Development of Hand Use with and Without Intensive Training Among Children with Unilateral Cerebral Palsy in Scandinavia.

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY Developmental Neurorehabilitation Pub Date : 2023-04-01 DOI:10.1080/17518423.2023.2193256

Gunvor L Klevberg, Manuela Zucknick, Reidun Jahnsen, Ann-Christin Eliasson

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Abstract

Aim: To describe hand use development in children with unilateral cerebral palsy who did/did not participate in constraint-induced movement therapy (CIMT) before 7 years of age.

Method: The study included 334 participants (18 months-12 years) who were assessed with 1,565 Assisting Hand Assessments (AHAs) and categorized into no intensive training (NIT), CIMT (18 months-7 years), and Baby-CIMT (<18 months) groups.

Results: AHA performance at 18 months (AHA-18) was positively associated with development regardless of training. The CIMT group had lower AHA-18 performance than the NIT group (p = .028), but higher stable limit (p = .076). The age when 90% of development was reached was highest in the CIMT group (p = .014). Although non-significant, the Baby-CIMT group had higher mean curve than NIT and CIMT combined (AHA-18 p = .459, limit p = .477).

Conclusion: The CIMT group improved more over time than the NIT group. Intensive training extended the window of development, and Baby-CIMT might promote early development.

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斯堪的纳维亚半岛单侧脑瘫儿童手部使用强化训练与非强化训练的发展。

目的:描述7岁前参加/未参加约束诱导运动治疗(CIMT)的单侧脑瘫患儿的手部使用发展情况。方法:该研究包括334名参与者(18个月-12岁)，他们接受了1565次辅助手评估(AHAs)，并被分为无强化训练(NIT)， CIMT(18个月-7岁)和婴儿CIMT(结果:18个月时(AHA-18)的AHA表现与发育正相关，无论训练如何。CIMT组的AHA-18性能低于NIT组(p = 0.028)，但稳定极限高于NIT组(p = 0.076)。CIMT组发育达到90%的年龄最高(p = 0.014)。虽然无统计学意义，但婴儿-CIMT组的平均曲线高于NIT和CIMT组合(AHA-18 p =。459，极限p = .477)。结论:CIMT组随时间的推移比NIT组改善更多。强化训练延长了发育窗口期，婴儿- cimt可促进早期发育。

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

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.