Combining Ch-QUEST training with mirror therapy improves the upper limb motor functioning of children with cerebral palsy
10.3760/cma.j.issn.0254-1424.2024.06.004
- VernacularTitle:基于中文版上肢技巧质量测试的个体化训练联合镜像疗法对脑瘫患儿上肢运动功能和日常生活活动能力的影响
- Author:
Hainan WANG
1
;
Peng LIU
;
Ming ZHANG
;
Chun SU
;
Jian′an DONG
;
Quan YUAN
;
Wei CHEN
Author Information
1. 徐州医科大学附属徐州康复医院，徐州 221000
- Keywords:
Upper extremity skills testing;
Mirror therapy;
Spastic hemiplegia;
Cerebral palsy;
Upper limb motor function;
Activities of daily living
- From:
Chinese Journal of Physical Medicine and Rehabilitation
2024;46(6):506-511
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effectiveness of combining individualized training based on the Chinese quality of upper extremity skill test (Ch-QUEST) with mirror therapy (MT) in rehabilitating the upper limb motor function of children with unilateral spastic cerebral palsy (SHCP).Methods:Forty-five children with unilateral spasticity from cerebral palsy were randomly divided into a control group and two observation groups, each of 15. All received routine rehabilitation including kinesitherapy, physical factor therapy and occupational therapy. Five days a week for 12 weeks the control group underwent 40 minutes of routine upper limb function training. Observation group 1 completed 25 minutes of the routine upper limb function training and 15 minutes of MT, while observation group 2 finished 10 minutes of routine upper limb function training, 15 minutes of MT and 15 minutes of individualized instruction based on the Ch-QUEST. Before and after the experiment, all the three groups were assessed using gross motor function measure-88 (GMFM-88), the Carroll upper extremity function test (UEFT), the functional independence measures for children (WeeFIM) and the E-LINK system.Results:After the treatment the average GMFM-88, UEFT and WeeFIM scores of all three groups had improved, with the greatest average improvements in observation group 2. There were also significant grip strength improvements, with those of group 2 significantly better than among the other two groups on average.Conclusion:Combining Ch-QUEST-guided individualized training with mirror therapy can better improve the upper limb motor function and ADL of children with SHCP.
