强制性诱导运动疗法在偏瘫儿童中的临床应用

Effect of constraint-induced movement therapy on hemiplegia in children

目的探讨强制性诱导运动疗法对偏瘫患儿功能恢复的影响。方法30例小儿脑瘫痉挛型偏瘫、颅脑外伤偏瘫患儿,随机分为治疗组和对照组。两组均进行有目的作业治疗。治疗组使用连手棉袖套限制健侧上肢。疗程12周。在治疗前1周及治疗后,用上田敏偏瘫上肢功能评价法分级与Brunnstrom偏瘫手功能评价法进行评测。结果治疗组患肢及手功能的恢复程度优于对照组。结论强制性诱导运动疗法对改善患侧肢体运动功能有显著疗效。

Objective To explore the effect of constraint-induced movement therapy on hemiplegia in children. Methods 30 hemiplegia children caused by cerebral palsy or trauma were divided into 2 groups. Treatment group accepts the Constraint-Induced Movement Therapy （CIMT） combined with Bobath approach. The control group accepts the Baboth approach only. Before after 12- week treatment, Ueda Test and the Brunnstrom＇s test were used to classify every stage of the recovery. Results Both groups improved their motor function assessed either with Ueda Test or Brunnstrom＇s test, which was better in treatment group than in control group. Conclusion The CIMT with Bobath approach together can remarkably raise the rate of utilization of the hemiplegia suffering limbs as well as improve the learned non-use of the suffering parts.