运动与大脑刺激相结合对脑儿童手部功能的影响:随机对照试验的元分析
Shuoqi Li1, Shenhao Guo1, Ruihan Wang1
1School of Sports Science, Nantong University, Nantong, China.
PeerJ
|February 3, 2026
概括
运动与大脑刺激显著改善手部功能,在儿童脑 (CP). 超过16个会话可以增强握力,而跨直流刺激 (tDCS) 有助于精细运动控制.
科学领域:
- 神经科学是一个神经科学.
- 儿科 儿科 儿科
- 康复医学 康复医学 康复医学
背景情况:
- 大脑 (CP) 是一种常见的儿科神经疾病,影响运动功能,特别是手的使用.
- 儿童手部功能受损的CP显著影响他们的日常活动和生活质量.
研究的目的:
- 系统地审查运动与大脑刺激相结合对患有CP的儿童手部功能的影响.
- 为了比较单独运动的效果与与大脑刺激技术的运动的效果.
主要方法:
- 从2010年1月到2025年6月,在主要数据库 (Web of Science,Scopus,PubMed,EBSCO) 进行了系统的文献搜索.
- 纳入标准侧重于涉及CP儿童的随机对照试验,运动干预 (有或没有大脑刺激),以及粗运动功能,精细手动控制和握力评估.
- 使用Cochrane风险偏差工具评估研究质量,并使用RevMan 5.4软件使用标准化平均差异 (SMD) 分析数据.
主要成果:
- 运动与大脑刺激,特别是超过16个会议,显著改善握力 (SMD = 1.38).
- 不到10次的练习对握力没有显著影响 (SMD=0.19).
- 大脑刺激干预措施通常增强了精细的手动控制 (SMD = 0.46),与重复性横磁刺激 (rTMS) (SMD = 0.19) 相比,横直流刺激 (tDCS) 显示出显著的改善 (SMD = 0.71).
结论:
- 运动与大脑刺激相结合,是增强脑儿童手部功能的有效策略.
- 更多的干预会话 (超过16个) 似乎对于最大限度地提高握力效益至关重要.
- tDCS作为一种特定的大脑刺激技术,有望在这个人群中改善精细运动控制.
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