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

Abstract

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

CLC Number:

R742.3

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.

Figures/Tables 3

References 50

[1]	GRAHAM H K, ROSENBAUM P, PANETH N, et al. Cerebral palsy[J]. Nat Rev Dis Primers, 2016, 2: 15082. doi: 10.1038/nrdp.2015.82
[2]	SADOWSKA M, SARECKA-HUJAR B, KOPYTA I. Cerebral palsy: current opinions on definition, epidemiology, risk factors, classification and treatment options[J]. Neuropsychiatr Dis Treat, 2020, 16: 1505-1518. doi: 10.2147/NDT.S235165
[3]	SELLIER E, PLATT M J, ANDERSEN G L, et al. Decreasing prevalence in cerebral palsy: a multi-site European population-based study, 1980 to 2003[J]. Dev Med Child Neurol, 2016, 58(1): 85-92.
[4]	KORZENIEWSKI S J, SLAUGHTER J, LENSKI M, et al. The complex aetiology of cerebral palsy[J]. Nat Rev Neurol, 2018, 14(9): 528-543.
[5]	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.
	LI X J, QIU H B, JIANG Z M, et al. Epidemiological characteristics of cerebral palsy in twelve provinces in China[J]. Chin J Appl Clin Pediatr, 2018, 33(5): 378-383.
[6]	许晶莉, 范艳萍, 高晶. 学龄期脑瘫儿童感觉统合能力初探[J]. 中国康复, 2014, 29(2): 115-116.
	XU J L, FAN Y P, GAO J. Preliminary study on sensory integration ability of school-age children with cerebral palsy[J]. Chin J Rehabil Theory Pract, 2014, 29(2): 115-116.
[7]	CIEZA A, CAUSEY K, KAMENOV K, et al. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet, 2020, 396(10267): 2006-2017. doi: 10.1016/S0140-6736(20)32340-0
[8]	世界卫生组织. 康复2030: 国际康复发展状况与行动呼吁[J]. 李安巧,邱卓英,吴弦光,等,译. 中国康复理论与实践, 2017, 23(4): 379.
	World Health Orgnization. Rehabilitation 2030: Call for Action[J]. LI A Q, QIU Z Y, WU X G, et al., trans. Chin J Rehabil Theory Pract, 2017, 23(4): 379.
[9]	盛威威, 李欣, 邱卓英, 等. 残疾儿童康复需求与康复服务发展研究[J]. 中国康复理论与实践, 2020, 26(5): 502-507.
	SHENG W W, LI X, QIU Z Y, et al. Unmet needs and service of rehabilitation for children with disabilities[J]. Chin J Rehabil Theory Pract, 2020, 26(5): 502-507.
[10]	邱卓英, 郭键勋, 李伦, 等. 世界卫生组织康复指南«健康服务体系中的康复»: 背景, 理论架构与方法, 主要内容和实施[J]. 中国康复理论与实践, 2020, 26(1): 16-20.
	QIU Z Y, KWOK J K F, LI L, et al. WHO Rehabilitation in Health System: background, framework and approach, con-tents and implementation[J]. Chin J Rehabil Theory Pract, 2020, 26(1): 16-20.
[11]	KILROY E, AZIZ-ZADEH L, CERMAK S. Ayres theories of autism and sensory integration revisited: what contemporary neuroscience has to say[J]. Brain Sci, 2019, 9(3): 68. doi: 10.3390/brainsci9030068
[12]	蔡娟娥, 李晓乐, 李家妮. 团体语言训练、团体感觉统合游戏及图片交换沟通系统对自闭症儿童行为及康复效果的影响[J]. 医学理论与实践, 2021, 34(2): 340-342.
	CAI J E, LI X L, LI J N. Effects of group language training, group sensory integration games and picture exchange communication system on behavior and rehabilitation of children with autism[J]. J Med Theory Pract, 2021, 34(2): 340-342.
[13]	联合国. 残疾人权利公约[J]. 中国康复理论与实践, 2007, 13(2): 101-108.
	United Nations. Convention on the Rights of Persons with Disabilities[J]. Chin J Rehabil Theory Pract, 2007, 13(2): 101-108.
[14]	CHÉDOTAL A. Roles of axon guidance molecules in neuronal wiring in the developing spinal cord[J]. Nat Rev Neurosci, 2019, 20(7): 380-396. doi: 10.1038/s41583-019-0168-7
[15]	LANE S J, MAILLOUX Z, SCHOEN S, et al. Neural foundations of Ayres sensory integration[J]. Brain Sci, 2019, 9(7): 153. doi: 10.3390/brainsci9070153
[16]	李晓捷, 庞伟, 孙奇峰, 等. 中国脑性瘫痪康复指南(2015):第六部分[J]. 中国康复医学杂志, 2015, 30(12): 1322-1330.
	LI X J, PANG W, SUN Q F, et al. Chinese Guidelines for Rehabilitation of Cerebral Palsy (2015): Part VI[J]. Chin J Rehabil Med, 2015, 30(12): 1322-1330.
[17]	焦梅. 基于感觉统合理论的体适能训练对4-6岁幼儿感觉统合能力的影响研究[D]. 合肥:安徽师范大学, 2020.
