感觉统合治疗在脑性瘫痪康复中应用的系统综述

doi:10.3969/j.issn.1006-9771.2022.02.008

《中国康复理论与实践》 ›› 2022, Vol. 28 ›› Issue (2): 183-189.doi: 10.3969/j.issn.1006-9771.2022.02.008

感觉统合治疗在脑性瘫痪康复中应用的系统综述

俞鑫璐^1a,^1b,李鑫^1a,^1b,^2,³,杨婷婷^1a,^1b,张博^1a,^1b,封玉霞^1a,^1b,庞伟^1a,^1b,²()

1.佳木斯大学,a.康复医学院;b.儿童康复神经实验室,黑龙江佳木斯市 154007
2.佳木斯大学附属第三医院,黑龙江佳木斯市 154007
3.北京体育大学运动医学与康复学院,北京市 100084

收稿日期:2021-12-20 修回日期:2022-01-07 出版日期:2022-02-25 发布日期:2022-03-09
通讯作者: 庞伟 E-mail:pangwei76@aliyun.com
作者简介:俞鑫璐(1998-),女,汉族,山东菏泽市人,硕士研究生,主要研究方向：小儿脑性瘫痪的综合康复。|庞伟,男,主任医师,教授,硕士生导师。
基金资助:
1.佳木斯大学校级科技创新团队项目(Cxtd-2013-02);2.佳木斯大学优秀学科团队项目(JDXKTD-2019006);3.佳木斯大学基础研究类(自然类)面上项目(JMSUJCM2016-062);4.中国残联课题项目(20&YB018);5.黑龙江省级领军人才梯队后备带头人资助资金项目(No. 黑人社函【2018】384号)

Application of sensory integration therapy in cerebral palsy rehabilitation: a systematic review

YU Xinlu^1a,^1b,LI Xin^1a,^1b,^2,³,YANG Tingting^1a,^1b,ZHANG Bo^1a,^1b,FENG Yuxia^1a,^1b,PANG Wei^1a,^1b,²()

1. a. Rehabilitation Medical College; b. the Children's Rehabilitation Nerve Laboratory, Jiamusi University, Jiamusi, Heilongjiang 154007, China
2. The Third Affiliated Hospital of Jiamusi University, Jiamusi, Heilongjiang 154007, China
3. School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China

Received:2021-12-20 Revised:2022-01-07 Published:2022-02-25 Online:2022-03-09
Contact: PANG Wei E-mail:pangwei76@aliyun.com
Supported by:
Jiamusi University Science and Technology Innovation Team Project(Cxtd-2013-02);Jiamusi University Excellent Discipline Team Project(JDXKTD-2019006);Jiamusi University General Basic Research (Natural) Project(JMSUJCM2016-062);China Disabled Persons' Federation Project(20&YB018);Heilongjiang Provincial Leading Talent Echelon Reserve Leader Funding Project (No.【2018】384)

摘要/Abstract

摘要：

目的系统综述感觉统合治疗在脑瘫儿童康复中的研究进展。方法采用主题检索方式,检索Web of Sciences、PubMed、中国知网、万方、维普数据库建库至2021年11月27日与感觉统合治疗在脑瘫康复中应用的相关文献,提取文献内容,对感觉统合治疗的实施方案、运用于脑瘫儿童的康复效果等方面进行综述。结果纳入6篇文献,主要集中在感觉统合治疗对脑瘫儿童姿势控制能力、粗大运动功能、智力水平及认知功能、治疗模式方面的研究。结论感觉统合治疗对于脑瘫儿童运动功能、姿势控制、智力水平的康复具有积极的治疗效果。根据儿童的感觉统合障碍程度以及儿童的年龄、性别、耐受性等,为儿童制定合适的康复治疗计划,使得感觉统合治疗效果最大化。

关键词: 脑性瘫痪, 感觉统合治疗, 康复, 系统综述

Abstract:

