目的 系统评价体感游戏对脑瘫儿童上肢功能的影响,探究其疗效。方法 采用主题检索,检索中国知网、万方、维普数据库、PubMed、Web of Sciences 建库至2022年9月9日的相关文献。对纳入文献的研究对象、年龄、干预设备及方法、干预时间、干预频率、评价指标、干预结果等信息进行提取,采用修改后的Jadad量表进行文献质量评价。结果 共纳入7篇文献,主要集中在对脑瘫儿童上肢功能、手功能、手的灵巧性及握力等方面的研究。有6项研究表明经体感游戏干预后上肢功能、上肢速度、手功能、握力、痉挛及日常生活活动独立性有所改善,父母压力减轻,有1项研究表明经干预后,并未改善上肢协调性、手功能,但握力及照顾者对手功能的感知有所改善。结论 体感游戏对改善脑瘫儿童的上肢功能有积极影响,但对上肢协调性及手功能改善方面尚有争议,仍需进一步探讨。
Abstract
Objective To systematically review the effects of motion sensing game on upper limb function in children with cerebral palsy. Methods The relevant articles from CNKI, Wanfang Database, VIP Database, PubMed, and Web of Sciences Database up to September 9th, 2022 were retrieved by thematic retrieval. The information including study subjects, age, intervention equipment and methods, intervention time, intervention frequency, evaluation index and intervention results included in the literature were retrived, and the literature quality was evaluated using the modified Jadad Scale. Results A total of 7 articles were included, mainly focusing on the upper limb function, hand function, hand dexterity and grip strength of children with cerebral palsy. Six studies showed improvements in upper limb function, upper limb speed, hand function, grip strength, spasticity, and independence in activities of daily living and reduced parental stress after motion sensing game intervention. One study showed no improvement in upper limb coordination or hand function after the intervention, but grip strength and caregiver perception of hand function improved. Conclusion Motion sensing game has a positive effect on improving the upper limb function of children with cerebral palsy, but there is still controversy about the improvement of upper limb coordination and hand function, which needs further discussion.
关键词
体感游戏 /
脑瘫 /
上肢 /
系统评价
Key words
motion sensing game /
cerebral palsy /
upper limb /
systematic review
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参考文献
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基金
2022年度黑龙江省自然科学基金联合引导项目(LH2022H092);佳木斯大学校级科技创新团队项目(Cxtd-2013-02); 佳木斯大学优秀学科团队项目(JDXKTD-2019006); 佳木斯大学学科建设项目(1450253019);佳木斯大学儿童康复医学学科团队(1450253021); 黑龙江省级领军人才梯队后备带头人资助资金项目(黑人社函【2018】384号);黑龙江省应用技术研究与开发计划项目(GA19C008)
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