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基于临床的PCIMT计划对上肢运动质量的结果.

Regan L Blankenship1, Lori Breeden2, Katy Mitchell3

  • 1Regan L. Blankenship, DHSc, MS, OTR/L, is Assistant Professor, Division of Occupational Therapy, Medical University of South Carolina, Charleston; blankenr@musc.edu.

The American journal of occupational therapy : official publication of the American Occupational Therapy Association
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概括

基于临床的儿科约束诱导运动疗法 (PCIMT) 在患有半的儿童中显著改善了上肢运动. 这种疗法增强了运动范围,精度,灵敏度和流性,支持其临床使用.

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科学领域:

  • 儿科康复儿童康复中心
  • 神经科学是一个神经科学.
  • 职业治疗是一种职业疗法.

背景情况:

  • 儿科约束诱导运动疗法 (PCIMT) 是对儿童单侧半的新兴治疗方法.
  • 有限的证据存在于基于临床的PCIMT计划的结果.

研究的目的:

  • 评估基于临床的PCIMT计划对患有单侧半的儿童上肢运动质量的有效性.

主要方法:

  • 量化,回顾性研究涉及26名儿童 (年龄为2.5-8) 单边半.
  • 实施了一个为期3周的基于临床的PCIMT计划 (ACQUIREc协议).
  • 上肢运动质量使用墨尔本单边上肢功能的评估-2 (MUIAlert-2) 进行了干预前和后的评估.

主要成果:

  • 在干预后的运动范围,准确性,灵巧性和流性方面观察到显著的改善.
  • 手动能力分类量表 (MACS) 和迷你MACS水平预测了准确度的提高,但没有预测其他运动质量指标.

结论:

  • 基于临床的PCIMT计划可以显著提高单侧半的儿童上肢运动质量.
  • 结果支持PCIMT的临床应用,并建议进一步研究优化协议和基于分类级别的结果预测.