Poitras Isabelle, Campeau-Lecours Alexandre, Mercier Catherine
Center for Interdisciplinary Research in Rehabilitation and Social Integration, CIUSSS de la Capitale-Nationale, Quebec City, QC, Canada.
School of Rehabilitation Sciences, Laval University, Quebec City, QC, Canada.
Front Neurol. 2024 Jul 17;15:1425124. doi: 10.3389/fneur.2024.1425124. eCollection 2024.
Children with cerebral palsy (CP) exhibit a variety of sensory impairments that can interfere with motor performance, but how these impairments persist into adulthood needs further investigation. The objective of this study was to describe the sensory impairments in adults having CP and how they relate to motor impairments.
Nineteen adults having CP performed a set of robotic and clinical assessments. These assessments were targeting different sensory functions and motor functions (bilateral and unilateral tasks). Frequency of each type of impairments was determined by comparing individual results to normative data. Association between the sensory and motor impairments was assessed with Spearman correlation coefficient.
Impairment in stereognosis was the most frequent, affecting 57.9% of participants. Although less frequently impaired (26.3%), tactile discrimination was associated with all the motor tasks (unilateral and bilateral, either robotic or clinical). Performance in robotic motor assessments was more frequently associated with sensory impairments than with clinical assessments. Finally, sensory impairments were not more closely associated with bilateral tasks than with unilateral tasks.
Somatosensory and visuo-perceptual impairments are frequent among adults with CP, with 84.2% showing impairments in at least one sensory function. These sensory impairments show a moderate association with motor impairments.
脑瘫（CP）患儿存在多种感觉障碍，这些障碍可能会干扰运动表现，但这些障碍如何持续到成年仍需进一步研究。本研究的目的是描述成年脑瘫患者的感觉障碍以及它们与运动障碍的关系。
19名成年脑瘫患者进行了一系列机器人和临床评估。这些评估针对不同的感觉功能和运动功能（双侧和单侧任务）。通过将个体结果与标准数据进行比较来确定每种类型障碍的发生率。用斯皮尔曼相关系数评估感觉障碍和运动障碍之间的关联。
实体觉障碍最为常见，影响了57.9%的参与者。虽然触觉辨别障碍的发生率较低（26.3%），但它与所有运动任务（单侧和双侧，无论是机器人评估还是临床评估）都有关联。机器人运动评估中的表现比临床评估更常与感觉障碍相关。最后，感觉障碍与双侧任务的关联并不比与单侧任务的关联更紧密。
体感和视觉感知障碍在成年脑瘫患者中很常见，84.2%的患者至少有一种感觉功能存在障碍。这些感觉障碍与运动障碍有中度关联。
