Department of Medical and Surgical Sciences, Università Magna Graecia, Catanzaro, Italy.
Dev Med Child Neurol. 2012 Sep;54(9):822-8. doi: 10.1111/j.1469-8749.2012.04334.x. Epub 2012 Jul 6.
The aim of this randomized controlled trial was to assess whether action observation treatment may improve upper limb motor functions in children with cerebral palsy (CP).
All children with CP admitted to our unit for rehabilitation from May 2009 to May 2010 were eligible. Inclusion criteria were age between 6 years and 11 years, an IQ of at least 70, and no major visual and/or auditory deficits. Fifteen children were enrolled and randomly assigned to either a case group (n=8; four males, four females; median age 7 y 6 mo) or control group (n=7; five males, two females; median age 8 y). Six participants had left-sided hemiplegia, six right-sided hemiplegia, and three had tetraplegia; 10 were independent walkers. Those in the case group were asked to observe video clips showing daily age-appropriate actions, and afterwards to imitate them. Participants in the control group were asked to observe video clips with no motor content and afterwards to execute the same actions as cases. The primary outcome measure was the Melbourne Assessment Scale. Children were scored twice at baseline (2 wks apart), and at the end of treatment, by a physician blind to group assignment.
At baseline groups did not differ on functional evaluation. After treatment, the functional score gain (Δ) was significantly different in the case and control groups (p=0.026).
The present results support the notion that action observation treatment can be an effective part of the rehabilitation programme in children with CP.
本随机对照试验旨在评估动作观察治疗是否能改善脑瘫（CP）患儿的上肢运动功能。
2009 年 5 月至 2010 年 5 月期间，所有因康复而入住我院的 CP 患儿均符合纳入标准。纳入标准为：年龄 6 至 11 岁，智商至少为 70，无明显视觉和/或听觉障碍。共有 15 名患儿入选并随机分为病例组（n=8；男 4 例，女 4 例；中位年龄 7 岁 6 个月）和对照组（n=7；男 5 例，女 2 例；中位年龄 8 岁）。6 名患儿为左侧偏瘫，6 名为右侧偏瘫，3 名为四肢瘫；10 名患儿可独立行走。病例组要求观看展示日常适龄动作的视频片段，然后模仿这些动作。对照组要求观看无运动内容的视频片段，然后执行与病例组相同的动作。主要结局测量指标为墨尔本评估量表。由一名对分组情况不知情的医生在基线（相隔 2 周）和治疗结束时对患儿进行两次评分。
基线时两组在功能评估上无差异。治疗后，病例组和对照组的功能评分增益（Δ）差异有统计学意义（p=0.026）。
本研究结果支持动作观察治疗可作为 CP 患儿康复方案的有效组成部分的观点。
