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任务导向性训练对痉挛型偏瘫儿童上肢功能的效果

唐欣 孟繁媛 陈茉弦 王蕾 徐璇 赵洪波

昆明医科大学学报2018,Vol.39Issue(3):85-89,5.
昆明医科大学学报2018,Vol.39Issue(3):85-89,5.

任务导向性训练对痉挛型偏瘫儿童上肢功能的效果

Effect of Task-oriented Training on Upper Limb Function in Children with Spastic Hemiplegic

唐欣 1孟繁媛 1陈茉弦 1王蕾 1徐璇 1赵洪波2

作者信息

  • 1. 昆明医科大学康复学院, 云南 昆明 650500
  • 2. 昆明医科大学分子临床医学研究院, 云南 昆明 650500
  • 折叠

摘要

Abstract

Objective To investigate the effectiveness of task-oriented bilateral arm training on upper limb function in children with spastic hemiplegia. Methods 27 children within 4-6 years with spastic hemiplegic were randomly divided into control group (n=13) and experiment group (n=14). The children in control group received routine occupational therapy. The bilateral arm task-oriented training was added for children in experiment group. The Peabody development motor scale-2 (PDMS-2) and Upper Limb Physician's Rating Scale (ULPRS) were used to assess the upper limb function before and after 10 weeks intervention. Results After treatment, the scores of grasping function and visual-motor integration in PDMS-2 were significantly higher than those before treatment (P<0.05), and the scores of experimental group werehigher than that of control group (P <0.05), and the difference of the added value between two groups were statistically significant (P<0.05).The ULPRS scores of both groups increased after treatment (P<0.05), scores between the treatment group and the control group were not statistically significant (P>0.05), and the difference of the added value between two groups was not statistically significant (P>0.05). Conclusion The task-oriented bilateral arm training can promote recovery for upper limb and hand function in children with spastic hemiplegia compared with routine occupational therapy.

关键词

脑瘫/痉挛型偏瘫/任务导向性训练/上肢功能

Key words

Cerebral palsy/Spastic hemiplegia/Task-oriented training/Upper limb functions

分类

医药卫生

引用本文复制引用

唐欣,孟繁媛,陈茉弦,王蕾,徐璇,赵洪波..任务导向性训练对痉挛型偏瘫儿童上肢功能的效果[J].昆明医科大学学报,2018,39(3):85-89,5.

基金项目

云南省卫生科技内设机构计划项目(内设机构)(2017NS310) (内设机构)

昆明医科大学校级教研教改项目(2017-JY-Y-029) (2017-JY-Y-029)

昆明医科大学学报

OACSTPCD

1003-4706

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