Objective To explore the effect of whole body vibration training on the fine motor function of children with spastic hemiplegia, so as to provide clinical reference for occupational therapy of hemiplegic cerebral palsy. Methods A total of 68 children with spastic hemiplegia in Shengjing Hospital were enrolled in this study from October 2020 to October 2022, and were randomly divided into control group (n=34) and study group (n=34).Both groups were given conventional occupational therapy, while the study group was additionally provided with whole body vibration (WBV) training.Scores in fine motor function measurement-D (FMFM-D) (upper limb operation) and FMFM-E (hand-eye coordination) of FMFM before training, 4 weeks, 8 weeks and 12 weeks after training and the results of the Motion Control Report in the digital OT assessment system were compared between the two groups. Results Repeated-measures analysis of variance showed that FMFM-D score changed over time (Ftime=76.017, P＜0.001), while grouping effect and interaction effect were not significant(Fgroup/interaction=1.173, 0.470, P＞0.05).The change of FMFM-E score was influenced by both the time effect and group effect (Ftime/group/interaction=783.275, 4.209, 50.233, P＜0.05).After 8 and 12 weeks of training, the study group scored higher in FMFM-E than the control group(F=9.375,9.207, P＜0.05).The coincidence degree of motion trajectory was affected by both time effect and group effect (Ftime/group/interaction=567.166, 4.720, 47.497, P＜0.05).After 4, 8 and 12 weeks of training, the movement performance of the study group was better than that of the control group(F=8.783, 7.583, 8.937, P＜0.05).Movement speed was affected by both time effect and group effect (Ftime/group/interaction=351.375, 16.538, 73.909, P＜0.05).After 8 weeks and 12 weeks of training, the movement speed of the study group was higher than that of the control group (F=69.764, 60.557, P＜0.05). Conclusion Whole-body vibration training can improve the fine motor function, movement speed and hand-eye coordination of children with spastic hemiplegia.
Key words
cerebral palsy /
fine motor function /
whole body vibration /
digital OT assessment and training system
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