目的探讨个体化的选择性作业课题训练对偏瘫患儿上肢功能的影响。方法将40例偏瘫患儿分为两组,观察组22例设置个体化的选择性作业课题法训练,对照组18例行常规被动肌肉关节训练,训练3个月后,应用Fugl-Meyer量表(FMA)来评价上肢运动功能。结果观察组FMA评分明显优于对照组,差异有统计学意义(P<0.05)。结论个体化的选择性作业课题可改善偏瘫患儿的上肢功能。 Objective To explore the effect of individualized selective homework training on upper extremity function in children with hemiplegia. Methods 40 cases of children with hemiplegia were divided into two groups. In the observation group, 22 cases were set up individualized selective homework training, while 18 cases in the control group were routinely trained with passive muscle training. After training for 3 months, the Fugl-Meyer scale (FMA) to evaluate upper extremity motor function. Results The FMA score of the observation group was significantly better than that of the control group, the difference was statistically significant (P <0.05). Conclusion Individualized selective homework can improve upper limb function in children with hemiplegia.