اثربخشی تمرین های حسی حرکتی بر مهارتهای حرکتی دودستی کودکان همی پلژی

نوع مقاله : مقاله پژوهشی

نویسنده

دکتری تخصصی رفتار حرکتی-رشد حرکتی، واحد علوم و تحقیقات، دانشگاه آزاد اسلامی، تهران، ایران (نویسنده مسئول)

چکیده

مقدمه: اختلالات حرکتی فلج مغزی اغلب با نقص‌های حسی، ادراکی، شناختی، ارتباطی همراه هستند؛ بنابراین هدف از این پژوهش بررسی اثربخشی تمرین‌های حسی حرکتی بر مهارت‌های حرکتی دودستی کودکان همی پلژی بود.
روش کار: روش تحقیق نیمه تجربی و طرح پژوهش به‌صورت پیش‌آزمون پس‌آزمون با گروه‌های تجربی و کنترل می‌باشد. جامعه آماری را کودکان همی پلژی مراجعه کننده به مراکز توان‌بخشی شهر کرمانشاه در سال 1402 تشکیل دادند. نمونه آماری پژوهش براساس معیارهای ورود به پژوهش 22 نفر بودند که به‌صورت تصادفی ساده به 2 گروه 11 نفری تقسیم شدند و در مرحله بعد براساس معیارهای خروج از پژوهش 21 نفر باقی ماندند (تمرین‌های حسی حرکتی 11 نفر، کنترل 10 نفر). ابزار تحقیق را پرسشنامه دموگرافیک و آزمون MABC-2 تشکیل دادند. جهت تجزیه‌وتحلیل داده‌ها از آزمون t وابسته و تحلیل واریانس یک‌راهه استفاده شد.
نتایج: نتایج نشان داد که بین پیش‌آزمون و پس‌آزمون گروه تجربی در تمامی متغیرها تفاوت معنی‌داری وجود دارد (001/0>p). همچنین در متغیر دریافت توپ و پرتاب کیسه لوبیا در پس‌آزمون بین دو گروه تجربی و کنترل تفاوت معنی‌دار بود (001/0≥ P).
نتیجه‌گیری: به نظر می‌رسد که در جهت ارتقا مهارت‌های دودستی کودکان همی پلژی می‌توان از تمرین‌های حسی حرکتی استفاده نمود.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

The effectiveness of sensorimotor exercises on bimanual motor skills of hemiplegic children

نویسنده [English]

  • Morad Babakhani
PhD of Motor Behavior-Motor Development, Science and Research branch, Islamic Azad University, Tehran, Iran. (Corresponding Author)
چکیده [English]

Introduction: Movement disorders of cerebral palsy are often associated with sensory, perceptual, cognitive, and communication defects; Therefore, the purpose of this research was to investigate the effectiveness of sensorimotor exercises on bimanual motor skills of hemiplegic children.
Methods: Semi-experimental research method and research design is pre-test and post-test with experimental and control groups. The statistical population consisted of hemiplegic children who referred to the rehabilitation centers of Kermanshah city in 1402. The statistical sample of the research was 22 people based on the criteria for entering the research, who were randomly divided into 2 groups of 11 people, and in the next stage, based on the criteria for exiting the research, 21 people remained (sensory-motor exercises 11 people, control 10 people). The research tools were demographic questionnaire and MABC-2 test. To analyze the data, dependent t-test and one-way analysis of variance were used.
Results: The results showed that there is a significant difference between the pre-test and post-test of the experimental group in all variables (p<0.001). Also, there was a significant difference between the two experimental and control groups in the variable of receiving the ball and throwing the bean bag in the post-test (P≥0.001).
Conclusion: It seems that sensorimotor exercises can be used to improve the two-handed skills of hemiplegic children.

