Greaves Susan, Hoare Brian
CPGroup, 74 Faraday Street, Carlton, VIC 3053, Australia.
School of Allied Health, Australian Catholic University, 115 Victoria Parade, Fitzroy, VIC 3065, Australia.
J Clin Med. 2024 Nov 15;13(22):6873. doi: 10.3390/jcm13226873.
Early detection and rehabilitation interventions are essential to optimise motor function in infants and young children with unilateral cerebral palsy. In this paper we report a clinical framework aimed at enhancing upper limb therapy for infants and young children with unilateral cerebral palsy during a sensitive period of brain development. We describe two major therapeutic approaches based on motor learning principles and evidence: constraint-induced movement therapy and bimanual therapy. These two therapies have demonstrated efficacy in older children and emerging evidence is available for their application to infants younger than 2 years of age. To provide clinicians with guidance as to when to implement these therapies, we discuss the key consideration when undertaking upper limb therapy programs. In addition, we describe the factors to consider when choosing which approach may be suitable for an individual child and family. Detailed strategies for implementing these therapies in infants and young children of different ability levels are given.
早期发现和康复干预对于优化单侧脑瘫婴幼儿的运动功能至关重要。在本文中，我们报告了一个临床框架，旨在在大脑发育的敏感期增强对单侧脑瘫婴幼儿的上肢治疗。我们描述了基于运动学习原则和证据的两种主要治疗方法：强制性运动疗法和双手疗法。这两种疗法已在大龄儿童中证明有效，并且有新证据表明它们可应用于2岁以下的婴幼儿。为了给临床医生提供何时实施这些疗法的指导，我们讨论了进行上肢治疗方案时的关键考虑因素。此外，我们描述了在选择哪种方法可能适合个别儿童和家庭时需要考虑的因素。还给出了针对不同能力水平的婴幼儿实施这些疗法的详细策略。