	JIAO M. Effects of physical fitness training based on sensory integration ability of children aged 4-6 years phycial[D]. Hefei: Anhui Normal University, 2020.
[18]	BUMIN G, KAYIHAN H. Effectiveness of two different sensory-integration programmes for children with spastic diplegic cerebral palsy[J]. Disabil Rehabil, 2001, 23(9): 394-399. doi: 10.1080/09638280010008843
[19]	张丽华, 金彩君, 王立苹, 等. 感觉统合训练对痉挛型脑瘫儿童立位平衡功能的影响[J]. 中国康复理论与实践, 2011, 17(1): 72-74.
	ZHANG L H, JIN C J, WANG L P, et al. Effects of sensory integration training on balance of children with spastic cerebral palsy[J]. Chin J Rehabil Theory Pract, 2011, 17(1): 72-74.
[20]	刘晓莉, 贾飞勇, 姜慧轶, 等. 感觉统合训练对痉挛型脑瘫患儿粗大运动功能的影响[J]. 中华临床医师杂志(电子版), 2013, 7(13): 6161-6162.
	LIU X L, JIA F Y, JIANG H Y, et al. Effect of sensory integration training on gross motor function in children with spastic cerebral palsy[J]. Chin J Clin (Electr Ed), 2013, 7(13): 6161-6162.
[21]	TRAMONTANO M, MEDICI A, IOSA M, et al. The effect of vestibular stimulation on motor functions of children with cerebral palsy[J]. Motor Control, 2017, 21(3): 299-311. doi: 10.1123/mc.2015-0089
[22]	陈娟娟, 徐纯鑫, 丁兰艳, 等. 不同感觉统合训练模式对脑性瘫痪儿童平衡功能的影响[J]. 中国康复医学杂志, 2020, 35(5): 546-550.
	CHEN J J, XU C X, DING L Y, et al. Effects of different patterns of sensory integration training on balance of children with cerebral palsy[J]. Chin J Rehabil Med, 2020, 35(5): 546-550.
[23]	周洪涛, 覃蓉, 刘志雄, 等. 健脑益智针法联合感觉统合训练在脑性瘫痪并精神发育迟滞患儿中的实践研究[J]. 中国儿童保健杂志, 2020, 28(3): 338-341.
	ZHOU H T, QIN R, LIU Z X, et al. Practical study on brain-strengthening and intelligence-improving needling combined with sensory integration training in children with cerebral palsy and mental retardation[J]. Chin J Child Heal Care, 2020, 28(3): 338-341.
[24]	VITRIKAS K, DALTON H, BREISH D. Cerebral palsy: an overview[J]. Am Fam Physician, 2020, 101(4): 213-220.
[25]	DAN B. Cerebral palsy is a sensorimotor disorder[J]. Dev Med Child Neurol, 2020, 62(7): 768. doi: 10.1111/dmcn.v62.7
[26]	DALL'ORSO S, FIFER W P, BALSAM P D, et al. Cortical processing of multimodal sensory learning in human neonates[J]. Cereb Cortex, 2021, 31(3): 1827-1836. doi: 10.1093/cercor/bhaa340
[27]	KVANSAKUL J, HAMILTON L, AYTON L N, et al. Sensory augmentation to aid training with retinal prostheses[J]. J Neural Eng, 2020, 17(4): 045001. doi: 10.1088/1741-2552/ab9e1d
[28]	MONBALIU E, HIMMELMANN K, LIN J P, et al. Clinical presentation and management of dyskinetic cerebral palsy[J]. Lancet Neurol, 2017, 16(9): 741-749. doi: 10.1016/S1474-4422(17)30252-1
[29]	TSAO H, PANNEK K, FIORI S, et al. Reduced integrity of sensorimotor projections traversing the posterior limb of the internal capsule in children with congenital hemiparesis[J]. Res Dev Disabil, 2014, 35(2): 250-260. doi: 10.1016/j.ridd.2013.11.001
[30]	PAPADELIS C, AHTAM B, FELDMAN H A, et al. Altered white matter connectivity associated with intergyral brain disorganization in hemiplegic cerebral palsy[J]. Neuroscience, 2019, 399: 146-160. doi: 10.1016/j.neuroscience.2018.12.028
[31]	FREEDMAN D J, IBOS G. An integrative framework for sensory, motor, and cognitive functions of the posterior parietal cortex[J]. Neuron, 2018, 97(6): 1219-1234. doi: 10.1016/j.neuron.2018.01.044
[32]	VAN BALEN L C, DIJKSTRA L J, BOS A F, et al. Development of postural adjustments during reaching in infants at risk for cerebral palsy from 4 to 18 months[J]. Dev Med Child Neurol, 2015, 57(7): 668-676. doi: 10.1111/dmcn.2015.57.issue-7
[33]	CASARTELLI L, MOLTENI M, RONCONI L. So close yet so far: Motor anomalies impacting on social functioning in autism spectrum disorder[J]. Neurosci Biobehav Rev, 2016, 63: 98-105. doi: 10.1016/j.neubiorev.2016.02.001
