دورية أكاديمية
أعرض في EDS

Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affected Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability: Case Series.

التفاصيل البيبلوغرافية
العنوان: Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affected Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability: Case Series.
المؤلفون: Palomo-Carrión R; Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy, University of Castilla-La Mancha, 13001 Ciudad Real, Spain., Romero-Galisteo RP; Department of Physiotherapy, Faculty of Science Health, University of Málaga, 29016 Málaga, Spain., Pinero-Pinto E; Department of Physical Therapy, Faculty of Nursery, Physiotherapy and Podiatry, University of Seville, 41004 Sevilla, Spain., López-Muñoz P; Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy, University of Castilla-La Mancha, 13001 Ciudad Real, Spain., Romay-Barrero H; Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy, University of Castilla-La Mancha, 13001 Ciudad Real, Spain., José FGS; Department of Physiotherapy, Faculty of Medicine, University San Pablo-CEU, 28003 Madrid, Spain.
المصدر: Children (Basel, Switzerland) [Children (Basel)] 2020 Sep 04; Vol. 7 (9). Date of Electronic Publication: 2020 Sep 04.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: MDPI AG Country of Publication: Switzerland NLM ID: 101648936 Publication Model: Electronic Cited Medium: Print ISSN: 2227-9067 (Print) Linking ISSN: 22279067 NLM ISO Abbreviation: Children (Basel) Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Basel, Switzerland : MDPI AG, [2014]-
مستخلص: Objective: To assess the functionality of the affected upper limb in children diagnosed with hemiplegia aged between 4 and 8 years after applying low-intensity modified Constraint-Induced Movement Therapy (mCIMT).
Methods: Prospective case series study. A mCIMT protocol was applied for five weeks, with two hours of containment per day. The study variables were quality of movement of the upper limb, spontaneous use, participation of the affected upper limb in activities of daily living, dynamic joint position, grasp-release action, grasp strength, supination and extension elbow movements. Four measurements were performed, using the quality of upper extremity test (QUEST) scale, the Shriners Hospital for Children Upper Extremity Evaluation (SHUEE) Evaluation, a hand dynamometer and a goniometer.
Results: The sample was composed of eight children with moderate manual ability. Statistically significant differences were detected in all the studied variables ( p < 0.05) between the pre-treatment and post-treatment results (Week 0-Week 5), except for upper limb dressing, putting on splints and buttoning up. In the first week, the changes were statistically significant, except for protective extension, grasp strength, grasp-release and all functional variables (level of functionality and participation of the patient's upper limbs) in the SHUEE Evaluation ( p > 0.05). The greatest increase occurred in spontaneous use from Assessment 1 to Assessment 4 ( p = 0.01), reaching 88.87% active participation in bimanual tasks. The quality of movement of the upper limb exhibited a significant value due to the increase in dissociated movements and grasp ( p = 0.01).
Conclusion: A low dose (50 h) of mCIMT increased the functionality of children diagnosed with congenital hemiplegia between 4 and 8 years of age with moderate manual ability.
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فهرسة مساهمة: Keywords: family; infantile hemiplegia; modified Constraint-Induced Movement Therapy; physical therapy modalities; upper extremity
تواريخ الأحداث: Date Created: 20200909 Latest Revision: 20201020
رمز التحديث: 20221213
مُعرف محوري في PubMed: PMC7552787
DOI: 10.3390/children7090127
PMID: 32899729
قاعدة البيانات: MEDLINE
الوصف
تدمد:2227-9067
DOI:10.3390/children7090127