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首页> 外文期刊>Journal of Neural Transplantation and Plasticity: Neural Plasticity >Action Observation Treatment Improves Upper Limb Motor Functions in Children with Cerebral Palsy: A Combined Clinical and Brain Imaging Study
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Action Observation Treatment Improves Upper Limb Motor Functions in Children with Cerebral Palsy: A Combined Clinical and Brain Imaging Study

机译：动作观察治疗改善脑瘫儿童的上肢电动机功能：临床和脑成像研究

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摘要

The aim of the present study was to assess the role of action observation treatment (AOT) in the rehabilitation of upper limb motor functions in children with cerebral palsy. We carried out a two-group, parallel randomized controlled trial. Eighteen children (aged 5–11 yr) entered the study 11 were treated children, and 7 served as controls. Outcome measures were scores on two functional scales Melbourne Assessment of Unilateral Upper Limb Function Scale (MUUL) and the Assisting Hand Assessment (AHA). We collected functional scores before treatment (T1), at the end of treatment (T2), and at two months of follow-up (T3). As compared to controls, treated children improved significantly in both scales at T2 and this improvement persisted at T3. AOT has therefore the potential to become a routine rehabilitation practice in children with CP. Twelve out of 18 enrolled children also underwent a functional magnetic resonance study at T1 and T2. As compared to controls, at T2, treated children showed stronger activation in a parieto-premotor circuit for hand-object interactions. These findings support the notion that AOT contributes to reorganize brain circuits subserving the impaired function rather than activating supplementary or vicariating ones.
机译：本研究的目的是评估动作观察治疗（AOT）在脑瘫儿童中肢体运动功能的康复中的作用。我们开展了一个双组，并行随机对照试验。 18名儿童（5-11 YR）进入研究11次进行过治疗儿童，7名担任对照。结果措施是两种功能尺度的分数墨尔本单侧上肢函数规模（MUUL）和辅助手评估（AHA）。在治疗（T1）之前，在治疗结束时收集功能评分（T2），随访两月（T3）。与对照相比，治疗的儿童在T2的两种尺度中显着改善，并且在T3处持续存在这种改进。因此，AOT有可能成为CP儿童的常规康复实践。 18名注册儿童的十二例也在T1和T2的功能磁共振研究中进行了突出的。与T2的对照相比，治疗的儿童在对手对象相互作用的额外热回路中显示出更强的激活。这些调查结果支持AOT贡献AOT的概念，以重新组织脑电路，而不是激活补充或切割的脑电路路。

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