脑损伤儿童的情境干扰:一项关于上肢机器人运动游戏的分组练习与随机练习顺序的初步研究
Contextual interference in children with brain lesions: a pilot study investigating blocked vs. random practice order of an upper limb robotic exergame.
作者信息
Graser Judith V, Bastiaenen Caroline H G, Gut Anja, Keller Urs, van Hedel Hubertus J A
机构信息
Research Department, Swiss Children's Rehab, University Children's Hospital Zurich, Mühlebergstrasse 104, 8910, Affoltern am Albis, Switzerland.
Children's Research Centre CRC, University Children's Hospital Zurich, University of Zurich, Zurich, Switzerland.
出版信息
Pilot Feasibility Stud. 2021 Jun 25;7(1):135. doi: 10.1186/s40814-021-00866-4.
INTRODUCTION
Evidence about contextual interference in children with brain lesions when practising motor tasks is lacking. Our main objective was to evaluate the feasibility of a randomised controlled trial (RCT) comparing blocked with random practice order of an upper limb robotic exergame to improve reaching in children with neuromotor disorders with a pilot trial.
METHODS
We recruited children with brain lesions and impaired upper limb functions who underwent a 3-week schedule that consisted of baseline assessments, intervention period (participants were randomised to a blocked or random order group), and follow-up assessment. We evaluated ten feasibility criteria, including the practicability of the inclusion/exclusion criteria, recruitment rate, feasibility of randomisation, scheduling procedure, and the participants' programme adherence.
RESULTS
The inclusion/exclusion criteria were not completely feasible as patients who were not able to perform the exergames were included. Twelve participants were recruited, and six datasets were used for analysis. The scheduling and randomisation procedures were generally feasible, but the procedure was only partially feasible for the participants, as some sessions were aborted due to lack of motivation and fatigue.
CONCLUSION
An RCT following this study protocol is not feasible. We formulated suggestions for future studies that aim to investigate contextual interference as in this pilot study.
TRIAL REGISTRATION
ClinicalTrials.gov Identifier: NCT02443857 , registered on May 14, 2015.
引言
缺乏关于脑损伤儿童在进行运动任务时情境干扰的证据。我们的主要目标是通过一项试点试验,评估一项随机对照试验(RCT)的可行性,该试验比较上肢机器人训练游戏的分组练习与随机练习顺序,以改善神经运动障碍儿童的伸手够物能力。
方法
我们招募了脑损伤且上肢功能受损的儿童,他们接受了为期3周的安排,包括基线评估、干预期(参与者被随机分为分组练习组或随机练习顺序组)和随访评估。我们评估了十个可行性标准,包括纳入/排除标准的实用性、招募率、随机化的可行性、日程安排程序以及参与者对方案的依从性。
结果
纳入/排除标准并不完全可行,因为纳入了无法进行训练游戏的患者。招募了12名参与者,6个数据集用于分析。日程安排和随机化程序总体上可行,但对参与者而言该程序仅部分可行,因为一些课程因缺乏动力和疲劳而中止。
结论
按照本研究方案进行的随机对照试验不可行。我们为未来旨在研究如本试点研究中情境干扰的研究提出了建议。
试验注册
ClinicalTrials.gov标识符:NCT02443857,于2015年5月14日注册。
相似文献
Mult Scler. 2016-10
Health Technol Assess. 2019-9
Health Technol Assess. 2019-4
Health Technol Assess. 2019-12
本文引用的文献
Eur J Cardiothorac Surg. 2018-7-1
Cochrane Database Syst Rev. 2018-2-22
Arch Phys Med Rehabil. 2017-9