Poitras Isabelle, Martinie Ophélie, Robert Maxime T, Campeau-Lecours Alexandre, Mercier Catherine
Center for Interdisciplinary Research in Rehabilitation and Social Integration, Quebec City, QC G1M 2S8, Canada.
Department of Rehabilitation, Laval University, Quebec City, QC G1V 0A6, Canada.
Brain Sci. 2021 Jun 3;11(6):744. doi: 10.3390/brainsci11060744.
People living with cerebral palsy (CP) exhibit motor and sensory impairments that affect unimanual and bimanual functions. The importance of sensory functions for motor control is well known, but the association between motor and sensory functions remains unclear in people living with CP. The objective of this systematic review was to characterize the relationship between sensory deficits and upper limb motor function in individuals living with CP.
Five databases were screened. The inclusion criteria were: (1) including people living with CP, (2) reporting measurements of upper limb motor and sensory functions. A qualitative analysis of the studies' level of evidence was done.
Thirty-three articles were included. Twenty-five articles evaluated tactile functions, 10 proprioceptive functions and 7 visual functions; 31 of the articles reported on unimanual functions and 17 of them reported on bimanual functions. Tactile functions showed a moderate to high association; it was not possible to reach definitive conclusions for proprioceptive and visual functions.
The heterogeneity of the results limits the ability to draw definitive conclusions. Further studies should aim to perform more comprehensive assessments of motor and sensory functions, to determine the relative contribution of various sensory modalities to simple and more complex motor functions.
脑瘫（CP）患者存在运动和感觉障碍，这些障碍会影响单手和双手功能。感觉功能对运动控制的重要性已广为人知，但CP患者的运动和感觉功能之间的关联仍不明确。本系统评价的目的是描述CP患者感觉缺陷与上肢运动功能之间的关系。
检索了五个数据库。纳入标准为：（1）包括CP患者；（2）报告上肢运动和感觉功能的测量结果。对研究的证据水平进行了定性分析。
纳入33篇文章。25篇文章评估了触觉功能，10篇评估了本体感觉功能，7篇评估了视觉功能；31篇文章报告了单手功能，其中17篇报告了双手功能。触觉功能显示出中度至高相关性；对于本体感觉和视觉功能，无法得出明确结论。
结果的异质性限制了得出明确结论的能力。进一步的研究应旨在对运动和感觉功能进行更全面的评估，以确定各种感觉模式对简单和更复杂运动功能的相对贡献。
