Efectividad de la terapia intensiva bimanual incluyendo y no las extremidades inferiores, en la función manual en niños con parálisis cerebral: revisión sistemática

Q4 Health Professions

Fisioterapia Pub Date : 2025-01-01 DOI:10.1016/j.ft.2024.10.003

S. Montero Mendoza, J. Barqueros Galea

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引用次数: 0

Abstract

Introduction

Cerebral palsy (CP) is a non-progressive neurological disorder that can affect both gross and fine motor skills limiting quality of life. Bimanual intensive therapy (HABIT) and bimanual intensive therapy including lower extremities (HABIT-ILE) are used to stimulate bimanual coordination through structured movements and activities that require the use of both hands with control of the trunk and lower extremities in children with unilateral spastic CP. The objective of the review is to analyse the scientific evidence of HABIT and HABIT-ILE on manual function in children with CP.

Material and method

A systematic review was conducted following the PRISMA guidelines. Randomised clinical trials and before-after studies focusing on HABIT and HABIT-ILE for the treatment of impaired manual skills in children with CP were selected. We used the tool proposed by the Cochrane Handbook to analyse the risk of bias. The last search was conducted on 3 May 2024.

Results

Significant improvements were found in bimanual skill performance but not in palmar strength. Combining HABIT or HABIT-ILE with other therapies may improve manual skill outcomes..

Conclusions

HABIT or HABIT-ILE therapy can improve manual function in children with CP, functional Independence and quality of life. Further studies are needed to determine the most effective treatment protocol and the combination with other therapies that may improve outcomes.

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两年一次的强化治疗（包括但不包括下肢）对脑瘫儿童手部功能的有效性：系统综述

脑瘫（CP）是一种非进行性神经系统疾病，可影响粗大和精细运动技能，限制生活质量。采用双手法强化治疗（HABIT）和双手法强化治疗包括下肢（HABIT- ile），通过有组织的运动和活动来刺激单侧痉挛性脑瘫儿童的双手协调，这些运动和活动需要使用双手来控制躯干和下肢。本综述的目的是分析HABIT和HABIT- ile对脑瘫儿童手功能的科学证据遵循PRISMA指南。选择随机临床试验和前后研究，重点关注习惯和习惯- ile治疗CP患儿的手工技能受损。我们使用Cochrane手册提出的工具来分析偏倚风险。最后一次搜索于2024年5月3日进行。结果双手技能表现明显改善，手掌力量无明显改善。结论shabit或HABIT- ile治疗可改善CP患儿的手功能、功能独立性和生活质量。需要进一步的研究来确定最有效的治疗方案，并与其他可能改善结果的治疗方法相结合。

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

Fisioterapia Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

0.50

自引率

0.00%

发文量

期刊介绍： Publicación Oficial de la Sociedad Española de Fisioterapeutas. Sus páginas ofrecen desde artículos originales hasta revisiones, pasando por el estudio de casos o los actos más importantes relacionados con la especialidad.