Damiano Diane L
Department of Neurology, Washington University, St Louis, MO 63110, USA.
Phys Ther. 2006 Nov;86(11):1534-40. doi: 10.2522/ptj.20050397.
This perspective outlines the theoretical basis for the presentation with the same name as the second part of this title, which was given at the III STEP conference in July 2005. It elaborates on the take-home message from that talk, which was to promote activity in children and adults with cerebral palsy and other central nervous system disorders. The author proposes that the paradigm for physical therapist management of cerebral palsy needs to shift from traditional or "packaged" approaches to a more focused and proactive approach of promoting activity through more intense active training protocols, lifestyle modifications, and mobility-enhancing devices. Increased motor activity has been shown to lead to better physical and mental health and to augment other aspects of functioning such as cognitive performance, and more recently has been shown to promote neural and functional recovery in people with damaged nervous systems. Although the benefits of fairly intense physical exercise programs such as strength training are becoming increasingly well recognized, few studies on the positive effects of generalized activity programs have been conducted in individuals with cerebral palsy. More research is needed and is currently under way to design and test the efficacy of activity-based strategies in cerebral palsy.
本观点概述了与本文标题第二部分同名演讲的理论基础，该演讲于2005年7月在第三届STEP会议上发表。它详细阐述了那次演讲的关键信息，即促进脑瘫及其他中枢神经系统疾病患儿和成人的活动。作者提出，物理治疗师对脑瘫的管理模式需要从传统或“打包式”方法转变为更具针对性和主动性的方法，通过更强化的主动训练方案、生活方式调整和增强移动性的设备来促进活动。增加运动活动已被证明能带来更好的身心健康，并增强功能的其他方面，如认知表现，最近还被证明能促进神经系统受损者的神经和功能恢复。尽管诸如力量训练等相当高强度的体育锻炼项目的益处越来越得到广泛认可，但针对脑瘫患者进行的关于一般性活动项目积极效果的研究却很少。目前需要并正在开展更多研究，以设计和测试基于活动的策略在脑瘫治疗中的疗效。
