Effects of CHRIST on Upper Limb Function in Children With Pediatric Stroke

Effects of Comprehensive Hand Repetitive Intense Strength Training on Upper Limb Function in Children With Pediatric Stroke

Pediatric stroke poses significant challenges due to its impact on a child's developing brain. Both ischemic and hemorrhagic strokes in children can result in long-term motor, sensory, and cognitive impairments, particularly affecting upper limb function.

Comprehensive Hand Repetitive Intensive Strength Training is a structured intervention model that integrates high-repetition, strength-based, and goal-oriented exercises targeting upper limb coordination and use. This study aims to explore the efficacy of CHRIST in improving upper limb function using the ABILHAND-Kids questionnaire to assess changes in manual ability. The study aims to generate pediatric-specific evidence for intensive hand-focused rehabilitation strategies.

Inclusion Criteria:

• Children aged 7 to 12 years diagnosed with pediatric ischemic or hemorrhagic stroke(21).

  • Clinical evidence of upper limb motor impairment following stroke.
  • Parent/guardian consent and child assent obtained.

Exclusion Criteria:

• Severe cognitive or behavioral impairments interfering with therapy.

  • Uncontrolled seizures or medical conditions contraindicating exercise.
  • Previous participation in intensive upper limb therapy within the last 3 months.
  • Orthopedic conditions (e.g., fractures, contractures) that limit upper limb movement.