脑瘫患儿站立时迈步对功能及继发状况的影响
Contribution of stepping while standing to function and secondary conditions among children with cerebral palsy.
作者信息
Eisenberg Sharon, Zuk Luba, Carmeli Eli, Katz-Leurer Michal
机构信息
Physical Therapy Department, The Stanley Steyer School of Health Professions, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel.
出版信息
Pediatr Phys Ther. 2009 Spring;21(1):79-85. doi: 10.1097/PEP.0b013e31818f57f2.
PURPOSE
To explore the feasibility and efficacy of stepping while standing and its effect on function and prevalence of secondary conditions among children with severe cerebral palsy.
METHODS
Of 22 children with severe cerebral palsy, 11 underwent treatment using a Hart Walker (HW) device, and the other 11 underwent a passive standing program. Constipation prevalence and adverse events were recorded. Bone quantitative ultrasound was performed for the tibia. The Pediatric Evaluation of Disability Inventory was used to assess activities of daily life.
RESULTS
Children exposed to the HW improved bowel function, but no added quantitative benefit to bone was observed when compared with passive standing. Children using the HW were able to take steps independently in the device, but did not reach a functional walking level.
CONCLUSIONS
Providing a child who is nonambulatory the opportunity to walk may be important both for participation in activities of daily living and social roles and for preventing secondary conditions.
目的
探讨重度脑瘫患儿站立时迈步的可行性和有效性及其对功能和继发疾病患病率的影响。
方法
22例重度脑瘫患儿中，11例使用哈特助行器（HW）进行治疗，另外11例接受被动站立训练。记录便秘患病率和不良事件。对胫骨进行骨定量超声检查。使用儿童残疾评估量表评估日常生活活动能力。
结果
使用HW的患儿肠道功能得到改善，但与被动站立相比，未观察到对骨骼有额外的定量益处。使用HW的患儿能够在器械中独立迈步，但未达到功能性步行水平。
结论
为不能行走的患儿提供行走机会，对于参与日常生活活动和社会角色以及预防继发疾病可能都很重要。
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