Recovery of Hand Motor Function in Children with Hemiparetic Cerebral Palsy Using an Interactive Computer Game Combined with Mechanoreceptor Stimulation: A Pilot Study

Le résumé fourni par la source

Hemiplegic cerebral palsy (HCP) is a common neurophysiological condition in children, primarily causing motor impairments in the upper extremities. This study investigated the effectiveness of a novel multimodal rehabilitation protocol, which combined computer-based games and mechanoreceptor stimulation of the affected forearm, for improving motor function in children with HCP. Four children (ages 7-9) were selected and participated in 10 half-hour sessions. Clinical motor function of the upper extremity was measured using the Fugl-Meyer Assessment (FMA-UE) before and after the intervention. Hand joint kinematics, including the angles of the shoulder, arm, and wrist of the affected hand, were simultaneously recorded during these rehabilitation tasks. To quantify changes, advanced analytical tools such as Detrended Fluctuation Analysis (DFA) and Power Spectrum Density (PSD) were employed to assess motor stability and inter-joint coordination. The results showed significant clinical improvement in FMA scores which indicates motor enhancement. The kinematic analysis confirmed these clinical findings and provided critical new insights into the underlying quality of movement, highlighting the efficacy of this approach in promoting motor recovery. In conclusion, this multimodal protocol is an effective approach to improve motor recovery in children with cerebral palsy. This study also confirms the necessity of advanced analytical tools and a personalized medicine model to optimize patient outcomes.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.