强制诱导运动疗法和手-臂双侧强化训练在痉挛型 偏瘫儿童上肢功能干预中的运用

痉挛型偏瘫儿童因其存在上肢运动功能障碍,进而影响日常生活的独立性,近年来偏瘫儿童的康复治疗备受关注。传统的神经发育疗法侧重于降低张力、促进上肢运动模式正常化,来提升功能水平。随着国际功能、残疾和健康分类(ICF)理念的推进,改善偏瘫儿童上肢活动和参与能力成为目前干预的主要导向,遂之兴起的强制诱导运动疗法(CIMT)和手-臂双侧强化训练(HABIT)在临床被广泛使用。本文从理论基础、适应人群、干预方案、临床疗效等角度进行对比分析和综述,以期为偏瘫儿童临床干预方法的选择提供依据。

Application of constraint-induced movement therapy and hand-arm bimanual intensive training in upper limb function intervention of children with spastic hemiplegia

Children with spastic hemiplegia suffer from upper limb motor dysfunction,which affects the independence of daily life.In recent years,the rehabilitation of children with hemiplegia has attracted much attention.Traditional neurodevelopmental treatment models focus on reducing tension and promoting normalization of upper limb movement patterns,hoping to improve functional levels.With the advancement of the ICF concept,improving upper limb activity and participation in children with hemiplegia has become the main guide for current intervention.And the constraint-induced movement therapy (CIMT) and hand-arm bimanual intensive training (HABIT) are widely used in clinical practice.This review makes a comparative analysis and review from the perspective of theoretical basis,population adaptation,intervention methods and clinical efficacy,in order to provide a basis for the selection of clinical intervention methods for children with hemiplegia.