PDF(Pubmed)
Abstract：
This study evaluates the R3THA™ assessment protocol (R3THA-AP™), a technology-supported testing module for personalized rehabilitation in children with cerebral palsy (CP). It focuses on the reliability and validity of the R3THA-AP in assessing hand and arm function, by comparing kinematic assessments with standard clinical assessments. Conducted during a 4-week summer camp, the study assessed the functional and impairment levels of children with CP aged 3-18. The findings suggest that R3THA is more reliable for children aged 8 and older, indicating that age significantly influences the protocol\'s effectiveness. The results also showed that the R3THA-AP\'s kinematic measurements of hand and wrist movements are positively correlated with the Box and Blocks Test Index (BBTI), reflecting hand function and dexterity. Additionally, the R3THA-AP\'s accuracy metrics for hand and wrist activities align with the Melbourne Assessment 2\'s Range of Motion (MA2-ROM) scores, suggesting a meaningful relationship between R3THA-AP data and clinical assessments of motor skills. However, no significant correlations were observed between the R3THA-AP and MA2\'s accuracy and dexterity measurements, indicating areas for further research. These findings validate the R3THA-AP\'s utility in assessing motor abilities in CP patients, supporting its integration into clinical practice.
摘要：
本研究评估R3THA™评估方案（R3THA-AP™），用于脑瘫（CP）儿童个性化康复的技术支持测试模块。它侧重于R3THA-AP评估手和手臂功能的可靠性和有效性，通过比较运动学评估与标准临床评估。在为期4周的夏令营中进行，该研究评估了3~18岁CP患儿的功能和损伤水平.研究结果表明，R3THA对于8岁及以上的儿童更可靠，表明年龄显著影响协议的有效性。结果还表明，R3THA-AP的手和手腕运动的运动学测量值与方框和方框测试指数（BBTI）呈正相关，反映手的功能和灵巧。此外,R3THA-AP的手部和腕部活动的准确性指标与墨尔本评估2的运动范围（MA2-ROM）得分一致，提示R3THA-AP数据与临床运动技能评估之间存在有意义的关系。然而,在R3THA-AP和MA2的准确性和灵活性测量之间没有观察到显著的相关性，指出进一步研究的领域。这些发现验证了R3THA-AP在评估CP患者运动能力方面的实用性，支持其融入临床实践。
