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基于运动想象的脑瘫儿童运动功能康复

Rehabilitation of motor function in children with cerebral palsy based on motor imagery.

作者信息

Xie Jiaxin, Jiang Lin, Li Yanan, Chen Baodan, Li Fali, Jiang Yuanling, Gao Dongrui, Deng Lili, Lv XuLin, Ma XianKun, Yin Gang, Yao Dezhong, Xu Peng

机构信息

School of Life Science and Technology, Center for Information in Medicine, University of Electronic Science and Technology of China, Chengdu, 611731 China.

The Clinical Hospital of Chengdu Brain Science Institute, MOE Key Lab for Neuroinformation, University of Electronic Science and Technology of China, Chengdu, 611731 China.

出版信息

Cogn Neurodyn. 2021 Dec;15(6):939-948. doi: 10.1007/s11571-021-09672-3. Epub 2021 Mar 14.

Abstract

To promote the rehabilitation of motor function in children with cerebral palsy (CP), we developed motor imagery (MI) based training system to assist their motor rehabilitation. Eighteen CP children, ten in short- and eight in long-term rehabilitation, participated in our study. In short-term rehabilitation, every 2 days, the MI datasets were collected; whereas the duration of two adjacency MI experiments was ten days in the long-term protocol. Meanwhile, within two adjacency experiments, CP children were requested to daily rehabilitate the motor function based on our system for 30 min. In both strategies, the promoted motor information processing was observed. In terms of the relative signal power spectra, a main effect of time was revealed, as the promoted power spectra were found for the last time of MI recording, compared to that of the first one, which first validated the effectiveness of our intervention. Moreover, as for network efficiency related to the motor information processing, compared to the first MI, the increased network properties were found for the last MI, especially in long-term rehabilitation in which CP children experienced a more obvious efficiency promotion. These findings did validate that our MI-based rehabilitation system has the potential for CP children to assist their motor rehabilitation.

摘要

为促进脑瘫(CP)患儿运动功能的恢复,我们开发了基于运动想象(MI)的训练系统来辅助他们的运动康复。18名CP患儿参与了我们的研究,其中10名处于短期康复阶段,8名处于长期康复阶段。在短期康复中,每2天收集一次MI数据集;而在长期方案中,两个相邻MI实验的持续时间为10天。同时,在两个相邻实验中,要求CP患儿每天基于我们的系统进行30分钟的运动功能康复训练。在两种策略中,均观察到运动信息处理得到了促进。就相对信号功率谱而言,发现了时间的主效应,因为与第一次MI记录时相比,在最后一次MI记录时发现功率谱有所提升,这首次验证了我们干预措施的有效性。此外,关于与运动信息处理相关的网络效率,与第一次MI相比,在最后一次MI时发现网络特性有所增加,尤其是在长期康复中,CP患儿的效率提升更为明显。这些发现确实证实了我们基于MI的康复系统有潜力辅助CP患儿进行运动康复。

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