MacIntosh Alexander, Vignais Nicolas, Biddiss Elaine
Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, ON, Canada.
Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, 150 Kilgour Road, Toronto, ON, M4G 1R8, Canada.
Syst Rev. 2017 Jan 13;6(1):3. doi: 10.1186/s13643-017-0405-y.
Cerebral palsy is a life-long disability that affects motor control and activities of daily living. Depending on the type of cerebral palsy, some individuals may have trouble performing tasks with one or both of their arms and/or legs. Different strategies exist to help develop motor capacity. Biofeedback therapy is a commonly applied rehabilitation strategy. In biofeedback therapy, information about the motor behavior while completing a task is given back to the individual to help improve their performance. This can provide valuable information that would otherwise be unknown to the individual. Biofeedback may also have a unique method of operation in clinical populations, such as people with cerebral palsy. Therefore, it is important to identify the most effective mechanisms for specific populations. This review aims to evaluate the effects of biofeedback interventions that have been used towards improving motor performance and motor learning in people with cerebral palsy.
Using a customized strategy, MEDLINE, CINAHL, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, SCOPUS, SPORTDiscus, and PEDro databases will be searched. Two independent reviewers will screen titles and abstracts, review full texts for inclusion criteria, and extract data from relevant articles using a standardized template. Quality of evidence and risk of bias will be assessed through the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.
Several studies have investigated biofeedback-based interventions for people with cerebral palsy. However, there is a great variety and limited consensus regarding how to implement biofeedback mechanisms. This systematic review will consolidate the current evidence to direct future study and develop effective biofeedback rehabilitation strategies.
PROSPERO ID: CRD42016047612.
脑瘫是一种影响运动控制和日常生活活动的终身性残疾。根据脑瘫的类型，一些个体在使用一只或两只手臂和/或腿部执行任务时可能会遇到困难。存在不同的策略来帮助发展运动能力。生物反馈疗法是一种常用的康复策略。在生物反馈疗法中，完成任务时的运动行为信息会反馈给个体，以帮助提高其表现。这可以提供个体原本未知的有价值信息。生物反馈在临床人群（如脑瘫患者）中可能也有一种独特的操作方法。因此，确定针对特定人群的最有效机制很重要。本综述旨在评估已用于改善脑瘫患者运动表现和运动学习的生物反馈干预措施的效果。
将使用定制策略检索MEDLINE、CINAHL、Embase、PsycINFO、Cochrane对照试验中央注册库、SCOPUS、SPORTDiscus和PEDro数据库。两名独立评审员将筛选标题和摘要，根据纳入标准审查全文，并使用标准化模板从相关文章中提取数据。将通过推荐分级评估、制定和评价（GRADE）方法评估证据质量和偏倚风险。
多项研究调查了针对脑瘫患者的基于生物反馈的干预措施。然而，关于如何实施生物反馈机制，存在很大差异且共识有限。本系统综述将整合现有证据，以指导未来研究并制定有效的生物反馈康复策略。
PROSPERO编号：CRD42016047612。
