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体育活动对脑瘫儿童和青少年的影响:一项系统综述。

Influence of Physical Activity in Children and Adolescents with Cerebral Palsy: A Systematic Review.

作者信息

Andrés-Pérez Faustino, Bru-Luna Lluna Maria, Hidalgo-Fuentes Sergio, Llamas-Salguero Fátima, Martí-Vilar Manuel

机构信息

Department of Basic Psychology, Faculty of Psychology and Speech Therapy, Universitat de València, 46010 Valencia, Spain.

Department of Education, Faculty of Social Sciences, Universidad Europea de Valencia, 46010 Valencia, Spain.

出版信息

Children (Basel). 2025 Jun 27;12(7):853. doi: 10.3390/children12070853.

DOI:10.3390/children12070853
PMID:40723046
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12293643/
Abstract

Cerebral palsy (CP) is one of the most common disorders in childhood that significantly impacts quality of life. This study conducted a literature review of physical activity (PA)-based interventions for children and adolescents with CP, highlighting the physical, cognitive, and social benefits, as well as the factors and barriers that influence practice. The PRISMA methodology was used to identify and analyze the most relevant studies up to December 2024 through specific search equations and the databases Science Direct, Scopus, and Dialnet. Of the 707 articles identified, a total of 62 publications were selected for further analysis. These were subjected to a quality assessment through a checklist based on seven items. The practice of PA guaranteed improvements in balance, postural control, strength, socialization, and self-confidence. On the other hand, some programs, such as Makey Makey, Ballet, aquatic PA, and Matrogymnasia, among others, were highlighted because they promoted an increase in physical practice among the population. However, there are still some barriers, such as sedentary lifestyles (90%), limited accessibility, and a lack of qualified professionals that hinder the intervention and ensure motivation and interest in its practice for those individuals who have not yet begun to practice it. PA is an effective tool to favor quality of life in children and adolescents, as it contributes to their integral development and social inclusion. The need for interdisciplinary strategies to reduce barriers and increase the benefits of PA is emphasized. A joint effort to promote integration in leisure time could promote optimal long-term results.

摘要

脑瘫(CP)是儿童期最常见的疾病之一,对生活质量有重大影响。本研究对针对脑瘫儿童和青少年的基于身体活动(PA)的干预措施进行了文献综述,强调了身体、认知和社会方面的益处,以及影响实践的因素和障碍。采用PRISMA方法,通过特定的搜索公式以及Science Direct、Scopus和Dialnet数据库,识别和分析截至2024年12月最相关的研究。在识别出的707篇文章中,共选出62篇出版物进行进一步分析。通过基于七个项目的清单对这些文章进行质量评估。PA的实践保证了平衡、姿势控制、力量、社交和自信心方面的改善。另一方面,一些项目,如Makey Makey、芭蕾舞、水上PA和Matrogymnasia等,因其促进了人群身体锻炼的增加而受到关注。然而,仍然存在一些障碍,如久坐不动的生活方式(90%)、可及性有限以及缺乏合格的专业人员,这些障碍阻碍了干预,并确保那些尚未开始实践的人对其实践的积极性和兴趣。PA是改善儿童和青少年生活质量的有效工具,因为它有助于他们的全面发展和社会融入。强调需要跨学科策略来减少障碍并增加PA的益处。共同努力促进休闲时间的融合可以促进最佳的长期效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2318/12293643/7c7f5b6f3078/children-12-00853-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2318/12293643/7c7f5b6f3078/children-12-00853-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2318/12293643/7c7f5b6f3078/children-12-00853-g001.jpg

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本文引用的文献

1
White matter lesions and DTI metrics related to various types of dysfunction in cerebral palsy: A meta-analysis and systematic review.脑性瘫痪中与各种功能障碍相关的白质病变和弥散张量成像指标:一项荟萃分析和系统评价
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Neurobiological Insights Into Cerebral Palsy: A Review of the Mechanisms and Therapeutic Strategies.神经生物学对脑瘫的认识:机制和治疗策略的综述。
Brain Behav. 2024 Oct;14(10):e70065. doi: 10.1002/brb3.70065.
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Cerebral palsy in children: A clinical practice review.
儿童脑瘫:临床实践综述。
Curr Probl Pediatr Adolesc Health Care. 2024 Nov;54(11):101673. doi: 10.1016/j.cppeds.2024.101673. Epub 2024 Aug 20.
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[Therapies, bonds and quality of life of children and adolescents with cerebral palsy: experiences and perceptions of their caregivers during the pandemic].[脑瘫儿童和青少年的治疗、联系与生活质量:疫情期间其照顾者的经历与看法]
Andes Pediatr. 2024 Feb;95(1):61-68. doi: 10.32641/andespediatr.v95i1.4996.
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Parents' perceptions of a modified sports intervention for children with cerebral palsy.家长对脑瘫儿童改良运动干预的看法。
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Motor training for young children with cerebral palsy: A single-blind randomized controlled trial.脑性瘫痪儿童的运动训练:一项单盲随机对照试验。
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The impact of sports participation on mental health and social outcomes in adults: a systematic review and the 'Mental Health through Sport' conceptual model.运动参与对成年人心理健康和社会结果的影响:系统评价和“通过运动促进心理健康”概念模型。
Syst Rev. 2023 Jun 21;12(1):102. doi: 10.1186/s13643-023-02264-8.
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Is Physical Activity-Related Self-Efficacy Associated with Moderate to Vigorous Physical Activity and Sedentary Behaviour among Ambulatory Children with Cerebral Palsy?脑瘫患儿的身体活动相关自我效能与中度至剧烈身体活动及久坐行为有关联吗?
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Mental health, physical activity, and sports among children with cerebral palsy.脑瘫患儿的心理健康、身体活动与体育运动
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