节律性听觉刺激改善痉挛型脑瘫患儿步态的研究进展

节律性听觉刺激(RAS)通过一定的外部节律刺激(如音乐、节奏)激活听觉中枢和大脑运动区,控制下肢肌肉配合节奏训练、调整步态模式,从而达到改善步态的效果。RAS是一种改善痉挛型脑瘫患儿步态的新兴康复治疗方法,其机制假说包括夹带机制、运动听觉机制和动机。RAS能够有效提高患儿的步态参数(步速和步长)、增加患儿下肢关节活动度,且不同频率和训练时间均会对其干预效果产生影响。

Research progress of rhythmic auditory stimulation in improving gait of children with spastic cerebral palsy

Rhythmic auditory stimulation (RAS) can activate auditory center and brain motor area through certain external rhythmic stimulation (such as music and rhythm), control lower limb muscles to cooperate with rhythm training and adjust gait mode, so as to improve gait ability.RAS is a new rehabilitation method to improve the gait of spastic cerebral palsy children.The mechanism hypothesis includes rhythmic entrainment movement system motor auditory mechanism and motivation.RAS can effectively improve the gait parameters (step velocity and step length) and increase the range of the lower limbs' motion.In addition, different frequency and training time will affect the intervention effect.