Department of Physical Therapy, 67828Federal University of São Carlos, Brazil.
Percept Mot Skills. 2022 Jun;129(3):570-590. doi: 10.1177/00315125221093904. Epub 2022 Apr 22.
Considering that somatosensory impairments may impact motor performance in individuals with cerebral palsy (CP), a better understanding of these relations is relevant to planning interventions. To synthesize research evidence to date on the interrelationships between the somatosensory functions of touch and proprioception with motor functions in persons with CP, we systematically searched Embase, CINAHL, PsycINFO, and Medline databases for studies relating these variables that were published in English from the inception of these databases to November 2020. We targeted the following content categories in our literature search: (a) cerebral palsy; (b) sensory functions; (c) tactile functions; (d) proprioception functions; and (e) motor functions. The selection, data extraction, and methodological quality assessment of these studies were performed in duplicate. We retrieved and analyzed information regarding the studies' methodological approaches and synthesized results. The 11 studies that met our inclusion criteria showed that, in individuals with CP, impairments in tactile discrimination, proprioception, and stereognosis are related to motor functions in terms of overall manual ability, grip strength, postural control and locomotion. Thus, clinical practitioners should attend to somatosensory aspects of motor impairment in individuals with CP. More research is needed to clarify the direction of these associations.
考虑到感觉障碍可能会影响脑瘫（CP）患者的运动表现，因此更好地了解这些关系对于干预措施的规划具有重要意义。为了综合迄今为止有关 CP 患者触觉和本体感觉的感觉功能与运动功能之间相互关系的研究证据，我们系统地检索了 Embase、CINAHL、PsycINFO 和 Medline 数据库，以查找自这些数据库创建以来至 2020 年 11 月以英文发表的与这些变量相关的研究。我们在文献搜索中针对以下内容类别：（a）脑瘫；（b）感觉功能；（c）触觉功能；（d）本体感觉功能；和（e）运动功能。这些研究的选择、数据提取和方法学质量评估都是由两人独立进行的。我们检索并分析了有关研究方法的信息，并综合了结果。符合纳入标准的 11 项研究表明，在 CP 患者中，触觉辨别力、本体感觉和实体觉受损与整体手功能、握力、姿势控制和运动能力有关。因此，临床医生应注意 CP 患者运动障碍的感觉方面。需要进一步的研究来阐明这些关联的方向。
