Background

Pediatric stroke is a rare medical condition that often leads to long-lasting motor and cognitive impairments. Although therapies for adults after a stroke are well described, treatments for motor deficits following a pediatric stroke are yet to be investigated. We report a case of pediatric stroke in the chronic phase, in which a combination of novel treatments resulted in a significant improvement in physical function.

Case report

A seven-year-old girl with a left hemispheric cerebral infarction lost almost all right upper extremity motor function. Following onabotulinumtoxinA treatment, she underwent hand-arm bimanual intensive therapy augmented with a hybrid assistive limb for 90 h over 15 days. Evaluation after the training revealed significant improvements in physical function, daily activities, and occupational performance.

Conclusions

This report highlights the importance of innovative combinations of techniques in the treatment of pediatric stroke.

中文翻译：

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中风后偏瘫儿科患者的改善：使用手臂双手强化治疗和混合辅助肢

 背景

小儿中风是一种罕见的疾病，通常会导致长期的运动和认知障碍。尽管成人中风后的治疗方法已有详细描述，但小儿中风后运动缺陷的治疗方法仍有待研究。我们报告了一个慢性期小儿中风病例，其中结合新的治疗方法导致身体功能显着改善。

 案例报告

一名七岁女孩因左半球脑梗塞，右上肢运动功能几乎全部丧失。在接受 A 型肉毒杆菌毒素治疗后，她接受了 15 天的手臂双手强化治疗，并辅以混合辅助肢，持续 90 小时。培训后的评估显示，身体机能、日常活动和职业表现都有显着改善。

 结论

本报告强调了创新技术组合在治疗小儿中风中的重要性。