修改约束运动诱导疗法与神经发育疗法在患有半性脑的儿童中达到能力
Radwa S Abdul-Rahman1,2, Nadia L Radwan3,4, Bassam A El-Nassag5
1Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
概括
与神经发育疗法 (NDT) 相比,修改的约束诱导运动疗法 (mCIMT) 在患有性半的儿童中显著改善了达到能力. mCIMT更有效地增强了肘部伸展和运动模式.
科学领域:
- 儿科康复儿童康复中心
- 神经学物理治疗神经学物理治疗
- 运动科学 运动科学
背景情况:
- 上肢损伤是患有半儿童的常见并发症.
- 性半会影响手臂和手的功能,影响日常活动.
- 有效的治疗干预对于改善受影响儿童的运动结果至关重要.
研究的目的:
- 为了比较修改约束诱导运动疗法 (mCIMT) 和神经发育疗法 (NDT) 在改善性半儿童的伸展能力方面的疗效.
- 评估mCIMT与NDT对上肢功能的影响.
- 评估活动肘部延伸和达到动力学的变化.
主要方法:
- 52名患有性半的儿童 (4-6岁) 被随机分配到NDT或mCIMT组.
- 干预措施在12周内每周进行三次,并与常规运动一起进行.
- 测量包括主动肘伸展运动范围和治疗前后达到任务的3D运动分析.
主要成果:
- 无论是NDT和mCIMT组,在所有测量结果中都显示出显著的改善.
- mCIMT组在肘部延伸,达到峰值速度的百分比,运动时间和运动单位 (p < 0.001) 中表现出显著更大的改善.
- 马诺瓦分析证实了显著的治疗效应和群体差异.
结论:
- 修改约束诱导运动疗法 (mCIMT),当添加到常规运动时,优于神经发育疗法 (NDT) 在增强半儿童的伸展模式方面.
- 在这个人群中,mCIMT提供了一种更有效的方法来改善上肢功能.
- 这些发现对儿科物理治疗实践在管理半截肢上肢损伤方面有重大影响.
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