Potential Predictors of Functional Outcomes After Home-Based Constraint-Induced Therapy for Children With Cerebral Palsy

被引：9

作者：

Chen, Chia-ling ^{[1
,2
]}

Lin, Keh-chung ^{[3
,4
]}

Kang, Lin-ju ^{[2
]}

Wu, Ching-yi ^{[5
,6
,7
]}

Chen, Hsieh-ching ^{[8
]}

Hsieh, Yu-wei ^{[5
,6
]}

机构：

[1] Chang Sung Mem Hosp, Linkou, Taiwan

[2] Chang Gung Univ, Coll Med, Grad Inst Early Intervent, Tao Yuan 333, Taiwan

[3] Natl Taiwan Univ, Coll Med, Sch Occupat Therapy, Taipei 10764, Taiwan

[4] Natl Taiwan Univ Hosp, Dept Phys Med & Rehabil, Div Occupat Therapy, Taipei, Taiwan

[5] Chang Gung Univ, Coll Med, Dept Occupat Therapy, Tao Yuan 333, Taiwan

[6] Chang Gung Univ, Coll Med, Grad Inst Behav Sci, Tao Yuan 333, Taiwan

[7] Chang Gung Univ, Hlth Aging Res Ctr, Tao Yuan 333, Taiwan

[8] Natl Taipei Univ Technol, Dept Ind Engn & Management, Taipei 106, Taiwan

来源：

AMERICAN JOURNAL OF OCCUPATIONAL THERAPY | 2014年 / 68卷 / 02期

关键词：

cerebral palsy; forecasting; home care services; restraint; physical; treatment outcome; INDUCED MOVEMENT THERAPY; MOTOR-ACTIVITY LOG; YOUNG-CHILDREN; UPPER-LIMB; EFFICACY; RELIABILITY; PERFORMANCE;

D O I：

10.5014/ajot.2014.009860

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

OBJECTIVE. Our objective was to identify predictors for treatment outcomes after home-based constraint-induced therapy (CIT) in children with cerebral palsy (CP). METHOD. Forty-three children (aged 4-12 yr) with CP were treated with individualized CIT at home for 4 wk. Potential predictors were age, sex, affected hand, and upper-extremity motor capacity measured by the Peabody Developmental Motor Scale, 2nd edition (PDMS-2). Outcomes were the Pediatric Motor Activity Log (PMAL) Amount of Hand Use and Quality of Hand Use subscales and the Functional Independence Measure for Children (WeeFIM). RESULTS. A higher PDMS-2 Visual Motor Integration subscale score predicted a better WeeFIM score after home-based CIT (adjusted R-2 = .35). Younger age predicted better performance on the PMAL Amount of Hand Use and Quality of Hand Use subscales (adjusted R-2 = .06-.08) after home-based CIT. CONCLUSION. The potential predictors may allow occupational therapy practitioners to target those children who will benefit most after home-based constraint-induced therapy.

引用

页码：159 / 166

页数：8

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