Modified‐constraint movement induced therapy versus neuro‐developmental therapy on reaching capacity in children with hemiplegic cerebral palsy

IF 1.5 Q3 REHABILITATION

Physiotherapy Research International Pub Date : 2024-01-01 DOI:10.1002/pri.2069

Radwa S. Abdul-Rahman, Nadia L. Radwan, Bassam A. El-Nassag, Wafaa Mahmoud Amin, Mostafa S. Ali

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引用次数: 0

Abstract

Upper extremity impairment is one of the complications in hemiplegic children. The purpose of modified constraint‐induced movement therapy (mCIMT) is to improve the function of impaired arms and hands in these children. This study compared the efficacy of mCIMT and the approach of neurodevelopmental therapy (NDT) on reaching capacity in children with spastic hemiplegia.Fifty‐two spastic hemiplegic children ranging in age from four to 6 years were selected for this study from an outpatient clinic and biomechanical lab (Prince Sattam bin Abdulaziz University, KSA). They were randomly divided into two experimental groups: group I received NDT and group II received mCIMT for the involved upper limb and restriction of the uninvolved arm movements for 12 weeks (three times per week). Both groups received a conventional exercise program in addition to experimental one. Active elbow extension range of motion and three‐dimensional motion analysis of the reaching task were measured before and after 3 months of treatment.Significant enhancement in all pre‐treatment and post‐treatment outcomes was observed in both groups by a two‐way mixed MANOVA; furthermore, Group II (mCIMT) showed the most significant improvement (elbow extension, percentage of reach to peak velocity, movement time and movement units) when comparing the post‐treatment outcomes between the two groups (p < 0.001).Addition of mCIMT to a conventional exercise was superior to adding NDT exercise therapy in promoting the performance of reaching pattern in hemiplegic children.

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改良约束运动诱导疗法与神经发育疗法对偏瘫脑瘫儿童伸手能力的影响

上肢功能障碍是偏瘫儿童的并发症之一。改良约束诱导运动疗法（mCIMT）的目的是改善这些儿童受损手臂和手的功能。本研究从门诊诊所和生物力学实验室（沙特王子大学）挑选了 52 名痉挛性偏瘫儿童，年龄从 4 岁到 6 岁不等。他们被随机分为两个实验组：第一组接受无损伤治疗，第二组接受 mCIMT 治疗，治疗涉及的上肢并限制未涉及的手臂运动，为期 12 周（每周三次）。除实验项目外，两组均接受常规锻炼项目。通过双向混合 MANOVA，观察到两组患者在治疗前和治疗后的所有结果均有显著改善；此外，在比较两组患者治疗后的结果时，第二组（mCIMT）的改善最为显著（伸肘、达到峰值速度的百分比、运动时间和运动单位）（P < 0.001）。在促进偏瘫儿童伸手模式的表现方面，在常规锻炼的基础上增加 mCIMT 比增加 NDT 锻炼疗法更有优势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.