痉挛性双瘫儿童的目标定向运动：预期定向策略和轨迹形成

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2022-02-28 DOI:10.1080/17518423.2022.2047122

Alexander Castilla, A. Berthoz, G. Cioni, V. Belmonti

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引用次数: 0

摘要

摘要目标导向运动是一项集导航和步态控制于一体的复杂任务。据我们所知，这是首次对脑瘫患者进行GOL研究。13名痉挛性双瘫受试者和26名典型发育的受试者被纳入研究。受试者执行GOL任务以达到发光目标。在受试者的轨迹变异性内，分析了头部与轨迹的最大偏差和头部对轨迹的平均预期。虽然所有受试者都表现出步态障碍，但13名受试者中只有8名也表现出导航异常，表现为：a）头部方向和轨迹形成异常，或b）头部方向异常，轨迹形成正常。异常步态模式不能解释痉挛性双瘫CP的导航障碍，也可以与之区分。这种区别对专门针对导航而不仅仅是步态的新型康复方法具有重要意义。

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Goal-oriented locomotion in children with spastic diplegia: Anticipatory orienting strategies and trajectory formation

ABSTRACT Goal-oriented locomotion (GOL) is a complex task integrating navigation and gait control. To our knowledge, this is the first study of GOL in subjects with Cerebral Palsy (CP). Thirteen subjects with spastic diplegia and 26 with typical development were enrolled in the study. Subjects performed a GOL task to reach luminous targets. Within-subject trajectory variability, maximal head deviation from trajectory and mean head anticipation over trajectory were analyzed. While all subjects showed gait impairment, only 8 of 13 subjects also showed navigation abnormalities as revealed by either: a) abnormal head orientation and trajectory formation, or b) abnormal head orientation with normal trajectory formation. Abnormal gait patterns do not account for and can be distinguished from navigation disorders in spastic diplegic CP. This distinction has important implications for novel rehabilitation methods that should specifically address navigation, not only gait.

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.