Objective To analyze the effect of modified constraint-induced movement therapy(mCIMT) versus hand-arm bimanual intensive therapy(HABIT) on the upper extremity function in children with hemiplegic cerebral palsy,in order to figure out the characteristics of mCIMT and HABIT. Methods A total of 30 children with hemiplegic cerebral palsy in the Third Affiliated Hospital of Jiamusi University were enrolled in this study from February to October in 2018,and were randomly divided into mCIMT group,HABIT group and control group,receiving mCIMT,HABIT,and conventional occupational therapy(OT) for 8 weeks,respectively.The Carroll Upper Extremities Functional Test(UEFT),Functional Independence Measure Children's Edition(WeeFIM),Peabody Developmental Motor Scales-Fine Motor(PDMS-FM) and Motor Activity Log-Amount of Use(MAL-AOU) were used to assess the children's function before and after intervention. Results The scores of UEFT,WeeFIM,PDMS-FM and MAL-AOU in the mCIMT group,HABIT group and control group after intervention significantly increased(P＜0.05 or <0.01).And the scores of UEFT,WeeFIM,PDMS-FM and MAL-AOU in mCIMT group and HABIT group were significantly higher than those in the control group(F=6.75,7.01,23.91,21.17,P＜0.01).Compared with mCIMT group,the scores of WeeFIM and MAL-AOU in HABIT group were significantly higher(P＜0.01). Conclusions Both mCIMT and HABIT can improve the fine function and usage,bimanual coordination and functional independence of children with hemiplegic cerebral palsy.Moreover,HABIT is superior to mCIMT in terms of ipsilateral use and functional independence.
Key words
cerebral palsy /
modified constraint-induced movement therapy /
hand-arm bimanual intensive therapy /
upper extremity function /
functional independence
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