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The effect of upper extremity weight bearing on upper extremity function in children with hemiplegic type of cerebral palsy

机译:上肢负重对偏瘫型脑瘫患儿上肢功能的影响

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The main objective of this study was to quantify the effects ofweight bearing on upper limb function in children with hemiplegic cerebralpalsy. This study also sought to monitor the change in spasticity immediatelyfollowing weight bearing exercises. A ?quasi-experimental, one group pre-test,post-test design was used. Eleven children with hemiplegic type of cerebral palsyfrom a special school in KwaZulu Natal participated after fully informed consentof the caretaking guardian. The intervention consisted of a standardized programof weight bearing. The Melbourne A ssessment of Upper Extremity function wasused to quantify upper extremity function of reach, grasp and manipulation and the modified A shworth grading?of spasticity was used to grade and monitor spasticity. The data was analysed using the Wilcoxon signed rank test. ?A ?significant decrease in spasticity during elbow extension (p= 0,004), wrist flexion (p=0,026) and extension (p=0,004)was noted. Statistically significant improvement in function, reach (p=0, 00), grasp (p=0, 02) manipulation (p=0, 05)and overall quality of function (p= 0,003) was also found. A n overall significant effect of weight bearing exercises onupper extremity function was noted providing evidence for practice.
机译:这项研究的主要目的是量化承重对偏瘫性脑瘫患儿上肢功能的影响。这项研究还试图监测负重运动后立即的痉挛变化。使用半实验的一组预测试,后测试设计。在监护人的充分知情同意下,来自夸祖鲁纳塔尔省一所特殊学校的11名患有偏瘫型脑瘫的儿童参加了比赛。干预措施包括标准化的负重计划。用墨尔本A上肢功能评估来量化伸直,抓握和操纵的上肢功能,并使用修正后的A shworth痉挛等级对痉挛进行分级和监测。使用Wilcoxon符号秩检验分析数据。注意到在肘部伸展(p = 0.004),腕部屈曲(p = 0.026)和伸展(p = 0.004)期​​间痉挛明显减少。在功能,触及率(p = 0,00),抓地力(p = 0,02)操纵(p = 0,05)和整体功能质量(p = 0.003)方面也有统计学上的显着改善。负重锻炼对上肢功能有总体上的显着影响,为实践提供了证据。

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