کلیدواژه‌ها [English]

  • Sensorimotor Exercises
  • Motor skills
  • Exercise
  • Hemiplegia
  1. Roostaei M, Akbarfahimi N, Dalvand H, Abedi S. The relationship between functional motor Status and self-evaluation in individuals with cerebral palsy: a systematic review. Iranian Journal of Child Neurology. 2021;15(3):9.
  2. Taylor T, Unakal C. StatPearls Publishing. Treasure Island (FL): StatPearls Publishing. 2020.
  3. Jonsson U, Eek MN, Sunnerhagen KS, Himmelmann K. Cerebral palsy prevalence, subtypes, and associated impairments: A population‐based comparison study of adults and children. Developmental Medicine & Child Neurology. 2019;61(10):1162-7.
  4. Roostaei M, Raji P, Kalantari KK, Faghihzadeh E, Fragala-Pinkham M. Effect of upper extremity constraints on functional and dynamic postural control in children with hemiplegic cerebral palsy. Developmental Neurorehabilitation. 2022;25(4):281-8.
  5. Saygı EK. Hand function in cerebral palsy. Hand Function: A Practical Guide to Assessment. 2019:181-8.
  6. Pashmdarfard M, Richards LG, Amini M. Factors affecting participation of children with cerebral palsy in meaningful activities: Systematic review. OccupatiOnal therapy in health care. 2021;35(4):442-79.
  7. Kurz MJ, Wilson TW. Neuromagnetic activity in the somatosensory cortices of children with cerebral palsy. Neuroscience letters. 2011;490(1):1-5.
  8. Riquelme I, Montoya P. Developmental changes in somatosensory processing in cerebral palsy and healthy individuals. Clinical Neurophysiology. 2010;121(8):1314-20.
  9. Charles J, Gordon AM. A critical review of constraint-induced movement therapy and forced use in children with hemiplegia. Neural plasticity. 2005;12(2-3):245-61.
  10. Borstad AL, Bird T, Choi S, Goodman L, Schmalbrock P, Nichols-Larsen DS. Sensorimotor training and neural reorganization after stroke: a case series. Journal of neurologic physical therapy. 2013;37(1):27-36.
  11. HM F. Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke. Stroke. 1998;29(4):785-92.
  12. Yekutiel M, Guttman E. A controlled trial of the retraining of the sensory function of the hand in stroke patients. Journal of Neurology, Neurosurgery & Psychiatry. 1993;56(3):241-4.
  13. Smania N, Montagnana B, Faccioli S, Fiaschi A, Aglioti SM. Rehabilitation of somatic sensation and related deficit of motor control in patients with pure sensory stroke. Archives of physical medicine and rehabilitation. 2003;84(11):1692-702.
  14. Kleim JA, Jones TA. Principles of experience-dependent neural plasticity: implications for rehabilitation after brain damage. 2008.
  15. Petzinger GM, Fisher BE, Van Leeuwen JE, Vukovic M, Akopian G, Meshul CK, et al. Enhancing neuroplasticity in the basal ganglia: the role of exercise in Parkinson's disease. Movement disorders. 2010;25(S1):S141-S5.
  16. Finger S, Almli CR. Brain damage and neuroplasticity: mechanisms of recovery or development? Brain Research Reviews. 1985;10(3):177-86.
  17. Euliano NR, Lefebvre WC. Neural and Adaptive Systems: Fundamentals Through Simulations: Wiley; 2000.
  18. Rosenzweig MR, Bennett EL. Psychobiology of plasticity: effects of training and experience on brain and behavior. Behavioural brain research. 1996;78(1):57-65.
  19. Jenkins WM, Merzenich MM, Ochs MT, Allard T, Guic-Robles E. Functional reorganization of primary somatosensory cortex in adult owl monkeys after behaviorally controlled tactile stimulation. Journal of neurophysiology. 1990;63(1):82-104.
  20. Byl NN, Nagajaran S, McKenzie AL. Effect of sensory discrimination training on structure and function in patients with focal hand dystonia: a case series. Archives of physical medicine and rehabilitation. 2003;84(10):1505-14.
