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使用操纵杆式骑乘玩具促进脑瘫儿童上肢功能的可行性:一项初步研究。

Feasibility of Using Joystick-Operated Ride-on-Toys to Promote Upper Extremity Function in Children With Cerebral Palsy: A Pilot Study.

机构信息

Physical Therapy Program, Department of Kinesiology (Ms Amonkar and Drs Bubela, and Srinivasan), University of Connecticut, Storrs, Connecticut; Institute for Collaboration on Health, Intervention, and Policy (InCHIP) (Ms Amonkar and Drs Morgan, Bubela, and Srinivasan), University of Connecticut, Storrs, Connecticut; The Connecticut Institute for the Brain and Cognitive Sciences (IBACS) (Ms Amonkar and Drs Bubela and Srinivasan), University of Connecticut, Storrs, Connecticut; Biomedical Engineering Program, Department of Biomedical Engineering (Drs Kumavor and Morgan), University of Connecticut, Storrs, Connecticut.

出版信息

Pediatr Phys Ther. 2022 Oct 1;34(4):508-517. doi: 10.1097/PEP.0000000000000944. Epub 2022 Aug 30.

DOI:10.1097/PEP.0000000000000944
PMID:36044637
Abstract

PURPOSE

To evaluate the feasibility of implementation, acceptance, and perceived efficacy of a joystick-operated ride-on-toy intervention to promote upper extremity (UE) function in 3- to 14-year-old children with hemiplegic cerebral palsy.

METHODS

Exit questionnaires were collected from children, caregivers, and clinicians/camp staff following a 3-week ride-on-toy training program incorporated within a summer camp for children with hemiplegic cerebral palsy. Training encouraged children to use their affected UE to maneuver the ride-on-toy. Questionnaires included Likert scale and open-ended questions to assess enjoyment, acceptance, feasibility, and perceived efficacy of the training.

RESULTS

All stakeholder groups indicated that the training was enjoyable. Clinicians/staff and caregivers indicated that the training increased children's motivation to use their affected UE and reported perceived improvements in UE movement control and function following training.

CONCLUSIONS

Our promising preliminary findings call for future research to systematically assess the efficacy of ride-on-toys to promote UE control and function in children with hemiplegic cerebral palsy.Supplemental Digital Content 1 video abstract, available at: http://links.lww.com/PPT/A404.

摘要

目的

评估使用操纵杆式骑乘玩具干预以促进偏瘫脑瘫儿童上肢(UE)功能的实施、接受度和感知疗效的可行性。

方法

在偏瘫脑瘫儿童夏令营中纳入 3 周骑乘玩具训练计划后,从儿童、照顾者和临床医生/营地工作人员处收集退出调查问卷。训练鼓励儿童使用患侧 UE 操纵骑乘玩具。调查问卷包括李克特量表和开放式问题,以评估训练的趣味性、接受度、可行性和感知疗效。

结果

所有利益相关者群体均表示训练很有趣。临床医生/工作人员和照顾者表示,训练增加了儿童使用患侧 UE 的动力,并报告称训练后 UE 运动控制和功能得到了改善。

结论

我们有希望的初步发现呼吁未来进行研究,以系统评估骑乘玩具对促进偏瘫脑瘫儿童 UE 控制和功能的疗效。补充数字内容 1 视频摘要,可在以下网址获取:http://links.lww.com/PPT/A404。

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