Infant Modified Constraint-Induced Movement Therapy Paired With Neuromuscular Electrical Stimulation: A Feasibility Study.

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-01 DOI:10.1097/PEP.0000000000001124

Kathy Grinde, Jayne Myhre, Amanda Nickel, Michael D Finch

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Abstract

Purpose: To determine the feasibility of modified constraint-induced movement therapy (mCIMT) paired with neuromuscular electrical stimulation (NMES) for infants with asymmetrical hand function (AHF).

Methods: Five infants received an experimental ABA design: (A1) 3 weeks of our Standard AHF Care, (B) 3 weeks mCIMT-NMES, and (A2) 3 weeks of our Standard AHF Care. Parents tracked key data in a daily log, and infants were assessed 4 times using the Hand Assessment for Infants and Peabody Developmental Motor Scale-2.

Results: There was a high level of participant enrollment, visit frequency adherence, and compliance with the treatment protocol. No adverse events were reported. Mean Hand Assessment for Infants Both Hands measure scores changed more after mCIMT-NMES than after our Standard AHF Care.

Conclusions: mCIMT-NMES is a feasible early intervention for infants with AHF at risk for unilateral cerebral palsy. A future study in a larger sample should examine the efficacy of mCIMT-NMES in this population.

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婴儿改良约束诱导运动疗法与神经肌肉电刺激配对：可行性研究。

目的：确定改良约束诱导运动疗法（mCIMT）与神经肌肉电刺激（NMES）配合使用对手部功能不对称（AHF）婴儿的可行性：五名婴儿接受了 ABA 实验设计：(A1) 3 周标准 AHF 护理；(B) 3 周 mCIMT-NMES 护理；(A2) 3 周标准 AHF 护理。家长在每日日志中跟踪关键数据，并使用婴儿手部评估和皮博迪运动发育量表-2对婴儿进行 4 次评估：参与者的注册率、就诊频率和治疗方案的依从性都很高。无不良事件报告。mCIMT-NMES治疗后，婴儿双手评估的平均得分比标准AHF护理后的得分变化更大。结论：对于有单侧脑瘫风险的AHF婴儿，mCIMT-NMES是一种可行的早期干预方法。未来应在更大样本中进行研究，探讨 mCIMT-NMES 在这一人群中的疗效。

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

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.