PDF(Pubmed)
Abstract：
OBJECTIVE: Decreased selective motor control limits gait function of children with spastic cerebral palsy (CP). Infants at high risk of CP demonstrate decreased selective motor control by 1 month of age. To motivate more selective hip-knee control, infants at high risk of CP participated in an in-home kicking-activated mobile task. The purpose of this study was to determine whether infants at high risk of CP and infants with typical development (TD) demonstrated increased selective hip-knee control during 2-minute intervals of the mobile task when they demonstrated learning of the association between their leg movement and mobile activation vs during 2-minute intervals when they did not demonstrate learning.
METHODS: Participants in this cohort study included 10 infants at high risk of CP based on neuroimaging and 11 infants with TD at 3.5 to 4.5 months of age. Each infant participated in the in-home kicking-activated mobile task for 8 to 10 min/d, 5 d/wk, for 6 weeks. Over 80,000 kicks were extracted and classified for each infant as occurring during 2-minute intervals of the task when the infant demonstrated learning vs not learning based on mobile activation time above baseline.
RESULTS: Infants demonstrated kicks with more selective hip-knee control during 2-minute intervals of the mobile task when they demonstrated learning compared with when they did not demonstrate learning for 4 of 6 weeks in the cohort at high risk of CP and for 2 of 6 weeks in the cohort with TD.
CONCLUSIONS: Participation in the in-home kicking-activated mobile task may motivate more selective hip-knee control of infants at high risk of CP.
CONCLUSIONS: This study is a first step toward developing an intervention to promote selective hip-knee control of infants at high risk of CP, with the ultimate goal of optimizing future walking function.
BACKGROUND: This study showed that playing with an in-home infant kicking-activated mobile may motivate infants at high risk of CP to produce more age-appropriate leg movements.
METHODS: Participants in this cohort study included 10 infants at high risk of CP based on neuroimaging and 11 infants with TD at 3.5 to 4.5 months of age. Each infant participated in the in-home kicking-activated mobile task for 8 to 10 min/d, 5 d/wk, for 6 weeks. Over 80,000 kicks were extracted and classified for each infant as occurring during 2-minute intervals of the task when the infant demonstrated learning vs not learning based on mobile activation time above baseline.
RESULTS: Infants demonstrated kicks with more selective hip-knee control during 2-minute intervals of the mobile task when they demonstrated learning compared with when they did not demonstrate learning for 4 of 6 weeks in the cohort at high risk of CP and for 2 of 6 weeks in the cohort with TD.
CONCLUSIONS: Participation in the in-home kicking-activated mobile task may motivate more selective hip-knee control of infants at high risk of CP.
CONCLUSIONS: This study is a first step toward developing an intervention to promote selective hip-knee control of infants at high risk of CP, with the ultimate goal of optimizing future walking function.
BACKGROUND: This study showed that playing with an in-home infant kicking-activated mobile may motivate infants at high risk of CP to produce more age-appropriate leg movements.
摘要：
目的：选择性运动控制降低限制了痉挛型脑瘫（CP）患儿的步态功能。CP高危婴儿在1月龄时表现出选择性运动控制下降。为了激发更多选择性的髋膝控制，CP高危婴儿参与了一项家庭踢腿激活的移动任务.这项研究的目的是确定CP高危婴儿和具有典型发育（TD）的婴儿在移动任务的2分钟间隔内是否表现出增加的选择性髋-膝控制，当他们证明他们的腿部运动和移动激活之间的关联与在2分钟间隔内没有证明学习时。
方法：这项队列研究的参与者包括10名基于神经影像学的CP高危婴儿和11名3.5至4.5个月大的TD婴儿。每个婴儿参加8至10分钟/天的家庭踢激活移动任务，5d/wk,6周。当婴儿基于高于基线的移动激活时间表现出学习与不学习时，为每个婴儿提取并分类为在任务的2分钟间隔内发生的超过80,000踢。
结果：婴儿在活动任务的2分钟间隔内表现出更多选择性的髋-膝关节控制，当他们表现出学习时，与在CP高风险队列中6周4周和TD队列中6周2周没有表现出学习时相比。
结论：参与家庭脚踢激活的移动任务可能会激发对CP高危婴儿更有选择性的髋膝控制。
结论：这项研究是制定干预措施以促进高CP风险婴儿的选择性髋膝关节控制的第一步。以优化未来步行功能为最终目标。
背景：这项研究表明，与家中的婴儿踢腿激活的手机一起玩耍可能会激发处于CP高风险的婴儿产生更多适合年龄的腿部运动。
方法：这项队列研究的参与者包括10名基于神经影像学的CP高危婴儿和11名3.5至4.5个月大的TD婴儿。每个婴儿参加8至10分钟/天的家庭踢激活移动任务，5d/wk,6周。当婴儿基于高于基线的移动激活时间表现出学习与不学习时，为每个婴儿提取并分类为在任务的2分钟间隔内发生的超过80,000踢。
结果：婴儿在活动任务的2分钟间隔内表现出更多选择性的髋-膝关节控制，当他们表现出学习时，与在CP高风险队列中6周4周和TD队列中6周2周没有表现出学习时相比。
结论：参与家庭脚踢激活的移动任务可能会激发对CP高危婴儿更有选择性的髋膝控制。
结论：这项研究是制定干预措施以促进高CP风险婴儿的选择性髋膝关节控制的第一步。以优化未来步行功能为最终目标。
背景：这项研究表明，与家中的婴儿踢腿激活的手机一起玩耍可能会激发处于CP高风险的婴儿产生更多适合年龄的腿部运动。
