學院

醫學院

系所

職能治療學系

題名

Factors Associated with Motor Speech Control in Children with Spastic Cerebral Palsy

作者

Chen, C-L., Lin, K-C*, Chen C-H., Chen, C-C., Liu W-Y., Chung C-Y., Chen C-Y., Wu C-Y

期刊名稱

Chang Gung Medical Journal

發表日期

2010年

著作性質

原始論著

語文

英文

關鍵字

Cerebrovascular accident; Motor activity; Kinematics; Rehabilitation; Randomized controlled trial; Upper extremity.

摘要

Background: Studies of bilateral arm training (BAT) did not employ a randomized controlled trial design and involved very limited functional training tasks. Objective: Compare the effects of BAT with control intervention (CI) on motor control and motor performance of the upper extremity, and also functional gains in patients with chronic stroke. Methods: This two-group randomized controlled trial with pretreatment and posttreatment measures enrolled 33 stroke patients (mean age, 53.85 years) 6 to 67 months after onset of a first stroke. They received either a BAT program concentrating on both upper extremities moving simultaneously in functional tasks by symmetric patterns or CI (control treatment) for 2 hours on weekdays for 3 weeks. Outcome measures included kinematic analyses assessing motor control strategies for unilateral and bimanual reaching, and clinical measures involving the Fugl-Meyer Assessment (FMA) of motor-impairment severity and the Functional Independence Measure (FIM) evaluating functional ability. Results: After treatment, the BAT group showed better temporal and spatial efficiency during unilateral and bilateral tasks and less on-line error correction only during the bilateral task than the control group. The BAT group showed a significantly greater improvement in the FMA than the control group but not in the FIM and MAL. Conclusions: Relative to CI, BAT improved the spatiotemporal control of the affected arm in both bilateral and unilateral tasks, decreased on-line corrections to perform bilateral tasks, and reduced motor impairment. These findings supported the use of BAT to improve motor control and motor function of the affected upper limb in stroke patients.