Auckland University of Technology, New Zealand.
University of Wollongong, New South Wales, Australia.
OTJR (Thorofare N J). 2020 Oct;40(4):223-234. doi: 10.1177/1539449220912187. Epub 2020 Mar 23.
Following upper extremity injury, exercise-approaches are commonly used to address motor impairments. Occupation-based approaches are also used but less widely promoted and their mechanisms of action not well-understood. Movement performed during purposeful activities and occupations may yield better motor performance than during nonpurposeful tasks. This review investigated the influence of engagement in purposeful activities and occupations on upper extremity motor performance in healthy and musculoskeletal populations. Databases were searched for studies in healthy or upper extremity musculoskeletal-injured adults that compared motor performance during purposeful activities against nonpurposeful movements. Twenty-one studies of moderate quality, conducted predominantly in healthy populations, were included. Upper extremity movement quantity and quality were enhanced when performed during purposeful conditions. Purposeful activities have potential to be used following injury to enhance movement and address motor impairments to a greater extent than is currently promoted. Research in musculoskeletal populations is required.
上肢损伤后，通常采用运动疗法来解决运动障碍。也会采用基于作业的方法，但推广范围较小，其作用机制也不太清楚。在有目的的活动和作业中进行的运动可能比非目的任务产生更好的运动表现。本综述调查了参与有目的的活动和作业对上肢运动表现的影响，包括健康人群和肌肉骨骼人群。检索了比较健康或上肢肌肉骨骼损伤成年人在有目的活动和非目的运动期间运动表现的研究。纳入了 21 项中等质量的研究，主要在健康人群中进行。有目的的活动可以提高上肢运动的数量和质量。与目前的推广相比，有目的的活动有潜力在受伤后被用来增强运动并更大程度地解决运动障碍。需要在肌肉骨骼人群中进行研究。
