周满相;黄任秀;张靖;蒋蓓;胡怡佳;覃中华;

• 1:柳州市妇幼保健院儿童康复科

摘要(Abstract)：

本体感觉是人体一种特殊的深感觉,它包含关节运动觉、加速度及位置觉,大脑特定中枢神经系统接收并处理关节本体感觉信息,并及时调整运动中关节的合理位置、稳定性、姿势及维持平衡能力。目前本体感觉训练已逐步推广、应用于中枢系统损伤、人工关节置换、各种外伤等引起的肢体功能障碍患者的诊断及系统康复训练中,其在成人康复治疗的有效性也已经被验证。

关键词(KeyWords)： 小儿脑瘫;本体感觉训练;不随意运动型脑瘫;粗大运动功能;康复评估

Abstract:

Keywords:

基金项目(Foundation): 广西壮族自治区卫生和计生委会员科研课题(编号:Z20170486)

作者(Authors): 周满相;黄任秀;张靖;蒋蓓;胡怡佳;覃中华;

参考文献(References)：

• [1] ZHANG J,PENG L,CHANG Q,et al.Maternal obesity and risk of cerebral palsy in children:a systematic review and meta-analysis[J].Dev Med Child Neurol,2019,61:31-38.
• [2] FLEGAL K M,KRUSZON-MORAN D,CARROLL M D,et al.Trends in obesity among adults in the United States,2005to2014[J].JAMA,2016,315:2284-2291.
• [3] SCARPATO E,STAIANO A,MOLTENI M,et al.Nutritional assessment and interven-tion in children with cerebral palsy:apractical approach[J].Int J Food Sci Nutr,2017,16:1-8.
• [4] JAN B M,JAN M M.Dental health of children with cerebral palsy[J].Neuroscien-ces,2016,21(4):314-318.
• [5] FAHEY M C,MACLENNAN A H,KRETZSCHMAR D,et al.The genetic basis of cerebral palsy[J].Dev Med Child Neurol,2017,59:462-469.
• [6] BOYCOTT K M,RATH A,CHONG J X,et al.International cooperation to enable the diagnosis of all rare genetic dis-eases[J].Am J Hum Genet,2017,100:695-705.
• [7] BYUN S D,JUNG T D,KIM C H,et al.Effects of the sliding rehabilitation machine on balance and gait in chronic stroke patients-a controlled clinical trial[J].Clinical Rehabilt-ation,2011,25(5):408-415.
• [8] GANDEVIA S C.Proprioception,tensegrity,and motor control[J].J Mot Behav,2014,46(3):199-201.
• [9] FILIMON F,NELSON J D,HUANG R S,et a1.Multiple parietal reach regions in humans:cortical representations for visual and proprioceptive feedback during on-line reaching[J].J Neurosci,2009,29(9):2961-2971.
• [10] MIRELMAN A,PATRITTI B L,BONATO P,et al.Effects of virtual reality raining on gait biomechanics of individuals post-stroke[J].Gait Posture,2010,31(4):433-437.
• [11] FREEMAN M A,WYKE B.Articular contributions to limb muscle reflexes.The efects of partial neurectomy of the knee-joint on postural reflexes[J].Br J Surg,1966,53(1):61-68.
• [12] RUSAN N M,FAGERSTROM C J,YVON A M,et al.Cell cycle dependent changes in microtubule dynamics in living cells expressing green fluorescent protein-alphatubulin[J].Mol Biol Cell,2011,12(4):971-980.
• [13] GRIGG P.Mechanical factors influencing response of joint afferent neurons from cat knee[J].J Neurophysiol,1975,38(6):1473-1484.
• [14] RAUSCH OSTHOFF A K,ERNST M J,RAST F M,et al.Measuring lumbar reposition accuracy in patients with unspecific low back pain:systematic review and meta-analysis[J].Spine,2015,40(2):E97-E111.
• [15] CORTESI M,CATTANEO D,JONSDOTTIR J.Effect of kinesio taping on standing balance in subjects with multiple sclerosis:a pilot study[J].Neuro Rehabil,2011,28(4):365-372.
• [16] YOO J H,KIM S E,LEE M G,et al.The effect of horse simulator riding on visual analogue scale,body composition and trunk strength in the patients with chronic low back pain[J].Int J Clin Pract,2014,8(8):941-949
• [17] RAUSCH OSTHOFF A K,ERNST M J,RAST F M,et al.Measuring lumbar reposition accuracy in patients with unspecific low back pain:systematic review and meta-analysis[J].Spine,2015,40(2):E97-E111.
• [18] KROGSGAARD M R,DYHRE-POULSEN P,FISCHER-RASMUSSEN T.Cruciate ligament reflexes[J].J Electromyogr Kinesiol,2002,12(3):177-182.
• [19] AHMAD K,GIACOMO L,RICCARDO B,et al.Development of a Hardware/Software System for Proprioception Exergaming[J]Int J Serious Games,2018,5(2):87-100
• [20] MARASCO P D,BOURBEAU D J,SHELL C E,et al.The neural response properties and cortical organiza-tion of a rapidly adapt-ing muscle sensory group response that overlaps with the fre-quencies that elicit the kinesthetic illusion[J].PLoS One,2017,12(11):e0188559.
