Observation on application effect of Goals-Activity-Motor Enrichment therapy in upper limb functional rehabilitation for cerebral palsy pediatric patients with spastic hemiplegia at preschool age

XU Xiaomeng; WANG Yan; LI Yiqing; LI Fengyan; ZHANG Chen; LI He; LI Haitian

doi:10.3969/j.issn.1674-3806.2025.04.14

Abstract：Objective To observe the application effect of Goals-Activity-Motor Enrichment(GAME)therapy in upper limb functional rehabilitation for cerebral palsy pediatric patients with spastic hemiplegia at preschool age.Methods A total of 56 cerebral palsy pediatric patients with spastic hemiplegia at preschool age who were admitted to Beijing Children's Hospital,Capital Medical University from August 2023 to July 2024 were recruited.The pediatric patients were divided into observation group and control group by random number table method,with 28 cases in each group.In the control group,the training was stopped in 2 patients due to their illness,and l patient was transferred to another place outside Beijing for continuous rehabilitation.In the observation group,3 patients were transferred to other places outside Beijing for continuous rehabilitation.Finally,25 cases in the observation group and 25 cases in the control group were included in this study.The pediatric patients in both groups received rehabilitation treatment through the combination of hospital rehabilitation and family training.The control group received constraint-induced movement therapy(CIMT).According to the principle of GAME therapy,the training program of the observation group was designed and the training was carried out.The rehabilitation treatment lasted for 3 months.Carroll Upper Extremity Function Test(UEFT)scores and Pediatric Evaluation of Disability Inventory(PEDI)standard scores were compared between the two groups before and after treatment.Results Before treatment,the UEFT scores and PEDI standard scores were not significantly different between the two groups(P＞0.05).After treatment,the UEFT scores and PEDI standard scores in both groups were elevated compared with those before treatment,and the UEFT scores and PEDI standard scores in the observation group were higher than those in the control group after treatment,with statistically significant differences between the two groups(P＜0.05).Conclusion The application of GAME therapy in upper limb functional training for cerebral palsy pediatric patients with spastic hemiplegia at preschool age can better improve the upper limb function and improve their self-care ability.