{"title":"上肢约束对偏瘫性脑瘫儿童功能和动态姿势控制的影响。","authors":"Meysam Roostaei, Parvin Raji, Khosro Khademi Kalantari, Elham Faghihzadeh, Maria Fragala-Pinkham","doi":"10.1080/17518423.2021.2020351","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To compare the effects of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy.</p><p><strong>Materials and methods: </strong>Twelve children with hemiplegic cerebral palsy and 12 typically developing children ages 5 to 12 years (GMFCS I-II) were evaluated with the Timed Up and Go (TUG) and Biodex Balance System during three upper extremity (UE) conditions: 1) Free UEs (no constraints), 2) Simple UE constraint (unaffected/dominant UE constrained with a sling), and 3) Difficult UE constraint (Simple constraint plus the other UE holding cup of water).</p><p><strong>Results: </strong>The UE condition had significant effects on Overall Stability Index (OSI) (F<sub>(2,44)</sub> = 24.899, <i>p</i> < .001), Medial-Lateral Stability Index (MLSI) (F<sub>(2,44)</sub> = 4.380, <i>p</i> = .018), Anterior-Posterior Stability Index (F<sub>(2,44)</sub> = 6.187, <i>p</i> = .004), and TUG scores (F<sub>(2,44)</sub> = 113.372, <i>p</i> < .001). Group was significant for OSI (F<sub>(1,22)</sub> = 7.906, <i>p</i> = .010), MLSI (F<sub>(1,22)</sub> = 13.113, <i>p</i> = .002), and TUG (F<sub>(1,22)</sub> = 36.282, <i>p</i> < .001).</p><p><strong>Conclusions: </strong>The upper extremity appears to have a role in maintaining functional balance and postural stability in children with hemiplegic cerebral palsy and should be considered during intervention programs.</p>","PeriodicalId":51227,"journal":{"name":"Developmental Neurorehabilitation","volume":null,"pages":null},"PeriodicalIF":1.1000,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":"{\"title\":\"Effect of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy.\",\"authors\":\"Meysam Roostaei, Parvin Raji, Khosro Khademi Kalantari, Elham Faghihzadeh, Maria Fragala-Pinkham\",\"doi\":\"10.1080/17518423.2021.2020351\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To compare the effects of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy.</p><p><strong>Materials and methods: </strong>Twelve children with hemiplegic cerebral palsy and 12 typically developing children ages 5 to 12 years (GMFCS I-II) were evaluated with the Timed Up and Go (TUG) and Biodex Balance System during three upper extremity (UE) conditions: 1) Free UEs (no constraints), 2) Simple UE constraint (unaffected/dominant UE constrained with a sling), and 3) Difficult UE constraint (Simple constraint plus the other UE holding cup of water).</p><p><strong>Results: </strong>The UE condition had significant effects on Overall Stability Index (OSI) (F<sub>(2,44)</sub> = 24.899, <i>p</i> < .001), Medial-Lateral Stability Index (MLSI) (F<sub>(2,44)</sub> = 4.380, <i>p</i> = .018), Anterior-Posterior Stability Index (F<sub>(2,44)</sub> = 6.187, <i>p</i> = .004), and TUG scores (F<sub>(2,44)</sub> = 113.372, <i>p</i> < .001). Group was significant for OSI (F<sub>(1,22)</sub> = 7.906, <i>p</i> = .010), MLSI (F<sub>(1,22)</sub> = 13.113, <i>p</i> = .002), and TUG (F<sub>(1,22)</sub> = 36.282, <i>p</i> < .001).</p><p><strong>Conclusions: </strong>The upper extremity appears to have a role in maintaining functional balance and postural stability in children with hemiplegic cerebral palsy and should be considered during intervention programs.</p>\",\"PeriodicalId\":51227,\"journal\":{\"name\":\"Developmental Neurorehabilitation\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2022-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"3\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Developmental Neurorehabilitation\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/17518423.2021.2020351\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2021/12/31 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Developmental Neurorehabilitation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17518423.2021.2020351","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/12/31 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 3
摘要
目的:比较上肢约束对偏瘫性脑瘫儿童功能和动态姿势控制的影响。材料和方法:12名偏瘫性脑瘫儿童和12名5 - 12岁的正常发育儿童(GMFCS I-II)在三种上肢(UE)条件下使用Timed Up and Go (TUG)和Biodex Balance System进行评估:1)自由UE(无约束)，2)简单UE约束(未受影响/主导UE约束)，3)困难UE约束(简单约束加另一个UE举杯水)。结果:UE状态对整体稳定性指数(OSI) (F(2,44) = 24.899, p (2,44) = 4.380, p = 0.018)、前后稳定性指数(F(2,44) = 6.187, p = 0.004)、TUG评分(F(2,44) = 113.372, p (1,22) = 7.906, p = 0.010)、MLSI (F(1,22) = 13.113, p = 0.002)、TUG (F(1,22) = 36.282, p)均有显著影响。上肢似乎在维持偏瘫性脑瘫儿童的功能平衡和姿势稳定方面起着重要作用，在干预方案中应予以考虑。
Effect of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy.
Purpose: To compare the effects of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy.
Materials and methods: Twelve children with hemiplegic cerebral palsy and 12 typically developing children ages 5 to 12 years (GMFCS I-II) were evaluated with the Timed Up and Go (TUG) and Biodex Balance System during three upper extremity (UE) conditions: 1) Free UEs (no constraints), 2) Simple UE constraint (unaffected/dominant UE constrained with a sling), and 3) Difficult UE constraint (Simple constraint plus the other UE holding cup of water).
Results: The UE condition had significant effects on Overall Stability Index (OSI) (F(2,44) = 24.899, p < .001), Medial-Lateral Stability Index (MLSI) (F(2,44) = 4.380, p = .018), Anterior-Posterior Stability Index (F(2,44) = 6.187, p = .004), and TUG scores (F(2,44) = 113.372, p < .001). Group was significant for OSI (F(1,22) = 7.906, p = .010), MLSI (F(1,22) = 13.113, p = .002), and TUG (F(1,22) = 36.282, p < .001).
Conclusions: The upper extremity appears to have a role in maintaining functional balance and postural stability in children with hemiplegic cerebral palsy and should be considered during intervention programs.
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.
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