现代仪器与医疗

触觉反馈强化训练联合镜像神经元康复系统对痉挛性偏瘫脑瘫儿童精细运动功能的影响

PDF下载

陆祖韬 ¹^,² , 顾秋燕 ²^,³ , 葛向阳 ² , 贾杰 ⁴^,⁵^,^*

现代仪器与医疗 | 临床研究 2026,32(2): 57-62

收起

现代仪器与医疗 |临床研究 2026 , 32 (2) : 57 -62

触觉反馈强化训练联合镜像神经元康复系统对痉挛性偏瘫脑瘫儿童精细运动功能的影响

全屏

陆祖韬¹^,², 顾秋燕²^,³, 葛向阳², 贾杰⁴^,⁵^,^*

作者信息

^1.河南医药大学第三附属医院，新乡　453100

^2.南通大学附属妇幼保健院儿童康复科，南通　226018

^3.香港理工大学康复治疗科学系，香港　999077

^4.复旦大学附属华山医院康复医学科，上海　200040

^5.国家神经疾病医学中心，上海　200040

通讯作者:

贾杰，女，博士研究生，主任医师，研究方向：神经康复

作者简介:

陆祖韬，男，在读硕士研究生，主管技师，研究方向：儿童康复

Effects of intensive tactile feedback training combined with mirror neuron system theory on fine motor function in children with spastic hemiplegic cerebral palsy

Zutao Lu¹^,², Qiuyan Gu²^,³, Xiangyang Ge², Jie Jia⁴^,⁵^,^*

Affiliations

^1.The Third Affiliated Hospital of Henan Medical University, Xinxiang 453100, China

^2.Department of Children Rehabilitation Medicine, Affiliated Maternity and Child Health Care Hospital of Nantong University, Nantong 226018, China

^3.Department of Rehabilitation Sciences, Hong Kong Polytechnic University, Hong Kong 999077, China

^4.Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China

^5.National Center for Neurological Diseases, Shanghai 200040, China

出版时间: 2026-04-10 doi: 10.11876/mimt202602009

文章导航

摘要

收起

目的

观察触觉反馈强化训练联合镜像神经元康复训练系统对痉挛性偏瘫脑瘫儿童精细运动功能的影响。

方法

选取2022年7月至2024年12月就诊于南通大学附属妇幼保健院的44例痉挛性偏瘫脑瘫儿童，随机分为对照组和联合训练组，研究中共脱落5例患儿，最终对照组19例和联合训练组20例完成本次研究。两组患儿均接受常规康复训练和镜像神经元康复训练系统治疗，联合训练组在对照组基础上接受触觉反馈强化训练，连续12周。治疗前后采用Peabody精细运动发育量表（Peabody developmental motor scale-fine motor，PDMS-FM）、Carroll上肢功能评定量表（upper extremity functional test，UEFT）以及儿童功能独立性评定量表（Wee function independence measure for children，WeeFIM）进行评定。

结果

治疗后，两组患儿PDMS-FM评分、UEFT评分和WeeFIM评分均较组内治疗前显著改善（P<0.001），且联合训练组PDMS-FM评分、UEFT评分和WeeFIM评分高于对照组，差异均有统计学意义（P<0.05）。

结论

触觉反馈强化训练联合镜像神经元康复训练系统能够进一步提高痉挛性偏瘫脑瘫儿童的上肢精细运动功能。

关键词

脑性瘫痪 / 痉挛性偏瘫 / 触觉 / 镜像神经元 / 精细运动

Abstract

收起

Objective

To observe the effects of intensive tactile feedback training combined with mirror neuron system theory on fine motor function in children with spastic hemiplegic cerebral palsy.

Methods

44 children with spastic hemiplegia and cerebral palsy in Affiliated Maternity and Child Health Care Hospital of Nantong University were divided into combined group and control group by randomly. A total of 5 children were lost to follow-up in this study. Finally, 19 children in the control group and 20 children in the combined group completed the study. All patients received routine rehabilitation training and mirror neuron system theory, and the combined group received intensive tactile feedback training in addition. The upper limb function of the two groups were analyzed by the Peabody developmental motor scale-fine motor (PDMS-FM), Carroll upper extremity functional test (UEFT) and Wee function independence measure for children (WeeFIM) before and after treatment for 12 weeks respectively.

Results

After 12 weeks of treatment, both of the PDMS-FM score、the UEFT score and WeeFIM score of two groups were significantly improved than those before the treatment (P<0.001), and the scores of the combined group increased more significantly than the control group (P<0.05).

