Effect of hand-arm bimanual intensive training based on FITT-CORRECT principles on upper limb function and functional independence in children with spastic hemiplegia
10.19405/j.cnki.issn1000–1492.2026.07.021
- VernacularTitle:基于FITT-CORRECT原则的手-臂双侧强化训练在痉挛型偏瘫患儿上肢功能及功能独立性中的应用
- Author:
Huihui NIU
1
;
De WU
1
;
Qi LIU
1
;
Zhirui CHEN
1
;
Jun DUAN
1
;
Hemu CHEN
2
Author Information
1. Department of Pediatrics， Center for Pediatric Neurological Rehabilitation， The First Affiliated Hospital of Anhui Medical University， Hefei 230022
2. Department of Rehabilitation Medicine， The First Affiliated Hospital of Anhui Medical University， Hefei 230022
- Publication Type:Journal Article
- Keywords:
cerebral palsy;
children;
spastic hemiplegia;
rehabilitation;
hand-arm bimanual intensive training;
upper limb function;
functional independence
- From:
Acta Universitatis Medicinalis Anhui
2026;61(7):1311-1317
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the effects of hand-arm bimanual intensive training （HABIT） based on the FITT-CORRECT principles on upper limb function and functional independence in children with spastic hemiplegic cerebral palsy. MethodsA total of 87 children with spastic hemiplegia were enrolled and randomly divided into an observation group （n=44）， which received HABIT based on the FITT-CORRECT principles， and a control group （n=43）， which received conventional HABIT. Both groups received intervention for 6 weeks. The quality of upper extremity skills test （QUEST）， peabody developmental motor scales-fine motor （PDMS-FM）， and the functional independence measure for children （WeeFIM） were administered before and after treatment. The root mean square （RMS） values of the biceps and triceps brachii during maximum isometric contraction of elbow flexion and extension on the affected side were also measured. ResultsBefore treatment， there were no significant differences between the two groups in QUEST， PDMS-FM， WeeFIM scores， or RMS values of the biceps and triceps during maximum isometric contraction of the affected elbow （P>0.05）. After 6 weeks of treatment， no significant change was observed in the RMS values of the triceps during elbow flexion in either group （P>0.05）. All other outcome measures improved significantly in both groups （P<0.05）. The observation group showed significantly greater improvements in dissociated movement and grasp scores of QUEST， grasp and visual-motor integration scores of PDMS-FM， WeeFIM scores， as well as RMS values of the biceps during elbow flexion and both the biceps and triceps during elbow extension on the affected side （P<0.05）. ConclusionCompared with conventional HABIT， HABIT based on the FITT-CORRECT principles is more effective in improving upper limb function and functional independence in children with spastic hemiplegia.