• [21] KIM T H,KIM E H,CHO H.The effects of the CORE programme on pain at rest,movement-induced and secondary pain,active range of motion,and proprioception in female office workers with chronic low back pain:a randomized controlled trial[J].Clin Rehabil,2014,29(7):653-662.
• [22] WITCHALLS J B,WADDINGTON G,ADAMS R,et al.Chronic ankle Instability affects learning rate during repeated proprioception testing[J].Phys Ther Sport,2014,15(2):106-111.
• [23] STAINES W R,MCILROY W E,RAHAM S J,et al.Bilateral move-ment enhances ipsilateral cortical activity in acute stroke:a pilot function MRI study[J].Neurology,2001,56(3):401-404.
• [24] LI T,YOU H,MO X,et al.GOLPH3 Mediated Golgi Stress Response in Modulating N2A Cell Death upon Oxygen-Glucose Deprivation and Reoxygenation Injury[J].Mol Neurobiol,2016,53(2):1377-1385.
• [25] YOON J R,LEE D H,KO S N,et al.Proprioception in patients with posterior cruciate ligament tears:A meta-analysis comparison of reconstructed and contralateral normal knees[J].PLoS One,2017,12(9):e0184812.
• [26] MINSHULL C,ESTON R,BALLEY A,et al.The differential effects of PNF versus passive stretch conditioning on neuromuscular performance[J].Eur J Sport Sci,2014,14(3):233-241.
• [27] FRANCESCA M,SARA C,CHRIS W,et al.The Influence of External Forces on Wrist Proprioception[J].Front Human Neurosci,2017,11:440.
• [28] AL DAJAH S B.Soft Tissue Mobilization and PNF Improve Range of Motion and Minimize Pain Level in Shoulder Impingement[J].J Phys Ther Sci,2014,26(11):1803-1805.
• [29] CLAUDIO Z,ROBERTA F,MIRIAM C,et al.Pain Control by Proprioceptive and Exteroceptive Stimulation at the Trigeminal Level[J].Front Physiol,2018,9(8):1307.
• [30] SWINNEN E,BECKWéE D,MEEUSEN R,et al.Does robot-assisted gait rehabilitation improve balance in stroke patients?A systematic review[J].Top Stroke Rehabil,2014,21(2):87-100.
• [31] De SANTIS D,ZENZERI J,CASADIO M,et al.Robot-assisted training of the kinesthetic sense:enhancing roprioception after stroke[J].Front Hum Neurosci,2015,8:1037.
• [32] WINGERT J R,WELDER C,FOO P.Age-related hip proprioception declines:effects on postural sway and dynamic balance[J].Arch Phys Med Rehabil,2014,95(2):253-261.
• [33] MATTEO R,MATTEO B,EDOARDO B,et al.HapPro:A Wearable Haptic Device for Proprioceptive Feedback[J].IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING,2019,66(1):138-149.
• [34] MANCHIKANTI L,SINGH V,FALCO F J,et al.Epidemiology of low back pain in adults[J].Neuromodulation,2014,17(Suppl2):3-10.
• [35] GHAMKHAR L,KAHLAEE A H.Trunk muscles activation pattern during walking in subjects with and without chronic low back pain:a ystematic review[J].Pm R,2015,7(5):519-526.
• [36] ROS P P,ARNAU F M M,MALAFARINA V,et al.A one year proprio-ceptive exercise programme reduces the incidence of falls in community-dwelling elderly people:a before-after non-ran-domised intervention study[J].Maturitas,2016,94:155-160.
• [37] INGEMANSON M L,ROWE J B,CHAN V,et al.Use of a robotic de-vice to measure age-related decline in finger propriocep-tion[J].Exp Brain Res,2016,234(1):83-93.
• [38] TOLEDO D R,BARELA J A,MANZANO G M,et al.Age-related differ-ences in EEG beta activity during an assessment of ankle pro-prioception[J].Neurosci Lett,2016,622:1-5.
• [39] MORAES M R,CAVALCANTE M L,LEITE J A,et al.Thecharacteristics of the mechanoreceptors of the hip With arthrosis[J].J Orthop Surg Res,2011(6):58.
• [40] HOLNAPY G,KISS R M.Impact of the method of exposure in total hip arthroplasty on balancing ability in response to sudden unidirectional perturbation in the first six months of the postoperative period[J].J Electromyogr Kinesiol,2013,23(3):727-733.
• [41] RIXE J A,GLICK J E,BRADY J,et al.A review of the management of patellofemoral pain syndrome[J].Phys Sportsmed,2013,41(3):19.
• [42] SCAGLIONISOLANO P.Gait characteristics and sensory abilities of older adults are modulated by gender[J].Gait Posture,2015,42(1):54.
