Fowler Eileen G, Kolobe Thubi Ha, Damiano Diane L, Thorpe Deborah E, Morgan Don W, Brunstrom Janice E, Coster Wendy J, Henderson Richard C, Pitetti Kenneth H, Rimmer James H, Rose Jessica, Stevenson Richard D
Department of Orthopaedic Surgery, University of California at Los Angeles, and Faculty, Tarjan Center at UCLA, 22-70 Rehabilitation Center, 1000 Veteran Ave, Los Angeles, CA 90095-1795, USA.
Phys Ther. 2007 Nov;87(11):1495-510. doi: 10.2522/ptj.20060116. Epub 2007 Sep 25.
Inadequate physical fitness is a major problem affecting the function and health of children with cerebral palsy (CP). Lack of optimal physical activity may contribute to the development of secondary conditions associated with CP such as chronic pain, fatigue, and osteoporosis. The purpose of this article is to highlight the content and recommendations of a Pediatrics Research Summit developed to foster collaborative research in this area. Two components of physical fitness-muscle strength and cardiorespiratory fitness-were emphasized. Although there is evidence to support the use of physical fitness interventions, there are many gaps in our current knowledge. Additional research of higher quality and rigor is needed in order to make definitive recommendations regarding the mode, intensity, frequency, and duration of exercise. Outcome measurements have focused on the body functions and structures level of the International Classification of Functioning, Disability and Health (ICF), and much less is known about effects at the activities and participation levels. Additionally, the influence of nutritional and growth factors on physical fitness has not been studied in this population, in which poor growth and skeletal fragility have been identified as serious health issues. Current intervention protocols and outcome measurements were critically evaluated, and recommendations were made for future research.
身体素质不佳是影响脑瘫（CP）患儿功能和健康的一个主要问题。缺乏最佳身体活动可能会导致与脑瘫相关的继发性疾病的发展，如慢性疼痛、疲劳和骨质疏松症。本文的目的是强调为促进该领域合作研究而举办的儿科学研究峰会的内容和建议。身体素质的两个组成部分——肌肉力量和心肺适能——得到了强调。虽然有证据支持使用身体素质干预措施，但我们目前的知识存在许多空白。需要进行更高质量和更严格的进一步研究，以便就运动的方式、强度、频率和持续时间提出明确建议。结果测量主要集中在《国际功能、残疾和健康分类》（ICF）的身体功能和结构层面，而对于活动和参与层面的影响了解较少。此外，尚未对该人群中营养和生长因素对身体素质的影响进行研究，在该人群中，生长发育不良和骨骼脆弱已被确定为严重的健康问题。对当前的干预方案和结果测量进行了批判性评估，并对未来研究提出了建议。