[34]	JACOBSON E. Structural integration, an alternative method of manual therapy and sensorimotor education[J]. J Altern Complement Med, 2011, 17(10): 891-899. doi: 10.1089/acm.2010.0258
[35]	LORDIER L, LOUKAS S, GROUILLER F, et al. Music processing in preterm and full-term newborns: a psychophysiological interaction (PPI) approach in neonatal fMRI[J]. Neuroimage, 2019, 185: 857-864. doi: 10.1016/j.neuroimage.2018.03.078
[36]	ROJO N, AMENGUAL J, JUNCADELLA M, et al. Music-supported therapy induces plasticity in the sensorimotor cortex in chronic stroke: a single-case study using multimodal imaging (fMRI-TMS)[J]. Brain Inj, 2011, 25(7-8): 787-793. doi: 10.3109/02699052.2011.576305
[37]	PATTON M H, BLUNDON J A, ZAKHARENKO S S. Rejuvenation of plasticity in the brain: opening the critical period[J]. Curr Opin Neurobiol, 2019, 54: 83-89. doi: 10.1016/j.conb.2018.09.003
[38]	TE VELDE A, MORGAN C, NOVAK I, et al. Early diagnosis and classification of cerebral palsy: an historical perspective and barriers to an early diagnosis[J]. J Clin Med, 2019, 8(10): 1599. doi: 10.3390/jcm8101599
[39]	李晓捷, 庞伟, 郭津. 中国儿童康复事业1980-2020年发展历程回顾与展望[J]. 中国康复理论与实践, 2020, 26(8): 869-880.
	LI X J, PANG W, GUO J. Review and prospects of development of rehabilitation for children in China from 1980 to 2020[J]. Chin J Rehabil Theory Pract, 2020, 26(8): 869-880.
[40]	CAPPELLINI G, SYLOS-LABINI F, DEWOLF A H, et al. Maturation of the locomotor circuitry in children with cerebral palsy[J]. Front Bioeng Biotechnol, 2020, 8: 998. doi: 10.3389/fbioe.2020.00998
[41]	AYRES A J. Abstract of research project sensory integrative processes and learning disorders[J]. Except Child Res, 1971: 1-13.
[42]	CARTE E, MORRISON D, SUBLETT J, et al. Sensory integration therapy: a trial of a specific neurodevelopmental therapy for the remediation of learning disabilities[J]. J Dev Behav Pediatr, 1984, 5(4): 189-194.
[43]	李全梅. 感觉统合训练治疗儿童注意缺陷多动障碍伴感觉统合失调的疗效观察[J]. 中国全科医学, 2012, 15(29): 3419-3420.
	LI Q M. Observation on the therapeutic effect of sensory integration training on children with attention deficit hyperactivity disorder and sensory integration disorder[J]. Chin Gen Prac, 2012, 15(29): 3419-3420.
[44]	牛玉芝, 张文海, 丁强. 儿童感觉统合治疗的研究进展[J]. 中国康复理论与实践, 2019, 25(9): 1032-1037.
	NIU Y Z, ZHANG W H, DING Q. Advance in sensory integration for children (review)[J]. Chin J Rehabil Theory Pract, 2019, 25(9): 1032-1037.
[45]	GAU R, BAZIN P L, TRAMPEL R, et al. Resolving multisensory and attentional influences across cortical depth in sensory cortices[J]. Elife, 2020, 9: e46856. doi: 10.7554/eLife.46856
[46]	LUBETZKY A V, HUJSAK B D, KELLY J L, et al. Control mechanisms of static and dynamic balance in adults with and without vestibular dysfunction in oculus virtual environments[J]. PM R, 2018, 10(11): 1223-1236.e2. doi: 10.1016/j.pmrj.2018.07.001
[47]	SUGIYAMA T, LIEW S L. The effects of sensory manipulations on motor behavior: from basic science to clinical rehabilitation[J]. J Mot Behav, 2017, 49(1): 67-77. doi: 10.1080/00222895.2016.1241740
[48]	邓明, 肖楚梵. 儿童感觉统合思想的生态转向及训练实践设计[J]. 艺术工作, 2020(6): 99-102.
	DENG M, XIAO C F. Ecological turn of children's sensory integration thought and training practice design[J]. Art Work, 2020(6): 99-102.
[49]	VANDENBERG K A. Individualized developmental care for high risk newborns in the NICU: a practice guideline[J]. Early Hum Dev, 2007, 83(7): 433-442. doi: 10.1016/j.earlhumdev.2007.03.008
[50]	ANDELIN L, REYNOLDS S, SCHOEN S. Effectiveness of occupational therapy using a sensory integration approach: a multiple-baseline design study[J]. Am J Occup Ther, 2021, 75(6): 7506205030. doi: 10.5014/ajot.2021.044917

