Article

The aim of this study was to understand the impact of training with a
hand robotic device on hand paresis and function in a population of children with
hemiparesis. METHODS:
Twelve children with hemiparesis
(mean age, 9 [SD, 3.64]
years) completed participation in this prospective, experimental, pilot study.
Participants underwent clinical assessments at baseline and again 6 weeks later
with instructions to not initiate new therapies.
After these assessments,
participants received 6 weeks of training with a hand robotic device, consisting
of 1-hour sessions, 3 times weekly. Assessments were repeated on completion of
training. RESULTS: Results showed significant improvements after training on the
Assisting Hand Assessment (mean difference, 2.0 Assisting Hand Assessment units;
P = 0.011) and on the upper-extremity component of the Fugl-Meyer scale (raw
score mean difference, 4.334; P = 0.001). No significant improvements between
pretest and posttest were noted on the Jebsen-Taylor Test of Hand Function, the
Quality of Upper Extremity Skills Test, or the Pediatric Evaluation of Disability
Inventory after intervention. Total active mobility of digits and grip strength
also failed to demonstrate significant changes after training. INTERPRETATION:
Participants tolerated training with the hand robotic device, and significant
improvements in bimanual hand use, as well as impairment-based scales, were
noted. Improvements were carried over into bimanual skills during play. TO CLAIM
CME CREDITS: Complete the self-assessment activity and evaluation online at
http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this
article, the reader should be able to: (1) Understand key components of
neuroplasticity; (2) Discuss the benefits of robotic therapy in the recovery of
hand function in pediatric patients with hemiplegia; and (3) Appropriately
incorporate robotic therapy into the treatment plan of pediatric patients with
hemiplegia. LEVEL: Advanced ACCREDITATION: The Association of Academic
Physiatrists is accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.The Association
of Academic Physiatrists designates this activity for a maximum of 1.5 AMA PRA
Category 1 Credit(s). Physicians should only claim credit commensurate with the
extent of their participation in the activity.

Langue : ANGLAIS