title: The Effect of Comprehensive Hand Repetitive Intensive Strength Training (CHRIST) Using Motion Analysis in Children with Cerebral Palsy.
abstract: OBJECTIVE
  To investigate the effect of Comprehensive Hand Repetitive Intensive Strength Training (CHRIST) on upper limb function in children with cerebral palsy using motion analysis.
  
  
  METHODS
  The subjects in this study included 19 children (10 males, 9 females, mean age=8.8 years) with cerebral palsy. The experimental group (n=10) received CHRIST and general rehabilitation therapy. The control group (n=9) received a home program as well as general rehabilitation therapy. Both groups received 30 sessions of CHRIST or home program training for 60 minutes per session 3 times a week during the 10-week period. The reaching movements were captured by a motion analysis system. Kinematic variables including movement time (MT), mean velocity (MV), normalized jerk score (NJS), mean angular velocity (MAV) and normalized jerk score of the shoulder, elbow and wrist joint with comfortable and fast speed were analyzed between groups and the pre-post training group.
  
  
  RESULTS
  After pre- and post-training experimental group, MT, MV, NJS, MAV of shoulder, elbow, wrist and NJS of elbow and wrist improved significantlyin reaching movement of both comfortable and fast speed (p<0.05). However, After pre- and post-training control group, MV improved significantlyin reaching movement of only comfortable speed (p<0.05). Between two groups, MT and MAV of the elbow at comfortable speed and NJS of the elbow at fast speed were statisticallysignificant (p<0.05).
  
  
  CONCLUSIONS
  CHRIST proved to be an effective intervention for improving upper limb extremity function of reaching movement in children with cerebral palsy.
authors.affiliation: Department of Rehabilitation Medicine, National Rehabilitation Hospital, Seoul 142-884, Korea.
authors.forename: Dong-A
authors.initials: DA
authors.lastname: Kim
authors.forename: Jung-Ah
authors.initials: JA
authors.lastname: Lee
authors.forename: Pil-Woo
authors.initials: PW
authors.lastname: Hwang
authors.forename: Min-Jin
authors.initials: MJ
authors.lastname: Lee
authors.forename: Hyun-Kyung
authors.initials: HK
authors.lastname: Kim
authors.forename: Jeong-Joon
authors.initials: JJ
authors.lastname: Park
authors.forename: Joshua H
authors.initials: JH
authors.lastname: You
authors.forename: Dong-Ryul
authors.initials: DR
authors.lastname: Lee
authors.forename: Nam-Gi
authors.initials: NG
authors.lastname: Lee