), Abilhand Kids Questionnaire, surface Electromyography (sEMG). The evaluations were made baseline, 10 days after, 5 weeks after the treatment.
Improvements were achieved in all groups. The use of upper extremities in daily life activities ( < 0.01), speed of performing the activities ( < 0.001), grasping efficiency ( < 0.001), the amount of a decrease in the children's sense of discomfort while performing activities ( < 0.001) on the affected side in both mCIMT groups were better than the control group. The gain levels in mCIMT groups were similar ( > 0.05).
Administration of mCIMT on intermittent days facilitate the adaptation of a child, it was concluded to be a more tolerable method and could be more effective.Implications for rehabilitationmCIMT is more effective than low-dose conventional therapeutic interventions in improving paretic upper limb functions in children with hemiparetic CP.The application of mCIMT in the child's natural environment increases the motivation to participate in the treatment.The application of mCIMT on intermittent days will be more easily tolerated in paediatric individuals and will increase participation in the treatment.
研究连续或间断天进行改良强制性运动疗法（mCIMT）对偏瘫脑瘫患儿上肢功能的影响。
将 33 名偏瘫脑瘫患儿（年龄 5-18 岁）分为三组：连续 mCIMT 组（n=11）、间断 mCIMT 组（n=11）、对照组（n=11）。结果测量包括粗大运动功能分类系统（GMFCS）、手动能力分类系统（MACS）、小儿平衡量表（PBS）、改良 Tardieu 量表（MTS）、Jebsen-Taylor 手功能测试（JTHFT）、儿童手部使用经验问卷（CHEQ）、Abilhand Kids 问卷、表面肌电图（sEMG）。评估于基线、治疗后 10 天和 5 周后进行。
所有组均有改善。mCIMT 组在日常生活活动中使用上肢（<0.01）、活动速度（<0.001）、抓握效率（<0.001）、活动时患儿不适感降低程度（<0.001）优于对照组。mCIMT 组的增益水平相似（>0.05）。
间断天进行 mCIMT 治疗有助于儿童适应，被认为是一种更耐受的方法，可能更有效。
mCIMT 比低剂量常规治疗干预更有效地改善偏瘫脑瘫患儿的患侧上肢功能。在儿童自然环境中应用 mCIMT 可提高参与治疗的积极性。间断天应用 mCIMT 在儿科个体中更容易耐受，并增加治疗参与度。
