强制性诱导运动疗法对偏瘫型脑瘫患儿上肢功能的影响  

Effects of Constraint-induced Movement Therapy on Upper-extremity Function of Children with Hemiplegic Cerebral Palsy

作　　者：马海霞[1] 李晓曦[1] 桑琳[1] 李红英[1] 杨亚丽[1] 

机构地区：[1]山东大学齐鲁儿童医院,山东济南市250022

出　　处：《中国康复理论与实践》2006年第2期95-96,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察强制性诱导运动疗法（CIMT）对偏瘫型脑瘫患儿上肢功能的影响。方法22例0～3岁偏瘫型脑瘫患儿随机分为两组，对照组应用常规康复治疗；观察组在常规康复治疗基础上应用CIMT治疗，用低温板材塑形制作限制性器具，限制健侧手活动，对患儿进行集中、大量、重复的练习和与日常生活相关的活动，设计循序渐进的治疗方案，每天4h，每周6d，疗程2个月。治疗前后采用脑瘫儿童精细运动功能评估量表评定疗效。结果治疗后，两组患儿的精细运动能力均较治疗前提高（P〈0．05），但观察组的疗效优于对照组（P〈0．05）。结论应用CIMT治疗偏瘫型脑瘫患儿可提高患儿上肢功能的康复效果。Objective To observe the effects of a modified version of constraint-lnduced movement therapy （CIMT） on upperextremity function of children with hemiplegie cerebral palsy. Methods 22 patients were divided randomly into treatment group （n= 10） and control group （n= 12）. Cases of control group received routine rehabilitation therapy, otherwise, those of treatment group were treated with CIMT. It involved restraining the unimpaired extremity with a restraining instrument, and having the child engage in activities with the involved extremity 4 hours a day for 2 months repeatedly. Before and after treatment, affected upper-extremity function of all children were assessed with the Fine Motor Function Measure （FMFM） scale. Results The fine motor function of all children in two groups improved significantly（ P 〈0.05）, but effect of treatment group was better than that of control group （P 〈 0.05）. Conclusion The treatment of CIMT can improve upper-extremity function of children with hemiplegic cerebral palsy.

关 键 词：强制性诱导运动疗法 脑瘫 上 功能 偏瘫 

分 类 号：R742.3[医药卫生—神经病学与精神病学]