背景:脑瘫(CP)是一种儿科疾病,其特征是永久性的运动障碍,大脑中的非进行性病变。脑瘫的特点是运动和姿势控制障碍,这极大地影响了身体结构,函数,日常活动,和参与。
目的:比较单节听觉和视觉反馈对偏瘫脑瘫患儿的表现和姿势平衡的影响。
方法:该研究是一项交叉临床试验,涉及25名被诊断为CP偏瘫的患者,年龄在6至12岁之间,包括两种性别。每位患者均接受常规平衡治疗,然后进行听觉反馈或视觉反馈干预。经过48小时的清洗期,他们在接受最初分配的替代干预之前再次接受了常规平衡治疗.改良的Ashworth量表(MAS),儿科平衡量表(PBS),定时单腿站立,时间和去测试(TUG),和压力中心(CoP)位移被评估为干预前后的结局指标.
结果:基于单腿支架测试,TUG,和CoP位移结果测量结果,两种干预措施都改善了平衡时间,运动速度,偏瘫痉挛型脑瘫患儿的姿势稳定性(P<0.05)。此外,在一次干预之后,视觉反馈组在TUG测试中表现出明显更大的改善,单腿支架试验,而CoP位移与听觉组比拟(P<0.05)。
结论:研究结果表明,将听觉或视觉反馈与常规平衡疗法相结合,可有效治疗偏瘫痉挛型脑瘫儿童。利用视觉反馈会更有效。需要进一步的研究来确定视觉和听觉反馈对评估结果指标的长期影响。
BACKGROUND: Cerebral palsy (CP) is a pediatric disorder characterized by a motor impairment resulting from a permanent, non-progressive lesion in the brain. Cerebral palsy is marked by movement and postural control impairments, which greatly affect body structure, function, daily activities, and participation.
OBJECTIVE: To compare the single-session auditory versus visual feedback on performance and postural balance in children with hemiplegic cerebral palsy.
METHODS: The study was a crossover clinical trial involving a group of 25 patients diagnosed with CP hemiplegia, aged between 6 and 12 years, including both genders. Each patient underwent conventional balance therapy followed by either auditory feedback or visual feedback intervention. After a 48-hour wash-out period, they received conventional balance therapy again before undergoing the alternative intervention initially assigned. The Modified Ashworth scale (MAS), pediatric balance scale (PBS), timed one-leg stance, time up and go test (TUG), and center of pressure (CoP) displacements were assessed as the outcome measures before and after the interventions.
RESULTS: Based on the one-leg stand test, TUG, and CoP displacement outcome measures results, both interventions improved balance time, speed of movement, and postural stability in children with hemiplegic spastic cerebral palsy (P < 0.05). Moreover, after a single session of the intervention, the visual feedback group demonstrated a significantly greater improvement in the TUG test, one-leg stand test, and CoP displacement compared to the auditory group (P < 0.05).
CONCLUSIONS: The results of the study suggest that combining auditory or visual feedback with conventional balance therapy is effective in treating children with hemiplegic spastic cerebral palsy; furthermore, the utilization of visual feedback would be more effective. Further research is needed to determine the long-term effects of visual and auditory feedback on the assessed outcome measures.