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首页> 外文期刊>Brain & Development >Efficacy of modified constraint induced movement therapy in improving upper limb function in children with hemiplegic cerebral palsy: A randomized controlled trial
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Efficacy of modified constraint induced movement therapy in improving upper limb function in children with hemiplegic cerebral palsy: A randomized controlled trial

机译：改良约束诱导运动疗法改善偏瘫性脑瘫患儿上肢功能的疗效：一项随机对照试验

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Purpose: The objective of this randomized single blind (outcome assessor) controlled trial was to evaluate the efficacy of 4. weeks of modified constraint induced movement therapy (mCIMT) in improving upper limb function in 3-8. years old children with hemiplegic cerebral palsy. Methods: Thirty-one children were randomly assigned to receive the mCIMT ( N= 16) with conventional therapy or conventional therapy alone ( N= 15). Children were evaluated three times (at enrollment, follow up at 4. weeks and 12. weeks). The primary outcome measure was difference in "change in mean total QUEST scores" at 4. weeks of intervention between the intervention and the control arm. Results: After 4. weeks of intervention, mCIMT group showed significant change in the affected upper limb in QUEST scores (10.7 ± 5.2 vs 1.4 ± 1.7, p<. 0.001) and time (s) to complete nine-hole-pegboard test compared with control group [60(0-130) vs 5(-12 to 30), p<. 0.001]. The improvement observed in upper limb function after 4. weeks of intervention persisted 8. weeks after discontinuation of intervention in mCIMT group. Conclusion: The modified constraint induced movement therapy appears to be effective in improving upper limb function in 3-8. years old hemiplegic cerebral palsy children.
机译：目的：这项随机单盲（结果评估者）对照试验的目的是评估改良约束诱导运动疗法（mCIMT）4周改善3-8岁上肢功能的疗效。岁的儿童患有偏瘫性脑瘫。方法：31名儿童被随机分配接受常规治疗或单独常规治疗（n = 15）的mCIMT（N = 16）。对儿童进行了3次评估（入学时，分别在4周和12周时进行随访）。主要结果指标是干预与对照组之间在干预第4周时“平均总QUEST得分变化”的差异。结果：干预4周后，mCIMT组在患上肢的QUEST得分（10.7±5.2 vs 1.4±1.7，p <.0.001）和完成九孔钉板测试的时间（s）方面显示出显着变化。对照组[60（0-130）vs 5（-12至30），p <。 0.001]。在mCIMT组中，干预4周后观察到的上肢功能改善持续了8周。结论：改良的约束诱导运动疗法似乎可有效改善3-8岁的上肢功能。岁偏瘫脑瘫患儿。

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