手-臂双侧徒手强化训练治疗脑瘫患儿上肢功能障碍

目的：探讨手-臂双侧徒手强化训练（HABIT ）对脑瘫患儿上肢运动功能的影响。方法：脑瘫患儿84例，分为对照组和观察组各42例。在常规康复治疗的基础上，对照组采用常规作业治疗，观察组采用 HABIT 治疗。采用上肢功能评定量表（QUEST ）和能力低下患儿评定量表（PEDI）进行评定。结果：治疗2周后，2组各量表评分均有所提高，但同期组间及组内比较，差异并无统计学意义；治疗4周后，观察组各量表评分较治疗前明显提高，且各值均明显高于对照组（P＜0．05），对照组QUEST量表承重及保护性伸展部分与治疗前差别无统计学意义，其余各项评分及PEDI评分均明显提高（ P＜0．05）。不同年龄组患儿比较，2组各量表评估分数增加值显著不同（ P＜0．05）。结论：在常规康复治疗基础上，与常规OT 治疗相比，HABIT 方法能更好地提高脑瘫患儿的上肢功能，且较小年龄组患儿进步较快。

Hand-arm bimanual intensive training for upper limb dysfunction in children with cerebral palsy

Objective ：To investigate the effects of hand-arm bimanual intensive training （HABIT ） on the recovery of upper limb function in children with cerebral palsy .Methods：Eighty-four cerebral palsy children were randomly divided into control group and observation group （n=42 each） .Both received regular rehabilitation therapy .Control group was given regular occupational therapy ,and observation group given HABIT .Motor function was assessed using Quality of Upper Extremity Skills Test （QUEST ） and Pediatric Evaluation of Disability Inventory （PEDI） before and after treatment .Results ：After treatment for 4 weeks ,QUEST and PEDI scores were significantly higher in the observation group than in the control group ,and those before treatment （P〈0 .05） .There was no significant difference in QUEST weight bearing and the protective extension parts scores in the control group before and after treatment .The added values in each scale assessment scores of two groups were significantly different among different age groups （P〈0 .05） .Conclusion：HABIT can better improve the upper limb function of cerebral palsy children than the regular OT ,especially the young children with cerebral palsy .