Mewasingh Leena Duvika, Sékhara Tayeb, Pelc Karine, Missa Anne-Marie, Cheron Guy, Dan Bernard
Department of Neurology, Children's University Hospital Queen Fabiola, Université Libre de Bruxelles, Brussels, Belgium.
Pediatr Neurol. 2004 Apr;30(4):257-61. doi: 10.1016/j.pediatrneurol.2003.09.014.
In spastic hemiplegia, the organization of whole body movements is impaired by deficient postural control. We studied segmental motor patterns involved in standing up from supine position in 15 children with spastic hemiplegic cerebral palsy and 14 unimpaired children using a visual analysis scale previously validated for developmental research. This approach examines specific movement patterns in upper limbs, axis, and lower limbs. We found that children with hemiplegia use movement patterns described in normal children but with reduced interindividual variability and a significant preponderance of asymmetric patterns. One previously undescribed stereotyped lower limb pattern was observed in two children with spastic hemiplegia. Emergence of these patterns is consistent with the referent body image theory. This approach can systematically characterize the limited repertoire of movement in patients with disorders of movement and posture and therefore contribute to a better understanding of motor control. The approach may guide management proposals with particular reference to variability and symmetry and might be used as a follow-up tool.
在痉挛性偏瘫中，全身运动的组织因姿势控制不足而受损。我们使用先前已在发育研究中验证的视觉分析量表，研究了15名痉挛性偏瘫型脑瘫儿童和14名未受损儿童从仰卧位起身时涉及的节段性运动模式。这种方法检查上肢、身体中轴线和下肢的特定运动模式。我们发现，偏瘫儿童使用的运动模式与正常儿童中描述的模式相同，但个体间变异性降低，且不对称模式明显占优势。在两名痉挛性偏瘫儿童中观察到一种先前未描述的刻板下肢模式。这些模式的出现与参照身体意象理论一致。这种方法可以系统地描述运动和姿势障碍患者有限的运动技能库，因此有助于更好地理解运动控制。该方法可能会指导管理建议，特别是关于变异性和对称性方面的建议，并且可以用作随访工具。
