Construction and effectiveness of a remote home rehabilitation model based on internet technology for children with cerebral palsy

FAN Taolin; JIANG Ying; DAI Jin′e; ZHANG Xiaoding; YANG Guihua; XU Yaxiong; WANG Chunhua

doi:10.11852/zgetbjzz2023-0125

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (11) : 1202-1207. DOI: 10.11852/zgetbjzz2023-0125

Construction and effectiveness of a remote home rehabilitation model based on internet technology for children with cerebral palsy

FAN Taolin, JIANG Ying, DAI Jin′e, ZHANG Xiaoding, YANG Guihua, XU Yaxiong, WANG Chunhua

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Abstract

Objective To construct a remote home rehabilitation model based on Internet technology, and to observe the effect of this rehabilitation model on motor function and functional independence of children with cerebral palsy (CP), in order to provide clinical evidence for home rehabilitation training of children with cerebral palsy. Methods A total of 65 children with cerebral palsy who had recovered from Xiangya Bo′ai Rehabilitation Hospital from June to November 2022 were selected into this study and were divided into remote intervention group (n=31) and conventional intervention group (n=34) according to the wishes of their caregivers.Children in conventional intervention group were given home rehabilitation training according to the home training program, while children in remote intervention group received an individualized remote home rehabilitation model, including remote rehabilitation training and quality control. Children in the two groups received intervention for 12 weeks with frequency of ≥1.5h/d, 5d/week. Gross Motor Function Measure (GMFM), Fine Motor Function Measure (FMFM), and Functional Independence Measure Children′s Edition (WeeFIM) were used to evaluate the gross motor function, fine motor function, and daily living ability of children before treatment and 12 weeks after treatment. Results After 12 weeks of treatment, the total satisfaction rate of the remote intervention group was 90.32%, significantly higher than that of the conventional intervention group (70.59%) (χ²=7.651, P<0.05). After 12 weeks of treatment, GMFM, FMFM and WeeFIM scores in the two groups were significantly improved compared with those before treatment (remote intervention group: t=16.736、36.772、18.858; conventional intervention group: t=7.354、18.495、8.895, P<0.05). The scores of the above indicators in the remote intervention group after 12 weeks of treatment were significantly higher than those in the conventional intervention group (t =2.014, 2.106, 2.137, P<0.05). Conclusion The remote home rehabilitation model based on Internet technology can effectively improve the gross motor function, fine motor function and daily living ability of children with cerebral palsy.

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cerebral palsy / internet technology / remote home rehabilitation

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FAN Taolin, JIANG Ying, DAI Jin′e, ZHANG Xiaoding, YANG Guihua, XU Yaxiong, WANG Chunhua. Construction and effectiveness of a remote home rehabilitation model based on internet technology for children with cerebral palsy[J]. Chinese Journal of Child Health Care. 2023, 31(11): 1202-1207 https://doi.org/10.11852/zgetbjzz2023-0125

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