基于中文版上肢技巧质量测试的改良强制性运动疗法对偏瘫型脑性瘫痪儿童上肢功能的效果

Effect of modified constraint-induced movement therapy based on Chinese version of Quality of Upper Extremity Skills Test on upper limb function for children with hemiplegic cerebral palsy

目的 探讨基于中文版上肢技巧质量测试(Ch-QUEST)的改良强制性运动疗法(mCIMT)对偏瘫型脑瘫儿童上肢功能的影响。方法 选取2021年1月至11月在徐州市康复医院儿童康复科门诊治疗的40例偏瘫型脑瘫儿童,随机分为对照组(n=20)和观察组(n=20)。对照组进行常规上肢功能训练,观察组在此基础上增加基于Ch-QUEST的mCIMT,共12周。治疗前后采用Ch-QUEST、Peabody精细运动发育量表(PDMS-FM)和儿童功能独立性评定量表(WeeFIM)进行评定。结果 治疗后,两组Ch-QUEST评分、PDMS-FM原始分评分、WeeFIM评分均较治疗前明显提高(|t|> 3.432, P <0.01),且观察组各评分均优于对照组(t> 2.032, P <0.05)。结论 基于Ch-QUEST的mCIMT可改善偏瘫型脑瘫儿童上肢功能。

Objective To explore the effect of modified constraint-induced movement therapy(mCIMT)based on Chinese version of Quality of Upper Extremity Skills Test(Ch-QUEST)on upper limb function in children with hemiplegic cere‐bral palsy.Methods From January to November,2021,40 children with hemiplegic cerebral palsy in Xuzhou Rehabilitation Hospi‐tal were recruited and randomly divided into control group(n=20)and observation group(n=20).The control group received routine upper limb function training,and the observation group received mCIMT based on Ch QUEST additionally,for twelve weeks.They were assessed with Ch-QUEST,Peabody Developmental Motor Scale-Fine Motor(PDMS-FM)and Function Independence Measure for Children(WeeFIM)before and after treatment.Results After treatment,the scores of Ch-QUEST,DMS-FM(raw score)and WeeFIM significantly increased in both groups(|t|>3.432,P<0.01),and were higher in the observation group than in the control group(t>2.032,P<0.05).Conclusion mCIMT based on Ch-QUEST could improve the upper limb function of children with hemiplegic cerebral palsy.