Efficacy of forced-use therapy in hemiplegic cerebral palsy.
Arch Phys Med Rehabil
; 86(11): 2195-8, 2005 Nov.
Article
em En
| MEDLINE
| ID: mdl-16271570
ABSTRACT
OBJECTIVE:
To determine the efficacy of forced-use therapy (FUT) on the improvement of upper-extremity function in children with hemiplegic cerebral palsy (CP).DESIGN:
Prospective case series.SETTING:
Outpatient ambulatory clinic in South Korea.PARTICIPANTS:
Thirty-one patients with hemiplegic CP were assigned to the FUT group (n=18) or to the control group (n=13). The mean age of the patients in the FUT group was 33.2 months and in the control group it was 43.2 months.INTERVENTIONS:
The FUT group wore a short-arm Scotchcast on the unaffected arm for 6 weeks and also participated in a conventional rehabilitation program that included stretching exercises and functional occupational therapy for the upper extremity. The control group underwent the conventional rehabilitation program only. MAIN OUTCOMEMEASURE:
Hand function tests, including the box and block test (BBT), Erhardt Developmental Prehension Assessment (EDPA), and WeeFIM instrument taken before and after 6 weeks of treatment.RESULTS:
Before treatment, there was no significant difference between groups in the BBT, EDPA, and WeeFIM scores. After 6 weeks of treatment, however, the FUT group showed significant improvement in the affected arm in the BBT and EDPA scores, compared with the control group (P<.05). The self-care score on the WeeFIM was also significantly improved in the FUT group (P<.05).CONCLUSIONS:
FUT combined with a conventional rehabilitation program appears to be more effective than a rehabilitation program alone in improving affected hand function in children with hemiplegic CP.
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Base de dados:
MEDLINE
Assunto principal:
Restrição Física
/
Moldes Cirúrgicos
/
Paralisia Cerebral
/
Antebraço
/
Mãos
/
Hemiplegia
Idioma:
En
Ano de publicação:
2005
Tipo de documento:
Article