Patikas Dimitrios, Wolf Sebastian I, Mund Katrin, Armbrust Petra, Schuster Waltraud, Döderlein Leonhard
Department of Orthopaedic Surgery, University of Heidelberg, Germany.
Arch Phys Med Rehabil. 2006 May;87(5):619-26. doi: 10.1016/j.apmr.2006.01.023.
To investigate the effect of a postoperative strength-training program on the walking of children with cerebral palsy (CP).
Randomized controlled trial.
Hospital rehabilitation department.
Thirty-nine children with CP (age range, 6-16 y). After orthopedic surgery, the control group (n=20) followed a conventional physiotherapy (PT) program, and the strength-training group (n=19) followed a strength-training program in addition to the conventional PT. Twenty-nine age-matched healthy children were used as references.
A 9-month strength-training program.
Spatiotemporal, kinematic, and kinetic parameters during gait analysis were analyzed before (E0) and 1 year after (E1) the surgery. For 22 children, a 2-year postoperative gait analysis (E2) took place as well.
At E1, several kinematic and kinetic parameters improved, although there was no significant difference between the groups. Spatiotemporal parameters showed a worsening at E1 and a recovery to preoperative values at E2.
The examined parameters may be more substantially influenced by factors such as the surgery outcome and the variability of pathologic characteristics than by the strength-training program per se. However, a more significant effect of the strength-training may appear if more intense and short-term training protocols are used, considering factors such as patients' motivations, ages, and postoperative statuses.
探讨术后力量训练计划对脑瘫（CP）患儿步行能力的影响。
随机对照试验。
医院康复科。
39例CP患儿（年龄范围6 - 16岁）。骨科手术后，对照组（n = 20）遵循常规物理治疗（PT）计划，力量训练组（n = 19）除常规PT外还遵循力量训练计划。29例年龄匹配的健康儿童作为对照。
为期9个月的力量训练计划。
在手术前（E0）和术后1年（E1）分析步态分析中的时空、运动学和动力学参数。对于22例儿童，还进行了术后2年的步态分析（E2）。
在E1时，几个运动学和动力学参数有所改善，尽管两组之间无显著差异。时空参数在E1时恶化，在E2时恢复到术前值。
所检查的参数可能更多地受手术结果和病理特征变异性等因素的影响，而非力量训练计划本身。然而，如果考虑患者动机、年龄和术后状态等因素，采用更强化和短期的训练方案，力量训练可能会产生更显著的效果。
