•  
  •  
 

Rehabilitation Practice and Science

Translated Title

修正侷限誘發動作療法應用於痙攣型腦性麻痺之追蹤分析：先驅研究

Abstract

Children with spastic cerebral palsy (CP) usually exhibit motor deficits and limited daily activities. Studies in recent years indicated that constraint-induced movement therapy (CIMT) might improve motor performance in CP patients. Combining kinematic analysis with clinical assessments, this study investigated the effect of modified CIMT (mCIMT) in four children with spastic CP immediately and one month after treatment. During the 3-week intervention, subjects underwent task-related training using the affected hand with restraint of the unaffected hand.The experimental results revealed significant improvements of the affected hand in use frequency, movement quality, grasping pattern, and bimanual coordination, both immediately and one month after mCIMT. The performance of the less-affected hand was unaffected by the constraint. The mCIMT significant enhanced energy efficiency according to clinical and kinematic movement analysis. The mCIMT therapy improved movement performance of the affected hand, bimanual coordination, and energy efficiency immediately and one month after therapy. The clinical implications are that, in comparison with CIMT, mCIMT is easier to be implemented and may improve compliance in children with CP as well as parents or caregivers. To extend the findings of this study, future research may examine a larger sample size and enroll a control group, as well as analyze grasping patterns.

Language

Traditional Chinese

First Page

215

Last Page

222

Download

Share

COinS