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Rehabilitation Practice and Science

Translated Title

以虛擬實境建構侷限誘發療法治療腦性麻痺兒童之上肢之療效：前驅性研究

Abstract

Children with unilateral spastic cerebral palsy (CP) often use their sound limb to perform daily activities, which results in the learned non-use of the affected limb. Recently, many clinical researches have demonstrated the effectiveness of modified constraint-induced movement therapy (mCIMT). With the development of technology, virtual reality (VR) has gradually become one of auxiliary tools in novel rehabilitation therapy. However, mCIMT often causes frustrations in using the affected upper limb. This study uses VR as auxiliary rehabilitation equipment to form a new treatment approach-virtual reality-based constraint-induced movement therapy (VRCIT)-to investigate the effects VRCIT has on the function of the upper extremity of children with unilateral spastic CP. This single-blind study involving 11 children with unilateral plastic CP (mean age: 7y6m) assigned the children to experimental and control groups in random. The experimental group received VRCIT intervention for 12 weeks (1.5 hrs/day, 2 days/wk) and home programs, while the control group was treated with existing rehabilitation programs and home programs. Outcome measures included the Quality of Upper Extremity Skills Test (QUEST), the Box and Block Test of Manual Dexterity (BBT) and the Nine Hole Peg Test (NHPT). The change score of clinical measures was calculated as follows: subtract pre score from post score (post score - pre score). After the treatment, both groups showed improvement in all tests. However, the VRCIT group demonstrated greater improvement in QUEST, BBT and NHPT than the control group (p ＜ 0.05). The study findings suggest that VRCIT intervention enhances upper limb functions and hand manipulation and dexterity of unilateral spastic CP. However, a definite conclusion cannot be drawn based on such study findings due to the limited sample size. Future studies shall increase the sample size to validate the treatment effects of VRCIT.

Language

Traditional Chinese

First Page

93

Last Page

101

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