Objective To systematically review the research progress of sensory integration therapy in the rehabilitation of children with cerebral palsy. Methods The literatures related to the application of sensory integration therapy in the rehabilitation of children with cerebral palsy was retrieved from Web of Sciences, PubMed, CNKI, Wanfang data, and VIP databases until November 27, 2021, using subject search. And the contents of the literatures were extracted to review the implementation plan of sensory integration therapy and the effectiveness of its application in the rehabilitation of children with cerebral palsy. Results Six literatures were included. The main focus was on the research of sensory integration therapy on postural control, gross motor function, intelligence level and cognitive function, and treatment modalities in children with cerebral palsy. Conclusion Sensory integration therapy is effective on motor function, posture control and intelligence in children with cerebral palsy. To maximize the effect of sensory integration therapy, a suitable rehabilitation treatment plan should be formulated according to the degree of sensory integration disorder and the age, gender and tolerance of children.

Key words: cerebral palsy, sensory integration therapy, rehabilitation, systematic review

中图分类号:

R742.3

俞鑫璐, 李鑫, 杨婷婷, 张博, 封玉霞, 庞伟. 感觉统合治疗在脑性瘫痪康复中应用的系统综述[J]. 《中国康复理论与实践》, 2022, 28(2): 183-189.

YU Xinlu, LI Xin, YANG Tingting, ZHANG Bo, FENG Yuxia, PANG Wei. Application of sensory integration therapy in cerebral palsy rehabilitation: a systematic review[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(2): 183-189.

图/表 3

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分类	功能效果	训练器械
触觉训练	强化皮肤、大小肌肉关机神经感应	按摩球、平衡板
前庭平衡觉训练	调整前庭信息及平衡神经系统自动反应功能	滑梯、独木桥等
弹跳训练	强化触觉神经、关节信息,促进左右脑健全发展	跳床、羊角球等
固有平衡训练	强化中耳平衡体系,协调全身神经功能	独角椅、大陀螺等
本体感觉训练	强化固有平衡、触觉、大小肌肉双侧协调	滑板等

研究	年龄	受试者	治疗方法	训练时长	康复效果	评估
Bumin等^[18](2001)	对照组(7.00±1.22)岁; 试验组(7.06±1.88)岁	痉挛型双瘫儿童	对照组：家庭方案试验1组：个体感觉统合治疗试验2组：小组感觉统合治疗	每次1.5 h,每周3 d,共3个月	感觉统合能力及日常生活能力有显著提高	SCSIT、PAT
张丽华等^[19](2011)	3~6岁	痉挛型脑瘫儿童	对照组：常规康复治疗试验组：常规康复+感觉统合治疗	每次30 min,每周5 d,共3个月	改善立位平衡	轨迹长、外周面积、矩形面积、左右偏移、单位面积轨迹长
刘晓莉等^[20](2013)	22个月~6岁	痉挛型脑瘫儿童	对照组：综合康复试验组：综合康复+感觉统合治疗	每次30 min,每周6 d,共 3个月	促进患儿运动功能恢复	GMFM-88
Tramontano等^[21](2017)	3~11岁	脑瘫儿童	对照组：神经发育疗法试验组组：神经发育疗法+前庭刺激	每次30 min,10次,共5周	改善运动功能	GFMF-88、目标达成量表
陈娟娟等^[22](2020)	4~6岁	脑瘫儿童	对照组：一对一感觉统合治疗试验组：小组感觉统合治疗	每次40 min,每周4次,共3个月	改善平衡功能,且小组治疗效果更显著	WDI、BBS
周洪涛等^[23](2020)	1~14岁	脑瘫并发迟滞患儿	甲组：常规康复乙组：常规康复+感觉统合丙组：常规康复+健脑益智针法丁组：常规康复+健脑益智针法+感觉统合	每次30 min,每周5 d,共3个月	提高患儿的发育商及智商,改善社会生活能力及感觉统合能力	CSRIS 智商、发育商：WPPSI、Gesell发育量表、婴儿-初中生社会生活能力量表

感觉统合治疗在脑性瘫痪康复中应用的系统综述

Application of sensory integration therapy in cerebral palsy rehabilitation: a systematic review

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