重度脑瘫患儿在强化减重平板训练后的耐力和步态
Endurance and gait in children with cerebral palsy after intensive body weight-supported treadmill training.
作者信息
Provost Beth, Dieruf Kathy, Burtner Patricia A, Phillips John P, Bernitsky-Beddingfield Ann, Sullivan Katherine J, Bowen Chantel A, Toser Lesley
机构信息
Physical Therapy Program, Department of Orthopaedics and Rehabilitation, University of New Mexico, Albuquerque, New Mexico 87131-0001, USA.
出版信息
Pediatr Phys Ther. 2007 Spring;19(1):2-10. doi: 10.1097/01.pep.0000249418.25913.a3.
PURPOSE
This study was designed to investigate changes in endurance, functional gait, and balance after intensive body weight-supported treadmill training in children with CP who were ambulatory.
METHODS
Six school-aged children with CP (four boys, two girls; age range: six to 14 years) participated in an intensive program of body weight-supported treadmill training 30 minutes twice daily for two weeks.
RESULTS
Statistically significant improvement in walking velocity and energy expenditure were observed. Variability of individual outcomes was observed with some children showing positive changes, and others no change or a decline in performance. Four children showed minimal detectable changes in a positive direction on both an endurance measure and a functional gait measure. Each endurance and functional gait measure included at least one child with a positive minimal detectable change.
CONCLUSION
Intensive body weight-supported treadmill training may be an effective intervention for some children with CP who are ambulatory.
目的
本研究旨在调查接受强化减重支持平板训练后，能行走的脑瘫儿童在耐力、功能性步态和平衡方面的变化。
方法
六名学龄期脑瘫儿童（四名男孩，两名女孩；年龄范围：6至14岁）参加了一项强化减重支持平板训练计划，每天两次，每次30分钟，共持续两周。
结果
观察到步行速度和能量消耗有统计学意义的显著改善。观察到个体结果存在差异，一些儿童表现出积极变化，而另一些儿童则没有变化或表现下降。四名儿童在耐力测量和功能性步态测量方面均显示出最小可检测到的正向变化。每项耐力和功能性步态测量中至少有一名儿童有正向最小可检测到的变化。
结论
强化减重支持平板训练可能是对一些能行走的脑瘫儿童的有效干预措施。
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