Upper Limb Motor Planning in Individuals with Cerebral Palsy Aged between 3 and 21 Years Old: A Systematic Review.
Upper Limb Motor Planning in Individuals with Cerebral Palsy Aged between 3 and 21 Years Old: A Systematic Review.
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DOI：
10.3390/brainsci11070920
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发表时间：
2021-07-12
期刊：
影响因子：
3.3
通讯作者：
Robert MT
中科院分区：
文献类型：
--
作者：
Martinie O;Mercier C;Gordon AM;Robert MT
脑瘫患者的日常生活活动有困难。除了运动执行障碍，他们表现出运动规划缺陷，导致他们的困难。本文综述了3 ~ 21岁脑瘫儿童、青少年和年轻人上肢运动任务中运动计划缺陷的行为学证据。方法：纳入标准：（1）包括3 - 21岁的脑瘫患者;（2）评估上肢运动规划。筛选了6个数据库。对研究进行了质量评估。结果：纳入46项研究和686名参与者。5篇文章被确定为非常高质量，12篇为高质量，20篇为中等质量，6篇为低质量，3篇为非常低质量。力量规划研究报告的赤字更受影响的手，但足够的性能受影响较小的手。对象操作研究报告的手姿势规划赤字无关的手评估。结论：运动规划赤字已被证明在更受影响的手的力量缩放，而其他变量的结果显示整体赤字。因此，在脑瘫儿童中应考虑双手运动计划缺陷影响的变量，以优化干预。
Individuals with cerebral palsy have difficulties performing activities of daily living. Beyond motor execution impairments, they exhibit motor planning deficits contributing to their difficulties. The objective of this review is to synthesize the behavioral evidence of motor planning deficits during an upper limb motor task in children, adolescents and young adults with cerebral palsy aged between 3 and 21 years. Methods: The inclusion criteria were: (1) including individuals with cerebral palsy from 3 to 21 years old; (2) assessing upper limb motor planning. Six databases were screened. The quality assessment of the studies was performed. Results: Forty-six studies and 686 participants were included. Five articles have been identified as very high quality, 12 as high, 20 as moderate, six as low, three as very low. Force planning studies reported a deficit for the more affected hand but adequate performances for the less affected hand. Object-manipulation studies reported hand posture planning deficits irrespectively of the hand assessed. Conclusions: Motor planning deficits has been shown in the more affected hand for force scaling, while the results for other variables showed overall deficits. Hence, variables affected by motor planning deficits in both hands should be considered in children with cerebral palsy to optimize intervention.
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