| Objective: To observe the effects of upper limb strength training on upper limb, hand function and activities of daily living in children with spastic hemiplegia with cerebral palsy. Methods: From June 2018 to June 2019, 60 children with spastic hemiplegia and cerebral palsy treated in the Rehabilitation Department of Wuxi Children’s Hospital were randomly divided into treatment group and control group, with 30 cases in each group. The upper limb flexor muscle tension, finger grip strength, upper limb and hand function and activities of daily living of the two groups were analyzed by modified Ashworth scale, electronic grip meter, Carroll hand function evaluation and ADL scale before and after treatment for 2 months, 4 months and 6 months respectively, and the effects of the two groups were compared before and after treatment and at different time points. Results: Muscle tension in the two groups decreased significantly after treatment of 4 and 6 months as compared with that before treatment (P<0.05). There was no significant difference between the two groups at different time points. The grip strength scores in the two groups at each time point were better than those at the previous time point (all P<0.05), and there was no significant difference between the two groups before, and 2 months and 4 months after treatment. The grip strength scores in the treatment group after 6 months of treatment were significantly higher than those in the control group (P<0.05). The Carroll scores in the two groups at each time point were higher than those at the previous time point (all P<0.05), and there was no significant difference between the two groups before treatment, 2 months after treatment and 4 months after treatment. The ADL scores in the two groups at each time point were higher than those at the previous time point (all P<0.05), and there was no significant difference between the two groups before treatment, 2 months after treatment and 4 months after treatment, but the ADL scores in the treatment group were significantly higher than those in the control group after 6 months of treatment (P<0.05). Conclusion: On the basis of routine occupational therapy, properly strengthening upper limb strength training can better improve the functions of upper limbs and hands of children with spastic hemiplegia, and effectively improve their activities of daily living. |
