Rubsam Meaghan, Girolami Gay L, Bhatt Tanvi
Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL, USA.
Department of Physical Therapy, College of Applied Health Sciences, Ph.D. Program in Rehabilitation Sciences, University of Illinois, Chicago, IL, USA.
Phys Occup Ther Pediatr. 2025 Mar 25:1-20. doi: 10.1080/01942638.2025.2477792.
Children with cerebral palsy (CP) struggle in dual task (DT) situations, where interference may decrease performance when executing two simultaneous tasks. Dual task training (DTT) improves primary motor performance in individuals with typical development and neurological conditions, and emerging research also suggests benefits for DT performance. Its potential in children with CP, however, remains unexplored. This scoping review aims to (1) identify; (2) describe; and (3) synthesize the current evidence for DTT interventions in children with CP, and (4) evaluating its effects on mobility-based impairment, activity, and participation level outcomes.
Five electronic databases were searched. Studies were included if they were in English, included children with CP, used a motor-motor or motor-cognitive DTT intervention, detailed the intervention, and reported results.
The six studies included 117 children with CP (F: 50, M: 67) and used motor-motor ( = 2) and motor-cognitive ( = 4) DTT paradigms. Training ranged from 480 to 1800 min, and all studies showed improved primary motor task performance.
Despite the study heterogeneity, the results provide early, yet promising, evidence that DTT may enhance primary motor task performance in children with CP. Robust and rigorous research is needed to explore the effects of exercise prescription, training regimens, and optimal dosing on motor and cognitive outcomes.
脑瘫（CP）儿童在执行双重任务（DT）时存在困难，即在同时执行两项任务时干扰可能会降低表现。双重任务训练（DTT）可改善发育正常和患有神经系统疾病个体的主要运动表现，新出现的研究也表明其对双重任务表现有益。然而，其在脑瘫儿童中的潜力仍未得到探索。本综述旨在：（1）识别；（2）描述；（3）综合目前关于脑瘫儿童双重任务训练干预措施的证据；（4）评估其对基于运动的功能障碍、活动和参与水平结果的影响。
检索了五个电子数据库。纳入的研究需为英文，包含脑瘫儿童，采用运动-运动或运动-认知双重任务训练干预，详细描述干预措施并报告结果。
六项研究纳入了117名脑瘫儿童（女性50名，男性67名），采用了运动-运动（n = 2）和运动-认知（n = 4）双重任务训练范式。训练时长从480分钟到1800分钟不等，所有研究均显示主要运动任务表现有所改善。
尽管研究存在异质性，但结果提供了早期且有前景的证据，表明双重任务训练可能会提高脑瘫儿童的主要运动任务表现。需要进行有力且严谨的研究来探索运动处方、训练方案和最佳剂量对运动和认知结果的影响。