  21. Rayegani SM, Babaee M, Raeissadat SA. Rehabilitation medicine management of spasticity. Neurostimulation and neuromodulation in contemporary therapeutic practice London, United Kingdom: IntechOpen Limited. 2020:87-109.
  22. Novak I, Honan I. Effectiveness of paediatric occupational therapy for children with disabilities: A systematic review. Australian occupational therapy journal. 2019;66(3):258-73.
  23. Jackman M, Sakzewski L, Morgan C, Boyd RN, Brennan SE, Langdon K, et al. Interventions to improve physical function for children and young people with cerebral palsy: international clinical practice guideline. Developmental Medicine & Child Neurology. 2022;64(5):536-49.
  24. WUANG YP, SU JH, SU CY. Reliability and responsiveness of the Movement Assessment Battery for Children–Second Edition Test in children with developmental coordination disorder. Developmental Medicine & Child Neurology. 2012;54(2):160-5.
  25. Kurtz EA. Understanding motor skills in children with dyspraxia, ADHD, autism, and other learning disabilities: A guide to improving coordination: Jessica Kingsley Publishers; 2007.
  26. Ahmadi A, Beh-Pajooh A. The Efficacy of Sensorimotor Exercises on Motor, Social Interaction, and Communication Skills and Stereotypic Behaviors of Children with Autism Spectrum Disorders. Journal of Research in Behavioural Sciences. 2016;14(2):219-28.
  27. Nakashima N, Miyasaka H, Kondo I, Iwata K, Uematsu H, Yamamura C, et al. The relationship between proximal function of the upper extremity on the paralyzed side and upper extremity skills in daily life of subacute stroke patients. Japanese Journal of Comprehensive Rehabilitation Science. 2017;8:44-50.
  28. Amano Y, Noma T, Etoh S, Miyata R, Kawamura K, Shimodozono Reaching exercise for chronic paretic upper extremity after stroke using a novel rehabilitation robot with arm-weight support and concomitant electrical stimulation and vibration: before-and-after feasibility trial. Biomedical engineering online. 2020;19:1-19.
  29. Burn MB, Gogola GR. Dexterity of the less affected hand in children with hemiplegic cerebral palsy. Hand. 2022;17(6):1114-21.
  30. Rich TL, Menk JS, Rudser KD, Feyma T, Gillick BT. Less-affected hand function in children with hemiparetic unilateral cerebral palsy: a comparison study with typically developing peers. Neurorehabilitation and neural repair. 2017;31(10-11):965-76.
  31. Metzler MJ, O’Grady K, Fay L, Herrero M, Dunbar M, Fehlings D, et al. Feasibility of high repetition upper extremity rehabilitation for children with unilateral cerebral palsy. Physical & Occupational Therapy In Pediatrics. 2022;42(3):242-58.
  32. Bleyenheuft Y, Dricot L, Ebner-Karestinos D, Paradis J, Saussez G, Renders A, et al. Motor skill training may restore impaired corticospinal tract fibers in children with cerebral palsy. Neurorehabilitation and neural repair. 2020;34(6):533-46.
  33. Westcott SL, Burtner P. Postural control in children: implications for pediatric practice. Physical & occupational therapy in pediatrics. 2004;24(1-2):5-55.
  34. Roostaei M, Babaee M, Alavian S, Jafari N, Rayegani SM, Behzadipour S. Effects of a multi-component virtual reality program on motor skills and functional postural control in children with hemiplegic cerebral palsy. Heliyon. 2023;9(9).
  35. azizidarabkhani N, heyrani A. he effects of bilateral motor trainings with and without mirror on the range of joint motion and manipulative skill of children with cerebral palsy. Biquarterly Journal of Sport Psychology. 2021;1400(1):145-5
  36. Taylor MJ, McCormick D, Shawis T, Impson R, Griffin M. Activity-promoting gaming systems in exercise and rehabilitation. Journal of rehabilitation research and development. 2011;48(10):1171-86.