Cerebral palsy in adult patients: constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb

被引：2

作者：

Oliveira, Ana Cecilia P. ^{[1
,2
]}

de Freitas, Camila ^{[2
,3
]}

Eras-Garcia, Rafael ^{[2
,4
]}

Matuti, Gabriela S. ^{[2
,5
]}

Santos, Juliana F. ^{[2
,5
]}

Oliveira, Clarissa B. ^{[2
,6
]}

机构：

[1] Univ Fed Triangulo Mineiro, Terapia Ocupac, Uberaba, MG, Brazil

[2] Associacao Assistancia Crianca Deficiente, Sao Paulo, SP, Brazil

[3] Univ Fed Sao Paulo, Terapia Ocupac, Sao Paulo, SP, Brazil

[4] Univ Sao Paulo, Fac Med Ribeirao Preto, Terapia Ocupac, Ribeirao Preto, SP, Brazil

[5] Fac Ciencias Humanas Saude & Educ Guarulhos, Guarulhos, SP, Brazil

[6] Univ Sao Paulo, Fac Med, Dept Neurol, BR-05508 Sao Paulo, Brazil

来源：

ARQUIVOS DE NEURO-PSIQUIATRIA | 2016年 / 74卷 / 01期

关键词：

cerebral palsy; adult; constraint-induced movement therapy; RANDOMIZED CONTROLLED-TRIAL; BRAZILIAN VERSION; CHILDREN;

D O I：

10.1590/0004-282X20150195

中图分类号：

Q189 [神经科学];

学科分类号：

071006 ;

摘要：

Objective: To determine if the original protocol of Constraint-Induced Movement Therapy (CIMT), is adequate to reverse the nonuse of the affected upper limb (AUL) in patients with Cerebral Palsy (CP) in adulthood. Method: The study included 10 patients diagnosed with CP hemiparesis had attended the adult protocol CIMT, from January/August 2009/2014. Results: Average age 24.6 (SD 9.44); MAL average pretreatment How Often (HO) = 0.72 and How Well (HW) = 0.68 and post-treatment HO = 3.77 and HW = 3.60 (p <= 0.001) and pretreatment WM FT average = 21.03 and post-treatment average = 18.91 (p = 0.350). Conclusion: The constraint-induced movement therapy is effective to reverse the nonuse learn of the AUL in adult patients with CP.

引用

页码：18 / 21

页数：4

共 20 条

[1] Cross-cultural adaptation and analysis of the psychometric properties of the Brazilian version of the Motor Activity Log [J].

Amaral Saliba, Viviane ;

de Castro Magalhaes, Livia ;

de Morais Faria, Christina Danielli Coelho ;

Carneiro Laurentino, Gloria Elizabeth ;

Gomes Cassiano, Janine ;

Fuscaldi Teixeira-Salmela, Luci .

REVISTA PANAMERICANA DE SALUD PUBLICA-PAN AMERICAN JOURNAL OF PUBLIC HEALTH, 2011, 30 (03) :262-271

[2]

Brol AM, 2009, FISIOTER MOV, V22, P497

[3] Modified constraint-induced movement therapy versus intensive bimanual training for children with hemiplegia - a randomized controlled trial [J].

Deppe, Wolfgang ;

Thuemmler, Kerstin ;

Fleischer, Judith ;

Berger, Claudia ;

Meyer, Susanne ;

Wiedemann, Baerbel .

CLINICAL REHABILITATION, 2013, 27 (10) :909-920

[4] Efficacy of constraint-induced movement therapy on involved upper-extremity use in children with hemiplegic cerebral palsy is not age-dependent [J].

Gordon, AM ;

Charles, J ;

Wolf, SL .

PEDIATRICS, 2006, 117 (03) :E363-E373

[5] Modified constraint-induced movement therapy or bimanual occupational therapy following injection of Botulinum toxin-A to improve bimanual performance in young children with hemiplegic cerebral palsy: a randomised controlled trial methods paper [J].

Hoare, Brian J. ;

Imms, Christine ;

Rawicki, Hyam Barry ;

Carey, Leeanne .

BMC NEUROLOGY, 2010, 10

[6] Caracterization of adults with cerebral palsy [J].

Margre, Anna L. M. ;

Reis, Maria G. L. ;

Morais, Rosane L. S. .

BRAZILIAN JOURNAL OF PHYSICAL THERAPY, 2010, 14 (05) :417-425

[7]

Ministario da Saude (BR), 2013, DIR AT PESS PAR CER

[8]

Nagano GT, 2014, FISIO BRASIL, V15, P269

[9] Magnetic stimulation of motor cortex in children: Maturity of corticospinal pathway and problem of clinical application [J].

Nezu, A ;

Kimura, S ;

Uehara, S ;

Kobayashi, T ;

Tanaka, M ;

Saito, K .

BRAIN & DEVELOPMENT, 1997, 19 (03) :176-180

[10] Reliability of the brazilian version of the Wolf Motor Function Test in adults with hemiparesis [J].

Pereira, Natalia D. ;

Michaelsen, Stella M. ;

Menezes, Isabella S. ;

Ovando, Angelica C. ;

Lima, Renata C. M. ;

Teixeira-Salmela, Luci F. .

REVISTA BRASILEIRA DE FISIOTERAPIA, 2011, 15 (03) :257-265

← 1 2 →