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
收藏
页码：159 / 166
页数：8
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