Potential Predictors of Functional Outcomes After Home-Based Constraint-Induced Therapy for Children With Cerebral Palsy

作者：Chen Chia ling^*; Lin Keh chung; Kang Lin ju; Wu Ching yi; Chen Hsieh ching; Hsieh Yu wei

来源：American Journal of Occupational Therapy, 2014, 68(2): 159-166.

DOI：10.5014/ajot.2014.009860

• cerebral palsy
• forecasting
• home care services
• restraint, physical
• treatment outcome

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.

• 出版日期2014-4
• 单位长春大学