Article

This study reviewed interventions suitable for treating tactile dysfunction
in children with cerebral palsy (CP). METHOD: A systematic review was conducted
of six databases, searched for population: ('brain injury' OR 'cerebral palsy' OR
'stroke' OR 'cerebrovascular accident') and intervention: ('tactile' OR
'sensation'). Inclusion criteria were: (1) published after 1950 in English; (2)
participants older than 4 years with brain injury; (3) upper limb intervention;
and (4) examined tactile registration or perception. RESULTS: Of 2938 studies
identified, 30 met the inclusion criteria. Results from included studies
indicated that tactile function improved in adults with stroke after transfer
enhanced training (t[47]=2.75, p=0.004), stimulus specific training (p<0.001),
ice therapy (F=5.71, p=0.028), mirror therapy (F=7.7, p=0.009), and functional
deafferentation using an anaesthetic cream (t=3.76; p<0.01). No intervention
reported improvement in tactile dysfunction for children with CP. INTERPRETATION:
Research is required to develop tactile interventions for children with CP that
integrate methodology from effective approaches for adults after stroke. Stimulus
specific training, transfer enhanced training, and mirror therapy are promising.
Other approaches are less suitable for children because of invasiveness
(electrical stimulation), safety (ice therapy), or limitation of bimanual
function (eutectic mixture of local anaesthetics, pneumatic cuff).
CI - (c) 2014 Mac Keith Press.

Langue : ANGLAIS