Conclusion

The intensive tactile feedback training combined with mirror neuron system theory can improve the fine motor function in children with spastic hemiplegic cerebral palsy.

Key words

Cerebral palsy / Spastic hemiplegia / Tactile / Mirror neuron / Fine motor

引用本文

陆祖韬, 顾秋燕, 葛向阳, 贾杰. 触觉反馈强化训练联合镜像神经元康复系统对痉挛性偏瘫脑瘫儿童精细运动功能的影响. 现代仪器与医疗, 2026 , 32 (2) : 57 -62 . DOI: 10.11876/mimt202602009

Zutao Lu, Qiuyan Gu, Xiangyang Ge, Jie Jia. Effects of intensive tactile feedback training combined with mirror neuron system theory on fine motor function in children with spastic hemiplegic cerebral palsy[J]. Modern Instruments & Medical Treatment, 2026 , 32 (2) : 57 -62 . DOI: 10.11876/mimt202602009

基金

收起

南通大学临床医学专项科研基金项目(2023LQ006)

参考文献

收起

文献

收起

参考文献引证文献

排序方式：

[1]

中国康复医学会儿童康复专业委员会, 中国残疾人康复协会小儿脑性瘫痪康复专业委员会, 中国医师协会康复医师分会儿童康复专业委员会, 等. 中国脑性瘫痪康复指南(2022): 简介[J]. 中华实用儿科临床杂志, 2022, 37(12): 885-886.

[2]

Poitras I, Martinie O, Robert M T, et al. Impact of sensory deficits on upper limb motor performance in individuals with cerebral palsy: a systematic review[J]. Brain Sci, 2021, 11(6): 744.

[3]

王海南, 刘鹏, 张明, 等. 基于中文版上肢技巧质量测试的个体化训练联合镜像疗法对脑瘫患儿上肢运动功能和日常生活活动能力的影响[J]. 中华物理医学与康复杂志, 2024, 46(6): 506-511.

[4]

Jovellar-Isiegas P, Resa Collados I, Jaén-Carrillo D, et al. Sensory processing, functional performance and quality of life in unilateral cerebral palsy children: a cross-sectional study[J]. Int J Environ Res Public Health, 2020, 17(19): 7116.

[5]

Brun C, Traverse É, Granger É, et al. Somatosensory deficits and neural correlates in cerebral palsy: a scoping review[J]. Dev Med Child Neurol, 2021, 63(12): 1382-1393.

[6]

McLean B, Taylor S, Valentine J, et al. Somatosensory discrimination impairment in children with hemiplegic cerebral palsy as measured by the sense_assess© kids[J]. Aust Occup Ther J, 2021, 68(4): 317-326.

[7]

Dan B. Cerebral palsy is a sensorimotor disorder[J]. Dev Med Child Neurol, 2020, 62(7): 768.

[8]

Papadelis C, Butler E E, Rubenstein M, et al. Reorganization of the somatosensory cortex in hemiplegic cerebral palsy associated with impaired sensory tracts[J]. Neuroimage Clin, 2017, 17: 198-212.

[9]

Santana C A S, Dos Santos M M, de Campos A C. Interrelationships of touch and proprioception with motor impairments in individuals with cerebral palsy: a systematic review[J]. Percept Mot Skills, 2022, 129(3): 570-590.

[10]

顾秋燕, 倪钰飞, 葛晓云, 等. 气动式手康复设备对痉挛型偏瘫脑性瘫痪儿童手功能的效果[J]. 中国康复理论与实践, 2023, 29(1): 93-97.

[11]

Kuo H C, Gordon A M, Henrionnet A, et al. The effects of intensive bimanual training with and without tactile training on tactile function in children with unilateral spastic cerebral palsy: a pilot study[J]. Res Dev Disabil, 2016, 49-50: 129-139.

[12]

Wuang Y P, Huang C L, Wu C S. Haptic perception training programs on fine motor control in adolescents with developmental coordination disorder: a preliminary study[J]. J Clin Med, 2022, 11(16): 4755.

[13]

贠国俊, 郭莹莹, 张冬雪, 等. 应用磁共振扩散张量成像技术评价手-臂双侧强化训练对痉挛型偏瘫患儿上肢功能的临床效果[J]. 中国康复, 2023, 38(4): 200-203.

[14]

杨阳, 刘合增, 李志林, 等. 鼓圈音乐治疗对痉挛型偏瘫脑瘫患儿上肢的影响[J]. 中国康复, 2024, 39(6): 340-343.

[15]

Kim G W, Kim H, Jeon J Y, et al. Validity and reliability of functional independence measure for children (WeeFIM) for children with cerebral palsy[J]. Inquiry, 2022, 59: 469580211072454.

