Department of Neuromuscular Physiotherapy, Riphah International University, Islamabad, Pakistan.
Department of Rehabilitation and Human Sciences, Riphah International University, Islamabad, Pakistan.
J Pak Med Assoc. 2024 Jul;74(7):1342-1344. doi: 10.47391/JPMA.10421.
The single-arm feasibility study was planned to evaluate the therapeutic effect of hand arm bimanual intensive training in improving the fine and gross motor functions of hand, and in the reduction of intensity with respect to mirror movement disorder. The sample comprised unilateral spastic cerebral palsy children aged 6-16 years who were having mirror movement disorder and were able to make a gross grip. The hand arm bimanual intensive training was provided to the participants for 6 hours per day for 15 days for a total of 90 hours. Comparison of baseline and post-intervention showed that the functional independence level of children had improved, with improvement in unimanual and bimanual hand performance (p˂0.05). However, there was no improvement seen in the severity of mirror movements (p>0.05). Hence, hand arm bimanual intensive training was found to be effective in increasing the functional independence of cerebral palsy children by improving the hand function, but there was no effect on mirror movement disorder.
这项单臂可行性研究旨在评估手-臂双侧强化训练在手的精细和粗大运动功能改善以及镜像运动障碍程度降低方面的治疗效果。样本包括年龄在 6-16 岁之间、患有镜像运动障碍且能够进行粗大抓握的单侧痉挛性脑瘫儿童。参与者每天接受 6 小时的手-臂双侧强化训练，共 90 小时。基线和干预后的比较表明，儿童的功能独立性水平有所提高，单手和双手手功能均得到改善（p＜0.05）。然而，镜像运动的严重程度没有改善（p＞0.05）。因此，手-臂双侧强化训练通过改善手功能有效提高了脑瘫儿童的功能独立性，但对镜像运动障碍没有影响。
