A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy
Background: Impaired selective voluntary motor control is defined as “the reduced ability to isolate the activation of muscles in response to demands of a voluntary posture or movement.” It is a negative motor sign of an upper motor neuron lesion.Objective: This paper reviews interventions that may...
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| Format: | Article |
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Frontiers Media S.A.
2020-12-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2020.572038/full |
| _version_ | 1830187722884513792 |
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| author | Annina Fahr Annina Fahr Annina Fahr Jeffrey W. Keller Jeffrey W. Keller Jeffrey W. Keller Hubertus J. A. van Hedel Hubertus J. A. van Hedel |
| author_facet | Annina Fahr Annina Fahr Annina Fahr Jeffrey W. Keller Jeffrey W. Keller Jeffrey W. Keller Hubertus J. A. van Hedel Hubertus J. A. van Hedel |
| author_sort | Annina Fahr |
| collection | DOAJ |
| description | Background: Impaired selective voluntary motor control is defined as “the reduced ability to isolate the activation of muscles in response to demands of a voluntary posture or movement.” It is a negative motor sign of an upper motor neuron lesion.Objective: This paper reviews interventions that may improve selective motor control in children and youths with spastic cerebral palsy. The aim was to systematically evaluate the methodological quality and formulate the level of evidence from controlled studies.Methods: Six databases (Scopus, Web of Science, PubMed, Embase, MEDLINE, and CINAHL) were searched with predefined search terms for population, interventions, and outcomes. Two reviewers independently completed study selection and ratings of methodological quality and risk of bias. Evidence was summarized in a best evidence synthesis.Results: Twenty-three studies from initially 2,634 papers were included. The interventions showed a wide variety of approaches, such as constraint-induced movement therapy (CIMT), electrical stimulation, robot-assisted therapy, and functional training. The evidence synthesis revealed conflicting evidence for CIMT, robot-assisted rehabilitation and mirror therapy for the upper extremities in children with cerebral palsy.Conclusions: Final recommendations are difficult due to heterogeneity of the reviewed studies. Studies that include both an intervention and an outcome that specifically focus on selective voluntary motor control are needed to determine the most effective therapy. |
| first_indexed | 2024-12-17T22:33:12Z |
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| id | doaj.art-cd7066cca75b406f805a6cf9b9aa6ad0 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-17T22:33:12Z |
| publishDate | 2020-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-cd7066cca75b406f805a6cf9b9aa6ad02022-12-21T21:30:09ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-12-011110.3389/fneur.2020.572038572038A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral PalsyAnnina Fahr0Annina Fahr1Annina Fahr2Jeffrey W. Keller3Jeffrey W. Keller4Jeffrey W. Keller5Hubertus J. A. van Hedel6Hubertus J. A. van Hedel7Swiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, SwitzerlandChildren's Research Center, University Children's Hospital Zurich, Zurich, SwitzerlandInstitute for Biomechanics, ETH Zurich, Zurich, SwitzerlandSwiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, SwitzerlandChildren's Research Center, University Children's Hospital Zurich, Zurich, SwitzerlandDoctoral Program Clinical Science, Faculty of Medicine, University of Zurich, Zurich, SwitzerlandSwiss Children's Rehab, University Children's Hospital Zurich, Affoltern am Albis, SwitzerlandChildren's Research Center, University Children's Hospital Zurich, Zurich, SwitzerlandBackground: Impaired selective voluntary motor control is defined as “the reduced ability to isolate the activation of muscles in response to demands of a voluntary posture or movement.” It is a negative motor sign of an upper motor neuron lesion.Objective: This paper reviews interventions that may improve selective motor control in children and youths with spastic cerebral palsy. The aim was to systematically evaluate the methodological quality and formulate the level of evidence from controlled studies.Methods: Six databases (Scopus, Web of Science, PubMed, Embase, MEDLINE, and CINAHL) were searched with predefined search terms for population, interventions, and outcomes. Two reviewers independently completed study selection and ratings of methodological quality and risk of bias. Evidence was summarized in a best evidence synthesis.Results: Twenty-three studies from initially 2,634 papers were included. The interventions showed a wide variety of approaches, such as constraint-induced movement therapy (CIMT), electrical stimulation, robot-assisted therapy, and functional training. The evidence synthesis revealed conflicting evidence for CIMT, robot-assisted rehabilitation and mirror therapy for the upper extremities in children with cerebral palsy.Conclusions: Final recommendations are difficult due to heterogeneity of the reviewed studies. Studies that include both an intervention and an outcome that specifically focus on selective voluntary motor control are needed to determine the most effective therapy.https://www.frontiersin.org/articles/10.3389/fneur.2020.572038/fullselective voluntary motor controlinvoluntary movementspediatric neurorehabilitationcerebral palsybest evidence synthesis |
| spellingShingle | Annina Fahr Annina Fahr Annina Fahr Jeffrey W. Keller Jeffrey W. Keller Jeffrey W. Keller Hubertus J. A. van Hedel Hubertus J. A. van Hedel A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy Frontiers in Neurology selective voluntary motor control involuntary movements pediatric neurorehabilitation cerebral palsy best evidence synthesis |
| title | A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy |
| title_full | A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy |
| title_fullStr | A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy |
| title_full_unstemmed | A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy |
| title_short | A Systematic Review of Training Methods That May Improve Selective Voluntary Motor Control in Children With Spastic Cerebral Palsy |
| title_sort | systematic review of training methods that may improve selective voluntary motor control in children with spastic cerebral palsy |
| topic | selective voluntary motor control involuntary movements pediatric neurorehabilitation cerebral palsy best evidence synthesis |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2020.572038/full |
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