使用视频辅导为患有单边脑的幼儿进行上肢训练:一项探索性回顾性临床研究
Anke P M Verhaegh1,2, Steven Teerenstra3, Maria W G Nijhuis-van der Sanden2,4
1Department of Paediatric Rehabilitation, Sint Maartenskliniek, Nijmegen, The Netherlands.
Australian occupational therapy journal
|March 25, 2025
概括
针对单边脑 (CP) 的家庭视频辅导改善了幼儿受影响的手臂和手的使用. 休息后的效果被保留并通过进一步培训来增强,显示了计划的可行性.
科学领域:
- 儿科康复儿童康复中心
- 神经发育障碍 神经发育障碍
- 儿童的运动控制 儿童的运动控制
背景情况:
- 单侧脑 (CP) 影响身体一侧的运动,影响日常活动.
- 由于幼儿的大脑可塑性,早期干预至关重要.
- 对于CP管理,正在探索家庭培训计划与家长指导.
研究的目的:
- 评估家庭为婴儿和幼儿提供单方面CP的视频教练单方面培训计划的有效性.
- 为了评估8周休息后治疗效果的保留和第二个训练块的影响.
- 探索影响治疗反应的因素,并评估计划的坚持.
主要方法:
- 81名患有单边CP的儿童 (8-36个月) 的回顾性临床研究.
- 干预涉及使用视频指导为家长的家庭培训为期8周的区块.
- 在多个时间点使用 (迷你) 辅助手评估 (Mini-) AHA测量结果.
- 线性混合模型 (LMM) 用于分析治疗反应和影响因素.
主要成果:
- 在第一个培训区块 (T0-T1) 后, (迷你) AHA分数显著改善.
- 经过8周的休息 (T1-T2) 后,效果保持不变.
- 18个月以上,基线分数较低的儿童表现得更好;较年轻的儿童 (<18个月) 从第二块中受益.
- 在这两个培训区块中,观察到高坚持率 (85%和81%).
结论:
- 在家中,视频教练的上肢训练有效地改善了婴儿和幼儿单方面CP的手动使用.
- 该计划证明了可行性,具有高度的坚持和保留效果.
- 需要对受控研究进行进一步的研究,以加强证据并探索个体反应变异.
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