节律性听觉刺激改善痉挛型脑瘫患儿步态的研究进展

许业涛, 史惟

中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (8) : 873-876.

PDF(478 KB)
PDF(478 KB)
中国儿童保健杂志 ›› 2021, Vol. 29 ›› Issue (8) : 873-876. DOI: 10.11852/zgetbjzz2020-0872
综述

节律性听觉刺激改善痉挛型脑瘫患儿步态的研究进展

  • 许业涛 综述, 史惟 审校
作者信息 +

Research progress of rhythmic auditory stimulation in improving gait of children with spastic cerebral palsy

  • XU Ye-tao, SHI Wei
Author information +
文章历史 +

摘要

节律性听觉刺激(RAS)通过一定的外部节律刺激(如音乐、节奏)激活听觉中枢和大脑运动区,控制下肢肌肉配合节奏训练、调整步态模式,从而达到改善步态的效果。RAS是一种改善痉挛型脑瘫患儿步态的新兴康复治疗方法,其机制假说包括夹带机制、运动听觉机制和动机。RAS能够有效提高患儿的步态参数(步速和步长)、增加患儿下肢关节活动度,且不同频率和训练时间均会对其干预效果产生影响。

Abstract

Rhythmic auditory stimulation (RAS) can activate auditory center and brain motor area through certain external rhythmic stimulation (such as music and rhythm), control lower limb muscles to cooperate with rhythm training and adjust gait mode, so as to improve gait ability.RAS is a new rehabilitation method to improve the gait of spastic cerebral palsy children.The mechanism hypothesis includes rhythmic entrainment movement system motor auditory mechanism and motivation.RAS can effectively improve the gait parameters (step velocity and step length) and increase the range of the lower limbs' motion.In addition, different frequency and training time will affect the intervention effect.

关键词

痉挛型 / 脑瘫 / 节律性听觉刺激 / 步态

Key words

spastic / cerebral palsy / rhythmic auditory stimulation / gait

引用本文

导出引用
许业涛, 史惟. 节律性听觉刺激改善痉挛型脑瘫患儿步态的研究进展[J]. 中国儿童保健杂志. 2021, 29(8): 873-876 https://doi.org/10.11852/zgetbjzz2020-0872
XU Ye-tao, SHI Wei. Research progress of rhythmic auditory stimulation in improving gait of children with spastic cerebral palsy[J]. Chinese Journal of Child Health Care. 2021, 29(8): 873-876 https://doi.org/10.11852/zgetbjzz2020-0872
中图分类号: R742.3   

