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雷特综合征中针对注意力、伸手技能和刻板行为的重复运动训练

Repeated Motor Training on Attention Reaching Skills and Stereotypies in Rett Syndrome.

作者信息

Fabio Rosa Angela, Giannatiempo Samantha, Caprì Tindara, Semino Martina

机构信息

Department of Economics University of Messina Messina Italy.

Centro AIRETT Ricerca e Innovazione (CARI) Research and Innovation Airett Center Verona Italy.

出版信息

Mov Disord Clin Pract. 2022 May 19;9(5):637-646. doi: 10.1002/mdc3.13465. eCollection 2022 Jul.

Abstract

BACKGROUND

Few studies investigated the effect of a structured and specific training for upper limb motor skills allowing complex movements such as reaching and grasping.

OBJECTIVE

The aim of this study was to examine the effects of motor training on attention, reaching skills, and stereotypies in patients with Rett syndrome (RTT).

METHODS

Twenty-eight participants with RTT underwent cognitive and motor assessment to evaluate attention, reaching skills and stereotypies with an ABABABA design: before training (pre-test phase), after a month of training (post-test phase 1), after a month of the second training phase (post-test phase 2) and at 1 month after the third training phase (post-test phase 3). In all three B phases, participants received 30 minutes of motor training for 5 days a week over a 1-month period.

RESULTS

Patients with RTT show long-term improvements in seconds of attention and reaching skills and decreases in the intensity of stereotypies.

CONCLUSIONS

This study suggests that motor abilities of participants with RTT can be improved with repeated, individual, well-structured training.

摘要

背景

很少有研究调查针对上肢运动技能进行结构化和特定训练对诸如够物和抓握等复杂动作的影响。

目的

本研究旨在检验运动训练对雷特综合征(RTT)患者的注意力、够物技能和刻板行为的影响。

方法

28名RTT患者采用ABABABA设计进行认知和运动评估,以评估注意力、够物技能和刻板行为:训练前(预测试阶段)、训练一个月后(后测试阶段1)、第二个训练阶段一个月后(后测试阶段2)以及第三个训练阶段后1个月(后测试阶段3)。在所有三个B阶段,参与者在1个月的时间里每周接受5天、每次30分钟的运动训练。

结果

RTT患者在注意力时长和够物技能方面有长期改善,刻板行为的强度降低。

结论

本研究表明,通过重复、个体化、结构良好的训练可以提高RTT患者的运动能力。

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本文引用的文献

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The role of attention in motor control and learning.注意在运动控制和学习中的作用。
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Regression in Rett syndrome: Developmental pathways to its onset.雷特综合征的倒退:发病的发展途径。
Neurosci Biobehav Rev. 2019 Mar;98:320-332. doi: 10.1016/j.neubiorev.2019.01.028.

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