Sterba John A
Division of Developmental Pediatrics and Rehabilitation, Robert Warner Rehabilitation Center, Women and Children's Hospital of Buffalo, New York, USA.
Pediatr Phys Ther. 2006 Winter;18(4):289-96. doi: 10.1097/01.pep.0000233006.69121.bf.
The study was designed to examine the effect of adaptive downhill skiing (ADS) on gross motor function in children with spastic cerebral palsy.
One girl and four boys participated (mean age = eight years, five months). All were ambulatory. Participants' Gross Motor Function Measure (GMFM) classifications were: Level I (n = 2); Level II (n = 2); Level III (n = 1). ADS was conducted for a 10-week period at one ski resort. Each participant had the same ski instructor. GMFM was obtained every five weeks: beginning five weeks before ADS instruction and continuing to 10 weeks after ADS instruction.
After 10 weeks of ADS GMFM-D, and GMFM-Total Score increased 5.4% (p = 0.022) and 3.2% (p = 0.035), respectively, and remained increased 10 weeks after ADS.
ADS could be recommended by clinicians as a recreational activity for the gross motor rehabilitation of ambulatory children with spastic cerebral palsy.
本研究旨在探讨适应性下坡滑雪（ADS）对痉挛型脑瘫患儿粗大运动功能的影响。
一名女孩和四名男孩参与研究（平均年龄 = 8岁5个月）。所有患儿均能独立行走。参与者的粗大运动功能测量（GMFM）分级为：I级（n = 2）；II级（n = 2）；III级（n = 1）。在一个滑雪胜地进行了为期10周的ADS训练。每位参与者都有相同的滑雪教练。每五周进行一次GMFM评估：从ADS训练前5周开始，持续至ADS训练后10周。
经过10周的ADS训练，GMFM - D和GMFM总分分别提高了5.4%（p = 0.022）和3.2%（p = 0.035），且在ADS训练后10周仍保持增长。
临床医生可推荐ADS作为一种娱乐活动，用于痉挛型脑瘫能独立行走患儿的粗大运动康复。
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