[16]

Auld M L, Johnston L M. Perspectives on tactile intervention for children with cerebral palsy: a framework to guide clinical reasoning and future research[J]. Disabil Rehabil, 2018, 40(15): 1849-1854.

[17]

Trevarrow M P, Kleinsmith J, Taylor B K, et al. The somatosensory cortical activity in individuals with cerebral palsy displays an aberrant developmental trajectory[J]. J Physiol, 2021, 599(4): 1281-1289.

[18]

Song Y, Renoul E, Acord S, et al. Aberrant somatosensory phase synchronization in children with hemiplegic cerebral palsy[J]. Neurosci Lett, 2021, 762: 136169.

[19]

Auld M L, Johnston L M. Getting inTOUCH: outcomes of a knowledge translation intervention for tactile assessment knowledge, barriers, and practice in paediatric therapists working with children with cerebral palsy[J]. Disabil Rehabil, 2019, 41(19): 2350-2358.

[20]

Steinbusch C V M, Defesche A, van der Leij B, et al. The effect of bimanual intensive functional training on somatosensory hand function in children with unilateral spastic cerebral palsy: an observational study[J]. J Clin Med, 2023, 12(4): 1595.

[21]

Jobst C, D'Souza S J, Causton N, et al. Somatosensory plasticity in hemiplegic cerebral palsy following constraint induced movement therapy[J]. Pediatr Neurol, 2022, 126: 80-88.

[22]

庄金阳, 贾杰. 镜像疗法在偏瘫型脑瘫患儿上肢功能康复中的应用研究进展[J]. 中华物理医学与康复杂志, 2023, 45(11): 1043-1047.

[23]

Ortega-Martínez A, Palomo-Carrión R, Carrasco-Uribarren A, et al. Motor and sensory benefits of mirror therapy in children and adolescents with unilateral cerebral palsy: a systematic review and meta-analysis[J]. Healthcare (Basel), 2025, 13(13): 1538.

[24]

Khan Z, Noohu M M, Parveen S, et al. Effect of mirror therapy on upper limb function in children and adolescents with hemiplegic cerebral palsy: a systematic review and meta-analysis[J]. Dev Neurorehabil, 2024, 27(3-4): 106-115.

[25]

Abdelhaleem N, Taher S, Mahmoud M, et al. Effect of action observation therapy on motor function in children with cerebral palsy: a systematic review of randomized controlled trials with meta-analysis[J]. Clin Rehabil, 2021, 35(1): 51-63.

[26]

Xie J, Jiang L, Li Y, et al. Rehabilitation of motor function in children with cerebral palsy based on motor imagery[J]. Cogn Neurodyn, 2021, 15(6): 939-948.

2026年第32卷第2期

PDF下载

引用本文

BibTeX

文章信息

doi: 10.11876/mimt202602009

首发时间：2026-10-23
出版时间：2026-04-10

补充材料

相关文章

文章信息

作者

出版历史

基金

南通大学临床医学专项科研基金项目(2023LQ006)

作者信息

^1.河南医药大学第三附属医院，新乡　453100

^2.南通大学附属妇幼保健院儿童康复科，南通　226018

^3.香港理工大学康复治疗科学系，香港　999077

^4.复旦大学附属华山医院康复医学科，上海　200040

^5.国家神经疾病医学中心，上海　200040

通讯作者:

贾杰，女，博士研究生，主任医师，研究方向：神经康复

参考文献

分享链接

https://castjournals.cast.org.cn/joweb/xdyqyyl/CN/10.11876/mimt202602009

分享至

全文二维码

扫描看全文

引用本文

BibTeX

本文的引用情况

2种不同金属材料的力学参数

科 Family	属数 Number of genus	种数 Number of species	占总种数比例 Percentage of total species (%)	属 Genus	种数 Number of species	占总种数比例 Percentage of total species (%)
鹅膏菌科Amanitaceae	2	11	5.26	鹅膏菌属 Amanita	10	4.78
小菇科 Mycenaceae	2	12	5.74	丝盖伞属 Inocybe	5	2.39
多孔菌科 Polyporaceae	8	14	6.70	蜡蘑属 Laccaria	5	2.39
红菇科 Russulaceae	3	23	11.00	小皮伞属 Marasmius	6	2.87
				小菇属 Mycena	11	5.26
				光柄菇属 Pluteus	5	2.39
				红菇属 Russula	17	8.13
				栓菌属 Trametes	5	2.39

关闭全屏

BibTeX
EndNote
RefWorks
TxT