半側偏癱腦性麻痺孩童為臨床上常見造成兒童生理失能的疾病之一,影響孩童的日常活動參與以及生活品質。侷限誘發療法 (constraint-induced therapy) 可以提升半側偏癱腦性麻痺孩童患側手的動作功能表現。本研究以三位臨床個案為例,採用對兒童族群與家庭來說較為友善 (child- and family-friendly) 之居家侷限誘發療法,探討其在半側偏癱腦性麻痺孩童的介入療效。方法:三位孩童接受每週兩次各 2-2.5 小時為期八週(共 36小時)的侷限誘發療法,在介入前與介入後均會進行評估測驗。結果:在八週治療之後,孩童在患側上肢動作品質與雙手協調有進步 (Melbourne Assessment-2, Box and Block Test, Bruininks-Oseretsky Test of Motor Proficiency-2),在日常活動患側手的的使用頻率和品質 (Pediatric Motor Activity Log-Revised) 也有進步。另外孩童的玩性表現 (Test of Playfulness) 以及照顧者的親職壓力 (Parenting Stress Index-Short Form) 在介入後也有改善或維持。結論:本個案系列研究可提供臨床實務者執行侷限誘發療法的參考依據。建議未來可增加受試者人數,並納入控制組作為對照,以進一步證實本研究所使用之居家侷限誘發療法在半側偏癱腦性麻痺孩童的介入療效。

"> 投稿審查系統 - 台灣職能治療研究與實務雜誌 - 期刊目錄【家庭與孩童友善之居家侷限誘發療法於半側腦性偏癱孩童之成效:個案系列報告】
台灣職能治療研究與實務雜誌 
Journal of Taiwan Occupational Therapy Research and Practice
ISSN-1819-7167
半年刊,正常發行
沿革
2005年11月1日創刊
家庭與孩童友善之居家侷限誘發療法於半側腦性偏癱孩童之成效:個案系列報告
Effectiveness of the Family- and Child- Friendly Home-Based Constraint-Induced Therapy in Children with Hemiplegic Cerebral Palsy: A Case Series Study
梁凱傑1 王姝婷1 尤菀薈2 陳顥齡1,3 王湉妮1,3(Kai-Jie Liang1/Shu-Ting Wang1/Wan-Hui Yu2/Hao-Ling Chen1,3/Tien-Ni Wang1,3)
神經復健,半側偏癱,腦性麻痺孩童,上肢,療效(neurorehabilitation, hemiparesis, cerebral palsy, upper limbs, effectiveness.)
摘要
中文 English

半側偏癱腦性麻痺孩童為臨床上常見造成兒童生理失能的疾病之一,影響孩童的日常活動參與以及生活品質。侷限誘發療法 (constraint-induced therapy) 可以提升半側偏癱腦性麻痺孩童患側手的動作功能表現。本研究以三位臨床個案為例,採用對兒童族群與家庭來說較為友善 (child- and family-friendly) 之居家侷限誘發療法,探討其在半側偏癱腦性麻痺孩童的介入療效。方法:三位孩童接受每週兩次各 2-2.5 小時為期八週(共 36小時)的侷限誘發療法,在介入前與介入後均會進行評估測驗。結果:在八週治療之後,孩童在患側上肢動作品質與雙手協調有進步 (Melbourne Assessment-2, Box and Block Test, Bruininks-Oseretsky Test of Motor Proficiency-2),在日常活動患側手的的使用頻率和品質 (Pediatric Motor Activity Log-Revised) 也有進步。另外孩童的玩性表現 (Test of Playfulness) 以及照顧者的親職壓力 (Parenting Stress Index-Short Form) 在介入後也有改善或維持。結論:本個案系列研究可提供臨床實務者執行侷限誘發療法的參考依據。建議未來可增加受試者人數,並納入控制組作為對照,以進一步證實本研究所使用之居家侷限誘發療法在半側偏癱腦性麻痺孩童的介入療效。

Cerebral palsy (CP) is one of the most common pediatric physical disabilities in clinic. Children with hemiparesis or substantially greater deficit in one upper extremity than the other comprise a significantly large group. Constraint-induced therapy (CIT) is suggested to be a promising intervention to improve upper limb motor functions in children with hemiplegic CP. The purpose of this case series study is to examine the feasibility and effectiveness of the current child- and family-friendly CIT program in children with hemiplegic CP. Method: Three children with hemiplegic CP participated in this study. The CIT program was delivered with 2-2.5 hours a day, two times a week, for 8 weeks (36 hours in total). Results: After 8 weeks of CIT intervention, the results demonstrated that participants improved their upper limb performance on motor function (Melbourne Assessment-2, Box and Block Test, Bruininks-Oseretsky Test of Motor Proficiency) and daily function (Pediatric Motor Activity Log-Revised). In addition, Test of Playfulness and Parenting Stress Index-Short Form were improved after intervention. Conclusions: Findings of this case study confirmed the feasibility effectiveness of the provided CIT. Practical guidelines of the CIT were also provided in this study for the clinicians. Future study with larger sample size and control group are suggested to support these findings. 

來源資料:16卷1期