斯堪的纳维亚半岛单侧脑瘫儿童在有或没有强化训练情况下手部使用能力的发展
Development of Hand Use with and Without Intensive Training Among Children with Unilateral Cerebral Palsy in Scandinavia.
作者信息
Klevberg Gunvor L, Zucknick Manuela, Jahnsen Reidun, Eliasson Ann-Christin
机构信息
Department of Neurosciences in Children, Norwegian Quality and Surveillance Registry for Cerebral Palsy (NorCP), Oslo University Hospital, Oslo, Norway.
Centre for Biostatistics and Epidemiology, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
出版信息
Dev Neurorehabil. 2023 Apr;26(3):163-171. doi: 10.1080/17518423.2023.2193256. Epub 2023 Mar 22.
AIM
To describe hand use development in children with unilateral cerebral palsy who did/did not participate in constraint-induced movement therapy (CIMT) before 7 years of age.
METHOD
The study included 334 participants (18 months-12 years) who were assessed with 1,565 Assisting Hand Assessments (AHAs) and categorized into no intensive training (NIT), CIMT (18 months-7 years), and Baby-CIMT (<18 months) groups.
RESULTS
AHA performance at 18 months (AHA-18) was positively associated with development regardless of training. The CIMT group had lower AHA-18 performance than the NIT group ( = .028), but higher stable limit ( = .076). The age when 90% of development was reached was highest in the CIMT group ( = .014). Although non-significant, the Baby-CIMT group had higher mean curve than NIT and CIMT combined (AHA-18 = .459, limit = .477).
CONCLUSION
The CIMT group improved more over time than the NIT group. Intensive training extended the window of development, and Baby-CIMT might promote early development.
目的
描述7岁之前接受或未接受强制性运动疗法（CIMT）的单侧脑瘫儿童的手部使用发展情况。
方法
该研究纳入了334名参与者（18个月至12岁），他们接受了1565次辅助手评估（AHA），并被分为无强化训练（NIT）组、CIMT组（18个月至7岁）和婴儿CIMT组（<18个月）。
结果
无论训练情况如何，18个月时的AHA表现（AHA-18）与发展呈正相关。CIMT组的AHA-18表现低于NIT组（P = 0.028），但稳定极限更高（P = 0.076）。CIMT组达到90%发展水平的年龄最高（P = 0.014）。虽然不显著，但婴儿CIMT组的平均曲线高于NIT组和CIMT组合（AHA-18 P = 0.459，极限P = 0.477）。
结论
随着时间的推移，CIMT组比NIT组改善更多。强化训练延长了发展窗口，婴儿CIMT可能促进早期发展。
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