参考文献

[1] 唐久来,秦炯,邹丽萍,等.中国脑性瘫痪康复指南(2015):第一部分[J].中国康复医学杂志,2015,30(7):747-754.
[2] 李晓捷,邱洪斌,姜志梅,等.中国十二省市小儿脑性瘫痪流行病学特征[J].中华实用儿科临床杂志,2018,33(5):378-383.
[3] 陈秀洁,姜志梅,史惟,等.中国脑性瘫痪康复指南(2015):第四部分第三章ICF-CY框架下的儿童脑性瘫痪评定[J].中国康复医学杂志,2015,30(10):1082-1090.
[4] Balzer J,Marsico P,Mitteregger E,et al.Influence of trunk control and lower extremity impairments on gait capacity in children with cerebral palsy[J].Disabil Rehabil,2018,40(26):3164-3170.
[5] 伊文超,励建安.节律提示在步行稳定障碍康复训练中的应用[J].中国康复理论与实践,2012,18(1):9-11.
[6] An CM,Son YL,Park YH,et al.Relationship between dynamic balance and spatiotemporal gait symmetry in hemiplegic patients with chronic stroke[J].Hong Kong Physiother J,2017,37:19-24.
[7] Ladwig JC,Prado TC,Marotta JJ,et al.Facilitating movement performance in cerebral palsy:The impact of rhythmic auditory cueing in a goal-directed reaching task[J].Journal of Exercise,Movement,and Sport(SCAPPS refereed abstracts repository),2016,48(1):27.
[8] Ko BW,Lee HY,Song WK.Rhythmic auditory stimulation using a portable smart device: short-term effects on gait in chronic hemiplegic stroke patients[J].J Phys Ther Sci,2016,28(5):1538-1543.
[9] Hamed NS,Abd-Elwahab MS.Pedometer-based gait training in children with spastic hemiparetic cerebral palsy: a randomized controlled study[J].Clin Rehabil,2011,25(2):157-165.
[10] Leow LA,Rinchon C,Grahn J.Familiarity with music increases walking speed in rhythmic auditory cuing[J].Ann N Y Acad Sci,2015,1337(1):53-61.
[11] Jiang A.The effect of rhythmic auditory stimulation on gait in young children with spastic cerebral palsy[D].Coral Gables:University of Miami,2013.
[12] Kwak EE.Effect of rhythmic auditory stimulation on gait performance in children with spastic cerebral palsy[J].J Music Ther,2007,44(3):198-216.
[13] Nagy MAESM,Eltohamy AM,Salem NEM.Influence of rhythmic auditory feedback on gait in hemiparetic children[J].J Med Sci,2020,40(1):1-7.
[14] Baram Y,Lenger R.Gait improvement in patients with cerebral palsy by visual and auditory feedback[J].Neuromodulation,2012,15(1): 48-52.
[15] Wang TH,Peng YC,Chen YL,et al.A home-based program using patterned sensory enhancement improves resistance exercise effects for children with cerebral palsy: a randomized controlled trial[J].Neurorehabil Neural Repair,2013,27(8):684-694.
[16] Darrah J,Wiart L,Gorter JW,et al.Stability of serial range-of-motion mea-surements of the lower extremities in children with cerebral palsy: can we do better?[J].Phys Ther,2014,94(7):987-995.
[17] Ballaz L,Plamondon S,Lemay M.Ankle range of motion is key to gait efficiency in adolescents with cerebral palsy[J].Clin Biomech (Bristol,Avon),2010,25(9):944-948.
[18] Thaut MH,Hurt CP,Dragon D,et al.Rhythmic entrainment of gait patterns in children with cerebral palsy[J].Dev Med Child Neurol,1998,40(78):15.
[19] Terrier P,Dériaz O.Persistent and anti-persistent pattern in stride-to-stride variability of treadmill walking: influence of rhythmic auditory cueing[J].Hum Mov Sci,2012,31(6):1585-1597.
[20] Frenkel TS,Giladi N,Peretz C,et al.Treadmill walking as an external pacemaker to improve gait rhythm and stability in Parkinson's disease[J].Mov Disord,2005,20(9):1109-1114.
[21] Terrier P.Step-to-step variability in treadmill walking: influence of rhythmic auditory cueing[J].PLoS One,2012,7(10):e47171.
[22] Thaut MH.Neurologic music therapy in sensorimotor rehabilitation[M]//The Oxford Handbook of Music and the Brain,2005:137-164.
[23] Edagawa K,Kawasaki M.Beta phase synchronization in the frontal-temporal-cerebellar network during auditory-to-motor rhythm learning[J].Sci Rep,2017,7:42721.
[24] Lyons A,Walkley M.Does increasing auditory cueing affect gait parameters in children with cerebral palsy during a functional task?[JB/OL].(2016-08-31)[2020-2-26]https://clinicaltrials.gov/ct2/show/study/NCT02666560.
[25] Varsamis P,Staikopoulos K,Kartasidou L.Effect of rhythmic auditory stimulation on controlling stepping cadence of individuals with mental retardation and cerebral palsy[J].Int J Spec Educ,2012,27(3):68-75.
[26] Schaefer RS.Auditory rhythmic cueing in movement rehabilitation:findings and possible mechanisms[J].Philos Trans R Soc Lond,B,Biol Sci,2014,369(1658):20130402.
[27] Hamacher D,Herold F,Cheqa L.Effect of dual tasks on gait variability in walking to auditory cues in older and young individuals[J].Exp Brain Res,2016,234(12):3555-3563.
[28] Beckung E,Hagberg G.Neuroimpairments, activity limitations, and participation restrictions in children with cerebral palsy[J].Dev Med Child Neurol,2002,44(5):309-316.
[29] Dimyan MA,Cohen LG.Neuroplasticity in the context of motor rehabilitation after stroke[J].Nat Rev Neurol,2011,7(2):76-85.
[30] Dowling WJ.Emotion and meaning in music[J].Music Percept,2008,25(5):478-479.
[31] Baillieux H,Smet HJD,Paquier PF,et al.Cerebellar neurocognition: Insights into the bottom of the brain[J].Clin Neurol Neurosurg,2008,110(8):763-773.
[32] Suppanen E,Huotilainen M,Ylinen S.Rhythmic structure facilitates learning from auditory input in newborn infants[J].Infant Behav Dev,2019,57:101346.
[33] Ghai S.Effects of real-time (sonification) and rhythmic auditory stimuli on recovering arm function post stroke: a systematic review and meta-analysis[J].Front Neurol,2018,9:488-509.
[34] Ben-Pazi H,Aran A,Pandyan A,et al.Auditory stimulation improves motor function and caretaker burden in children with cerebral palsy-a randomized double blind study[J].PLoS One,2018,13(12):e0208792.
[35] Lee HY,Ko BW,Song WK,et al.Rhythmic auditory stimulation for robot-assisted gait rehabilitation: a preliminary study[C]//2015 IEEE International Conference on Advanced Intelligent Mechatronics (AIM).IEEE,2015:422-426.

PDF(478 KB)

Accesses

Citation

Detail

段落导航
相关文章

/