Recent advancements in interventions for cerebral palsy – A review

IF 3.1 4区 医学 Q2 CLINICAL NEUROLOGY
Priya Sharma, Meena Gupta, Ruchika Kalra
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Abstract

Non-progressive conditions that develop in the growing fetus or newborn brain and result in lifelong motor impairments and activity restrictions are collectively referred to as cerebral palsy. In the present review, recent advancements in the treatment of cerebral palsy are discussed. Studies are currently being conducted on high-tech aids such as telemedicine, robotics, virtual reality, telerehabilitation, and exoskeletons. In the current review, we focus on the effectiveness of interventions including neurologic music therapy, aquatic therapy, virtual reality, robotics, electrical stimulation, constraint-induced movement therapy, hippotherapy, and hyperbaric oxygen therapy. We also discuss the drugs used for the treatment of spasticity in cerebral palsy, as well as the effects of nutritional intake. Neurologic music therapy alongside physiotherapy leads to positive rehabilitation outcomes, as does treadmill gait training combined with robotics for lower limb improvements. Furthermore, kinesio taping is helpful for positioning the wrist, thumb, and fingers, and for reducing upper limb stiffness. Neurorestorative therapies such as cell therapy, brain–computer interface technology, and transcranial magnetic stimulation may also effectively restore neural networks in a positive direction in cerebral palsy. Finally, rehabilitation along with neurofeedback and biofeedback is considered helpful in patients with this neurological disorder.

脑瘫干预措施的最新进展综述
生长中的胎儿或新生儿大脑中出现的导致终身运动障碍和活动受限的非进展性疾病统称为脑瘫。本文综述了近年来脑瘫治疗的进展。目前正在对远程医疗、机器人、虚拟现实、远程康复和外骨骼等高科技辅助设备进行研究。在目前的综述中,我们重点关注干预措施的有效性,包括神经音乐治疗、水上治疗、虚拟现实、机器人、电刺激、约束诱导运动治疗、海马治疗和高压氧治疗。我们还讨论了用于治疗脑瘫痉挛的药物,以及营养摄入的影响。神经音乐疗法和物理疗法可以带来积极的康复效果,跑步机步态训练与机器人技术相结合可以改善下肢。此外,动感胶带有助于定位手腕、拇指和手指,并减少上肢僵硬。细胞疗法、脑机接口技术和经颅磁刺激等神经修复疗法也可能有效地使脑瘫患者的神经网络朝着积极的方向恢复。最后,康复以及神经反馈和生物反馈被认为对这种神经系统疾病的患者有帮助。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Neurorestoratology
Journal of Neurorestoratology CLINICAL NEUROLOGY-
CiteScore
2.10
自引率
18.20%
发文量
22
审稿时长
12 weeks
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