Influence of Biofeedback and Task Oriented Training on Hand Skills in Children with Spastic Cerebral Palsy

摘要

Background and Objective: Impairment of hand function begins early in life has the potential to limit participation and causing distress to children and parents. The purpose of this study was to determine the effect of biofeedback training, task oriented training program and combination of both treatment on hand skills in children with spastic Cerebral Palsy (CP). Materials and Methods: Sixty six children with spastic cerebral palsy, ages ranged from 3-6 years were randomly divided into 3 groups of equal number: Children in group 1 received Task Oriented Training (TOT) program, group 2 received biofeedback training and group 3 received both in addition to traditional occupational therapy program for all groups. Treatment was conducted for 1 h and half, 3 times per week for a successive 3 months for all groups. Peabody Developmental Motor Scale (PDMS) was used to assess hand skills. Wrist extension angle was also measured using CorelDraw graphic suite X5 program. Modified Ashworth scale (MAS) and Gross Motor Functional Measure scale (GMFM) were used for sample selection. Results: Significant improvement in hand skills and wrist extension angle after treatment was gained in the 3 groups. Significant difference among 3 groups was obtained regarding fine motor quotient (FMQ), while no significant difference was gained regarding wrist extension angle after treatment between groups. Conclusion: It can be concluded that task oriented training or biofeedback training in conjunction with traditional occupational therapy significantly improved hand skills in children with spastic cerebral palsy.