小组式手-臂双侧强化训练对痉挛型偏瘫脑性瘫痪儿童功能独立性和生活质量的影响

Effects of Hand- arm Bimanual Intensive Training in Group on Functional Independence and Quality of Life of Children with Hemiplegic Cerebral Palsy

目的探讨小组式手-臂双侧强化训练(HABIT)对痉挛型偏瘫儿童功能独立性和生活质量的影响。方法 2015年11月至2016年9月入院的符合标准的痉挛型偏瘫患儿20例,随机分为对照组(n=10)和试验组(n=10)。对照组接受常规作业治疗训练,试验组采用常规作业治疗结合小组式HABIT每天1 h,两组均治疗8周。分别于治疗前、后采用Carroll双上肢功能评定量表(UEFT)、儿童功能独立性评定量表(Wee FIM)和中文版儿童生活质量量表(Peds QL^(TM))3.0进行评价。结果治疗后,两组UEFT评分、Wee FIM评分和Peds QL^(TM)3.0评分均较治疗前明显提高(t>3.970,P<0.01),且试验组评分均高于对照组(t>2.306,P<0.05)。结论小组式HABIT可改善偏瘫儿童的上肢精细功能和双手协调能力,提高儿童的功能独立性和生活质量。

Objective To explore the effects of hand-arm bimanual intensive training（HABIT） in group on functional independence and quality of life of children with hemiplegic cerebral palsy. Methods From November, 2015 to September, 2016, 20 children with hemiplegic cerebral palsy were randomly divided into control group（n=10） and experimental group（n=10）. Both groups received routine occupational therapy, and the experimental group received HABIT in group one hour per day additionally, for eight weeks. They were assessed with the Carroll Upper Extremities Functional Test（UEFT）, Functional Independence Measure Children＇s Edition（Wee FIM） and Chinese Version Pediatric Quality of Life Inventory（Peds QL（TM）） 3.0 Cerebral Palsy Module respectively before and after treatment. Results After treatment, the scores of UEFT, Wee FIM and the Peds QL（TM）3.0 improved in both groups（t〉3.970, P〈0.05）, and were higher in the experimental group than in the control group（t〉2.306, P〈0.05）. Conclusion HABIT in group could improve the fine function of upper extremity and hands coordination of children with hemiplegic cerebral palsy, and enhance the functional independence and quality of life.