强制性使用运动疗法对偏瘫型脑瘫患儿上肢功能障碍的疗效观察

摘要

Objective To evaluate the effects of a modified version of constraint-induced movement therapy (CIMT) on upper-extremity function of children with hemiplegic cerebral palsy. Methods:Forty-six children with hemiplegic cerebral palsy were randomly allocated to constraint therapy group (n=23), and control group (n=23). The patients in both the groups received routine rehabilitation therapy, while the ones in the constraint therapy group was treated with CIMT additionally. All participants were measured by the modified Ashworth scale (MAS) and Carroll upper extremities functional test (UEFT) before and at the end of 4th and 8th week after the treatment. Results: There was a significant difference in MAS score between baseline and after 8 weeks' treatment in the constraint therapy group ( <0.05). When compared with the UEFT scores before treatment, the UEFT scores of both the groups were improved significantly ( <0.05). At the end of 4th and 8th week after the treatment, the UEFT scores in the constraint therapy group were significantly higher than those in the control group ( <0.05). Conclusion:CIMT can improve upper-extremity function of children with hemiplegic cerebral palsy.%目的：观察强制性使用运动疗法（CIMT）对偏瘫型脑瘫患儿上肢功能障碍的疗效。方法：46例伴有上肢功能障碍的脑瘫患儿，随机分为治疗组和对照组各23例，2组均应用常规康复治疗，治疗组还应用CIMT。在治疗前、治疗4周和8周后分别采用改良Ashworth量表（MAS）评定上肢痉挛改善情况，应用Carroll上肢功能试验（UEFT）测试与日常生活活动有关的上肢运动功能。结果：治疗组患儿MAS得分在治疗8周与治疗前比较有改善，差异有统计学意义（＜0.05）。2组UEFT评分在治疗4周、8周与治疗前比较提高，差异均有统计学意义（＜0.05）；在治疗4、8周，治疗组UEFT评分高于对照组，差异有统计学意义（＜0.05）。结论：CIMT可提高偏瘫型脑瘫患儿的上肢运动功能。