學院 |
醫學院 |
系所 |
職能治療學系 |
題名 |
Younger
children with cerebral palsy respond better than older ones to
therapist-based constraint-induced therapy at home on functional outcomes and
motor control |
作者 |
Chen, H-C.†, Kang, L-J.†,
Chen, C-L.*, Lin, K-C.,
Chen, F-C., & Wu, K-P. |
期刊名稱 |
Physical & Occupational Therapy in Pediatrics(SCI-Indexed) |
發表日期 |
2015 |
著作性質 |
原著 |
語文 |
英文 |
關鍵字 |
Age, cerebral palsy, constraint-induced therapy,
functional outcomes, motor control |
摘要 |
Aims: To examine the differences in efficacy of home-based
constraint-induced therapy (CIT) on functional outcomes and motor control in
two age groups of children with cerebral palsy (CP). Methods: Twenty-three
children with spastic unilateral CP receiving 4-week home-based CIT by a
therapist were divided into younger (6–8
years; n =11) and older (9–12 years; n =12) groups. The home-based CIT
involved intensive functional training of the more affected upper-limb while
restraining the less affected upper-limb. The outcome measures were Peabody
Developmental Motor Scale-2nd edition (PDMS-2) that was being used in a
modified way, Functional Independence Measure for Children (WeeFIM), and
reach-to-grasp kinematic parameters, including reaction time (RT), normalized
movement time (MT), normalized movement units (MUs), peak velocity (PV), and
maximum grip aperture (MGA). The outcome measures were assessed at baseline,
4-weeks (post-treatment), 3- and 6-months (follow-up). Results: The younger
group showed greater changes in visual motor integration skills and RT at all
post-tests after intervention than the older group. Groups had comparable
changes on any other measures. Conclusions: Younger children with CP
responded better to home-based CIT on some areas of upper-limb functions and
reach-to-grasp motor control strategies than older children. |