Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Vocational School of Health, Department of Health Care, Muş Alparslan University, Turkey.
Disabil Rehabil. 2020 Dec;42(25):3581-3590. doi: 10.1080/09638288.2019.1608321. Epub 2019 May 6.
The aim of this study was to evaluate the proprioception treatment approaches as well as to investigate the effect of these approaches in individuals with Cerebral Palsy. A systematic review was performed using American Academy of Cerebral Palsy and Developmental Medicine Methodology. PubMed, PEDro, ScienceDirect, The Cochrane Library, Scopus and Web of Science database were searched. All the articles included were evaluated based on their level of evidence and conduct. Five articles met the inclusion criteria, children and adults with Cerebral Palsy. The effectiveness of different approaches has been examined in all studies and some studies showed effectiveness of treatment on proprioception or on motor performance. However, there was no superiority in between treatment approaches. The reasons that limits the studies analyzed in this review were small sample sizes and insufficient heterogeneity of groups included. Because of the significance of proprioception on movement and motor performance, it should be included in the evaluation and treatment programs of individuals with Cerebral Palsy.Implications for rehabilitationIt has been found that the various treatment methods applied appear to have a positive effect on proprioception with children and adults Cerebral Palsy.No treatment appears to be superior to the others.Treatment was found to be better as Gross Motor Function Classification System level severity decreased in adults with Cerebral Palsy.Treatments used in children with Cerebral Palsy were shown to have effects especially on gait parameters associated with proprioception improvement.
本研究旨在评估本体感受治疗方法，并研究这些方法对脑瘫患者的影响。采用美国脑瘫与发育医学学会方法进行系统评价。在 PubMed、PEDro、ScienceDirect、The Cochrane Library、Scopus 和 Web of Science 数据库中进行检索。根据证据水平和实施情况对所有纳入的文章进行评估。符合纳入标准的有 5 篇文章，包括儿童和成人脑瘫患者。所有研究都检查了不同方法的有效性，一些研究显示治疗对本体感受或运动表现有效。然而，治疗方法之间没有优越性。限制本综述分析的研究的原因是样本量小，纳入的组异质性不足。由于本体感觉对运动和运动表现的重要性，它应该包含在脑瘫患者的评估和治疗计划中。
研究发现，应用的各种治疗方法似乎对脑瘫儿童和成人的本体感觉有积极影响。没有一种治疗方法比其他方法更优越。在脑瘫成人中，随着粗大运动功能分类系统严重程度的降低，治疗效果更好。脑瘫儿童使用的治疗方法对与本体感觉改善相关的步态参数有影响。
