學院

醫學院

系所

職能治療學系

題名

Potential predictors of functional outcomes after home-based constraint-induced therapy for children with cerebral palsy

作者

Chen, C-L., Lin, K-C., Kang, L-J., Wu, C-Y.*, Chen, H-C., & Hsieh, Y-W.

期刊名稱

American Journal of Occupational Therapy. (SSCI 期刊)

發表日期

2014

著作性質

原著

語文

英文

關鍵字

Cerebral palsy, constraint-induced therapy, predictor, treatment outcome, home-based therapy.

摘要

Objective: To identify predictors for treatment outcomes after home-based 69 constraint-induced therapy in children with cerebral palsy.

Methods: Forty-three children (aged 4-12 years) with cerebral palsy were treated with individualized constraint-induced therapy at home for 4 weeks. Potential predictors were age, sex, affected hand, and upper extremity motor capacity measured by the Peabody Developmental Motor Scale-2nd edition. Outcomes were Pediatric Motor Activity Log-Amount of Hand Use and Quality of Hand Use subscales and the Functional Independence Measure for Children.

Results: A higher Peabody Developmental Motor Scale-Visual-Motor Integration subscale score predicted a better Functional Independence Measure for Children score after home-based constraint-induced therapy (adjusted R2 = 0.35). Younger age predicted better performance in the Pediatric Motor Activity Log-Amount of Hand Use and Quality 80 of Hand Use (adjusted R2 = 0.06-0.08) after home-based constraint-induced therapy.

Conclusion: The potential predictors may allow occupational therapists to target those 82 children who will benefit most after home-based constraint-induced therapy.