改良式侷限誘發療法與雙側對稱功能性動作訓練法

取自Your Therapy source部落格的一篇文章,我局部作重點翻譯,供有需要的父母參考:

Tuesday, September 3, 2013

Modified Constraint-Induced Movement Therapy Versus Intensive Bimanual Training

Clinical Rehabilitation published research on 47 children with unilateral cerebral palsy 單邊腦麻or other non-progressive hemiplegia 半邊腦麻(aged 3.3–11.4 years年齡3.3-11.4歲) who were randomly assigned to either a modified constraint-induced movement program 改良式侷限誘發療法(kid-CIMT – 60 hours of unilateral constraint-induced60小時之患側侷限誘發訓練 and 20 hours of bimanual training 20小時雙側對稱功能性動作訓練over four weeks四週) or intensive bimanual training密集的雙側對稱功能性動作訓練 (80 hours of bimanual training 80小時對稱性之動作訓練over four weeks四週). The following results were recorded:

  • modified constraint-induced therapy provided a significantly better outcome for isolated motor functions of the paretic arm than bimanual training改良式侷限療法對單側受腦麻影響的手臂有較好的結果
  • for spontaneous use of the paretic arm and hand in everyday life activities both methods led to similar improvement兩種訓練方法對自發性的於活動中使用受腦麻影響的手臂有相同的療效
  • more-disabled children showed greater improvement than less-disabled ones越嚴重的孩子改善越多
  • age did not affect treatment outcome結果不受年齡影響

Reference: Wolfgang Deppe,Kerstin Thuemmler,Judith Fleischer,Claudia Berger,Susanne Meyer,and Baerbel Wiedemann. Modified constraint-induced movement therapy versus intensive bimanual training for children with hemiplegia – a randomized controlled trial Clin Rehabil October 2013 27: 909-920, first published on July 1, 2013 doi:10.1177/026921551348376

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這篇文章讓我想到最近讀的一本書:教育理想國中提到的一個新觀念,也就是"從非比即此到兩者均為的思維",也就是沒有一種教學或復健方法是最好的,依據孩子的需要截取每種方法的優點發展適合孩子使用的方法才是王道。請參考我的前一篇貼文特教教學法裡提到的樂趣與效率兼得的觀念,並參考我其他有關復健的貼文如身體的活動在家的親子復建計畫

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