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

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

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

Figures/Tables 3

References 50

Related Articles 15

Metrics

Comments

Recommended 0

[1]	LUO Lihua, WANG Yusheng, LI Jianfeng, DONG Jige. Effect of early postoperative comprehensive rehabilitation on children and youth with supracondylar fracture of humerus complicated with ulnar nerve injury [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 105-110.
[2]	WANG Zihao, LI Xinhua, JIANG Huiping, GUO Sainan, LIANG Qiuman, SHI Tingqi. Short-term knee function after total knee arthroplasty and related factors [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 111-118.
[3]	WANG Hangyu, GE Keke, FAN Yonghong, DU Lilu, ZOU Min, FENG Lei. Effect of active music therapy on cognitive function for older adults with cognitive impairment: a systematic review based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 36-43.
[4]	WEN Jianing, JIN Qiuyan, ZHANG Qi, LI Jie, SI Qi. Effect of cognitively engaging physical activity on developing executive function of children and adolescents: a systematic review based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 44-53.
[5]	GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60.
[6]	CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.
[7]	ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011.
[8]	WANG Junyu, YANG Yong, YUAN Xun, XIE Ting, ZHUANG Jie. Effect of high-intensity interval training on executive function for healthy children and adolescents: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1012-1020.
[9]	WEI Xiaowei, YANG Jian, WEI Chunyan. Psychological and behavioral benefits of adapted yoga exercise for children with autism spectrum disorder in special education schools: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1021-1028.
[10]	YANG Yaru, YANG Jian. School-based physical activity-related health services and their health benefits within the World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1040-1047.
[11]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[12]	SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064.
[13]	HU Xiaoshi, ZHANG Qi, YUE Qing, LIANG Yanhua, LI Xiaosong, FENG Amei, ZHANG Yanqing. Effect of orthopedic elastic bandages on gait symmetry and walking ability in children with spastic hemiplegic cerebral palsy [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1083-1089.
[14]	CAI Huanian, FEI Sixian, ZHANG Yichen, SUN Qing, GUO Shuai, SONG Tao. Motion assistance analysis for robot-assisted tele-rehabilitation based on bilateral admittance control [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1104-1109.
[15]	JIANG Changhao, HUANG Chen, GAO Xiaoyan, DAI Yuanfu, ZHAO Guoming. Effect of neurofeedback training on cognitive function in the elderly: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 903-909.