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首页> 外文期刊>Egyptian Journal of Medical Human Genetics >Effect of modified constrained induced movement therapy on improving arm function in children with obstetric brachial plexus injury
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Effect of modified constrained induced movement therapy on improving arm function in children with obstetric brachial plexus injury

机译：改良约束诱导运动疗法对儿童臂丛神经损伤患儿臂功能改善的影响

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Many children who sustain birth injuries to the brachial plexus suffer significant functional limitations due to various sequelae affecting the shoulder and elbow or forearm. The aim of this study was to test the feasibility of a treatment program based on the elements of the modified constraint induced movement therapy (MCIMT) to encourage use of the affected arm of a child with obstetric brachial plexus injury (OBPI). Thirty children with OBPI from both sexes ranging in age from three to five years were assigned into two groups of equal number. The control group (group A) who received the exercise program which focused on improving the arm function as well as shoulder abduction and external rotation and the study group (group B) received MCIMT in addition to the same exercise program given to the control group. The arm function was evaluated by the Mallet score system, while active abduction and external rotation range of motion were measured by a standard universal goniometer. The results revealed no significant difference when comparing the pretreatment mean values of the two groups (study and control), while a significant improvement was observed in measuring variables of the two groups when comparing their pre and post treatment mean values. A significant difference was also observed when comparing the post treatment results of the two groups in favor of the study group (group B). The modified constraint movement therapy is an effective method on improving the arm function in children with OBPI.
机译：由于臂后神经丛的各种后遗症影响肩，肘或前臂，使臂丛神经受到出生伤害的许多儿童遭受明显的功能限制。这项研究的目的是测试基于改良约束诱导运动疗法（MCIMT）的治疗方案的可行性，以鼓励使用患儿臂丛神经损伤（OBPI）患儿的手臂。将30名三至五岁的OBPI患儿分为两组，每组相等。对照组（A组）接受了旨在改善手臂功能以及肩外展和外旋的运动计划，而研究组（B组）除了给予了相同的运动计划外，还接受了MCIMT。手臂功能通过Mallet评分系统进行评估，而主动绑架和外部旋转运动范围则通过标准通用测角仪进行测量。结果显示，在比较两组（研究组和对照组）的治疗前平均值时，无显着差异，而在比较两组治疗前和治疗后平均值时，在测量两组变量时观察到了显着改善。当比较两组的治疗后结果以研究组（B组）为基础时，也观察到显着差异。改良的约束运动疗法是一种改善OBPI患儿手臂功能的有效方法。

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