Gascon Hubert D, Maldonado Numata Sahian Alicia, Emond Sandrine, Nemanich Samuel, Robert Maxime T
Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Québec, QC, Canada.
School of Rehabilitation, Université Laval, Québec, QC, Canada.
Disabil Rehabil. 2025 Jul;47(15):3781-3793. doi: 10.1080/09638288.2024.2435528. Epub 2024 Dec 5.
The objective of this review is to determine age-related differences in behavioral outcomes of bimanual motor tasks in children and adolescents with cerebral palsy (CP).
This review followed the 6-stage Joanna Briggs Institute methodology. The Embase, EBSCO CINAHL, and PubMed databases were searched on May 2024. We included studies that employed instrumented measures to assess bimanual tasks in individuals with CP aged between 3 and 19 years.
Twenty-eight studies were included after full-text screening. This review reported on 544 individuals with CP. Bimanual tasks were grouped in seven categories and their varying complexities were listed and analyzed. There are numerous methods for assessing bimanual performance. The listed methods have shown that the gap between children with CP and healthy peers widens as task complexity increases. The data suggest that age-related outcomes result from a complex interaction between atypical development, the severity of deficits, and the context-dependent nature of the protocols.
The lack of standardized reporting on age-related results limits our understanding of bimanual developmental functions in CP. Standardizing these measures will enhance our understanding of bimanual function and better define the principles guiding therapeutic interventions, ultimately improving outcomes for individuals with CP.
本综述的目的是确定脑瘫（CP）儿童和青少年在双手运动任务行为结果方面的年龄相关差异。
本综述遵循乔安娜·布里格斯研究所的六阶段方法。于2024年5月检索了Embase、EBSCO CINAHL和PubMed数据库。我们纳入了采用仪器测量来评估3至19岁CP个体双手任务的研究。
经过全文筛选，纳入了28项研究。本综述报告了544名CP个体。双手任务分为七类，并列出和分析了它们不同的复杂性。有多种评估双手表现的方法。所列方法表明，随着任务复杂性的增加，CP儿童与健康同龄人之间的差距会扩大。数据表明，与年龄相关的结果是由非典型发育、缺陷严重程度和方案的情境依赖性之间的复杂相互作用导致的。
缺乏关于年龄相关结果的标准化报告限制了我们对CP中双手发育功能的理解。对这些测量进行标准化将增强我们对双手功能的理解，并更好地确定指导治疗干预的原则，最终改善CP个体的预后。
