Neurorehabilitation Unit 1, E. Medea Scientific Institute, Bosisio Parini (LC), Italy.
Disabil Rehabil. 2013 Mar;35(6):506-12. doi: 10.3109/09638288.2012.704124. Epub 2012 Aug 16.
To study the development of sequence memory skills in a group of participants with Spastic Bilateral Cerebral Palsy (CP) and their matched controls (TD). Sequence memory skills are defined as a blend of implicit and explicit competences that are crucial for the acquisition and consolidation of most adaptive skills along the lifespan.
A computerized sequence learning task was administered to 51 participants with CP (age range: 4.1-14.7) and their controls. General performance, accuracy and learning strategy were analyzed, as well as cognitive competencies (IQ and explicit visual spatial memory).
Explicit learning developed along with age in all participants. Sequence learning skills were age independent and unevenly distributed among CP participants: most TD (96.1%) and only about half (58.8%) of CP participants succeeded in sequence learning, in dynamic relation with cognitive and manipulation abilities.
Sequence memory skills should be verified to plan therapeutic strategies. Therapeutic plans based on implicit learning (more resistant to disruption and stress) could be effective and highly advantageous for most but not for all CP children. Independently from age, many CP children could fix sequences more efficiently by explicit strategies, a more effortful but probably more effective way.
研究一组痉挛性双侧脑瘫（CP）患者及其匹配对照组（TD）的序列记忆技能发展情况。序列记忆技能被定义为一种内隐和外显能力的融合，对于在整个生命周期中获得和巩固大多数适应性技能至关重要。
对 51 名 CP 患者（年龄范围：4.1-14.7 岁）及其对照组进行了计算机序列学习任务。分析了一般表现、准确性和学习策略，以及认知能力（智商和外显视觉空间记忆）。
所有参与者的外显学习都随着年龄的增长而发展。序列学习技能与年龄无关，且在 CP 参与者中分布不均：大多数 TD（96.1%）和只有约一半（58.8%）的 CP 参与者成功进行了序列学习，与认知和操作能力动态相关。
应该验证序列记忆技能以规划治疗策略。基于内隐学习（更能抵抗干扰和压力）的治疗计划可能对大多数但不是所有 CP 儿童有效且非常有利。无论年龄如何，许多 CP 儿童可能通过外显策略更有效地固定序列，这是一种更费力但可能更有效的方式。
