| Objective: To study the compensation of brain function assessed by fMRI after bimanual hand-arm bimanual intensive training (HABIT) treatment and the improvement of upper limb function in children with spastic hemiplegia after HABIT treatment. Methods: Children with spastic hemiplegia were selected as the research objects and randomly divided into the study group and the control group, with 10 cases in each group. Both groups were given routine occupational rehabilitation therapy, and the research group received HABIT therapy on the basis of routine occupational rehabilitation therapy. Before and after treatment, all the children were evaluated by fMRI, upper extremity function test and PDMS-2. Results: There was no significant difference in sex, age, MACS grade and other general data between the two groups before treatment. Compared with those before treatment, FA value, UEFT score, PDMS-2 grip score and PDMS-2 visual motor score were increased in both groups (P<0.05). After treatment, the FA value of each area, UEFT score, PDMS-2 grasping score, PDMS-2 visual motor score in the study group were significantly higher than those in the control group (P<0.05). Conclusion: Intensive hand training can significantly improve the upper limb function of children with spastic hemiplegia. |
