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下肢感觉运动训练(LoSenseT)在脑瘫儿童和青少年中的应用:一项可行性随机方案的简要报告。

Lower Limb Sensorimotor Training (LoSenseT) for Children and Adolescents with Cerebral Palsy: A Brief Report of a Feasibility Randomized Protocol.

机构信息

Department of Physical Therapy, Federal University of São Carlos, São Carlos, São Paulo State, Brazil.

出版信息

Dev Neurorehabil. 2021 May;24(4):276-286. doi: 10.1080/17518423.2020.1858458. Epub 2021 Jan 3.

Abstract

Motor disorders in cerebral palsy (CP) are often accompanied by disturbances of sensation and impaired somatosensory functions have been reported in individuals with CP. To test the feasibility of a sensorimotor training protocol for lower limbs in children and adolescents with unilateral and bilateral CP, and to analyze the preliminary effects of this training on sensory and motor variables. This is a single-blind, prospective phase I feasibility randomized protocol. A total of twenty participants with uni or bilateral cerebral palsy, GMFCS level I-III, ages 5 to 20 years will be recruited. The LoSenseT protocol is composed of tactile and proprioceptive activities in a child-friendly format. An original qualitative feedback questionnaire was developed to assess the protocol feasibility. Additionally, proprioception, tactile discrimination, postural stability, and gait parameters will be assessed. The LoSenseT protocol can support the implementation of interventions targeting lower limbs somatosensory impairments in individuals with CP.

摘要

脑性瘫痪(CP)患者常伴有运动障碍,有报道称 CP 患者存在感觉障碍和躯体感觉功能受损。为了测试针对单侧和双侧 CP 儿童和青少年下肢的感觉运动训练方案的可行性,并分析该训练对感觉和运动变量的初步影响,我们开展了此项单盲、前瞻性 I 期可行性随机方案研究。共纳入 20 例单侧或双侧 CP、粗大运动功能分级系统(GMFCS)Ⅰ-Ⅲ级、年龄 5 至 20 岁的患儿。LoSenseT 方案由触觉和本体感觉活动组成,采用儿童友好的形式。我们开发了一份原始的定性反馈问卷来评估方案的可行性。此外,还将评估本体感觉、触觉辨别、姿势稳定性和步态参数。LoSenseT 方案可支持针对 CP 患者下肢躯体感觉障碍实施干预。

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