下肢自觉与上运动神经元损伤儿童的运动功能,能力和表现之间的关系:一项探索性研究
Petra Marsico1,2,3, Anke Buchmann1,2, Lea Meier1,2
1Research Department, Swiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, Switzerland.
Physical & occupational therapy in pediatrics
|December 5, 2025
概括
自身感觉,特别是关节位置感觉 (JPS),与上部运动神经元 (UMN) 病变的儿童的运动技能有中等联系. 改善的自身感知与更好的运动功能和运动质量相关.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 儿科神经学 儿科神经学
背景情况:
- 上部运动神经元 (UMN) 病变会影响儿童的运动控制.
- 自身感知,身体位置的感觉,对于运动功能至关重要.
- 了解儿科UMN病变中的自感和运动结果之间的联系对于有针对性的干预至关重要.
研究的目的:
- 探索三种自身感知方式 (关节运动感,关节位置感,动态位置感) 与UMN病变儿童的运动结果之间的关系.
- 使用基于传感器的自感测量工具 (ProMeTo) 评估自感功能.
主要方法:
- 一项涉及48名患有UMN病变的儿童的横截面研究 (平均年龄11.0±3.5).
- 对JMS,JPS和DPS的部,膝盖和脚进行评估.
- 运动结果包括选择性运动控制,步态,平衡,总运动功能,运动质量和功能性移动性.
主要成果:
- 准确识别关节运动感觉方向的儿童表现出更好的运动结果.
- 在自感模式和运动结果之间发现了微不足道到中度的相关性 (ρ = 0.01-0.55).
- 在部和脚的关节位置感觉 (JPS) 显示出与运动功能,运动质量和移动性结果的最强的关系.
结论:
- 亲感功能,特别是JPS,与UMN病变的儿童的运动能力和运动质量中度相关.
- 这些发现表明,自感训练可能有利于改善这一群体的运动功能.
- 需要进一步的研究来证实这些关联,并探索临床应用.
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