任务导向性训练对痉挛型偏瘫儿童上肢功能的效果.

Objective To investigate the effectiveness of task-oriented bilateral arm training on upper limb function in children with spastic hemiplegia. Methods 27 children within 4-6 years with spastic hemiplegic were randomly divided into control group （n＝13） and experiment group （n＝14） . The children in control group received routine occupational therapy. The bilateral arm task-oriented training was added for children in experiment group. The Peabody development motor scale-2 （PDMS-2） and Upper Limb Physician's Rating Scale （ULPRS） were used to assess the upper limb function before and after 10 weeks intervention. Results After treatment, the scores of grasping function and visual-motor integration in PDMS-2 were significantly higher than those before treatment （P ＜0.05），and the scores of experimental group werehigher than that of control group （P ＜0.05）, and the difference of the added value between two groups were statistically significant （P ＜0.05）.The ULPRS scores of both groups increased after treatment （P ＜0.05），scores between the treatment group and the control group were not statisti cally significant （ P＞0.05），and the difference of the added value between two groups was not statistically significant（ P＞0.05） . Conclusion The task-oriented bilateral arm training can promote recovery for upper limb and hand function in children with spastic hemiplegia compared with routine occupational therapy. [ABSTRACT FROM AUTHOR]