• [43] KO S U,SIMONSICK E,DESHPANDE N,et al.Sex-specific age as-sociations of ankle proprioception test performance in older adults:results from the Baltimore longitudinal study of ag-ing[J].AgeAgeing,2015,44(3):485-490.
• [44] RIVA D,MAMO C,FANì M,et al.Single stance stability and proprioceptive control in older adults living at home:gender and age differences[J].J Aging Res,2013:561-695.
• [45] ERA P,SCHROLL M,YTTING H,et al.Postural balance and its sen-sory-motor correlates in 75-year-old men and women:across-national comparative study[J].J Gerontol A Biol SciMed Sci,1996,51(2):M53-M63.
• [46] PATEL M,FRANSSON P A,KARLBERG M,et al.Change of body movement coordination during cervical proprioceptive distur-bances with increased age[J].Gerontology,2010,56(3):284-290.
• [47] MADHAVAN S,SHIELDS R K.Influence of age on dynamic posi-tion sense:evidence using a sequential movement task[J].Exp Brain Res,2005,164(1):18-28.
• [48] BROWN K,SWANK A M,QUESADA P M,et a1.Rehabilitation versus usual care before total knee arthroplasty:a case report comparing outcomes within the same individual[J].Physiother Theory Ract,2010,26(6):399-407.
• [49] IANUZZI A,LITTLE JS,CHIU J B,et al.Human lumbar facet joint capsule strains:I.During physiological motions[J].Spine J,2004,4(2):141-152.
• [50] HILLIER S,IMMINK M,THEWLIS D.Assessing proprioception:a systematic review of possibilities[J].Neurorehabil Neural Repair,2015,29(10):933-949.
• [51] LIM E C,TAN M H.Side-to-side difference in joint position sense and kinesthesia in unilateral functional ankle instability[J].FootAnkle Int,2009,30(10):1011-1017.
• [52] KALISCH T,KATTENSTROTH J C,KOWALEWSKI R,et al.Age-related hanges in the joint position sense of the human hand[J].Clin Interv Aging,2012,7:499-507.
• [53] SUETTERLIN K J,SAYER A A.Proprioception:where are we now?A commentary on clinical assessment,changes across the life course,functional implications and future interventions[J].AgeAgeing,2014,43(3):313-318.
• [54] GOBLE D J,COXON J P,VAN I A,et al.Brain activity during ankle proprioceptive stimulation predicts balance performance in young and older adults[J].J Neurosci,2011,31(45):16344-16352.
• [55] AYRES A J.Learning disorders and the vestibular system[J].Learning Disord,1978,11:30-41.
• [56] GOBLE D J,COXON J P,VAN IMPE A,et al.The neural basis of central proprioceptive processing in older versus younger adults:an important sensory role for right putamen[J].Hum Brain Mapp,2012,33(4):895-908.
• [57] EDIN B B.Finger joint movement sensitivity of non-cutaneous mechanoreceptor afferents in the human radial nerve[J].Exp Brain Res,1990,82(2):417-422.
• [58] GOBLE D J,MOUSIGIAN M A,BROWN S H.Compromised encoding of proprioceptively determined joint angles in older adults:the role of working memory and attentional load[J].Exp Brain Res,2012,216(1):35-40.
• [59] 赵鹏举,李恩耀.穴位注射联合康复疗法治疗小儿脑瘫的疗效观察[J].中国实用神经疾病杂志,2018,21(13):1465-1469.
• [60] SHAFFER S W,HARRISON A L.Aging of the somatosensory sys-tem:a translational perspective[J].Phys Ther,2007,87(2):193-207.
• [61] LANSADE C,LAPORTE S,THOREUX P,et al.Three-dimensional analysis of the cervical spine kinematics:effect of age and gender in healthy subjects[J].Spine,2009,34(26):2900.
• [62] CUG M,WIKSTROM E A,GOLSHAEI B,et al.The effects of sex,limb dominance,and soccer participation on knee proprioception and dynamic postural control[J].J Sport Rehabil,2016,25(1):31.
• [63] NAGAI T,SELL T C,ABT J P,et al.Reliability,precision,and gender differences in knee internal/external rotation proprioception measurements[J].Phys Ther Sport,2012,13(4):233-237.
• [64] DIENER H C,DICHGANS J.On the role of vestibular,visual and somatosensory information for dynamic postural control in humans[J].Prog Brain Res,1988,76(76):253.
• [65] REFSHAUGE K M,CHAN R,TAYLOR J L,et al.Detection of movements imposed on human hip,knee,ankle and toe joints[J].J Physiol,1995,488(Pt 1):231-241.