Yooralla, 48-50 Box Forest Road, Glenroy, Australia.
Disabil Rehabil. 2009;31(24):1971-9. doi: 10.3109/09638280902874204.
The development of efficient and independent walking is an important therapeutic goal for many children with cerebral palsy (CP). Consequently, there has been growing interest in determining the effects of treadmill training programs for these children.
A systematic review of the literature was conducted to evaluate the effectiveness of treadmill training for children with CP. Relevant trials were identified by searching electronic databases and by citation tracking.
Of 125 papers initially identified, five met the criteria for review. Results showed that treadmill training is safe and feasible for children with CP across a wide range of ages and functional abilities. Children with more severely affected walking ability significantly increased their walking speed (d = 1.48, 95% CI: 0.49-2.40) and gross motor performance (d = 1.5, 95% CI: 0.50-2.50) after training. However, the results also suggested that treadmill speed and length of training sessions might need to be set to specifically match desired intervention goals such as increasing walking speed or endurance.
The review suggests that treadmill training is safe and feasible for children with CP and indicates that there may be some positive benefits in walking speed over short distances and in general gross motor skills. The provision of PBWS may be particularly beneficial for children with more severe walking disability (GMFCS III and IV). Further research is necessary before it can be concluded that treadmill training is beneficial for children with CP.
对于许多脑瘫（CP）患儿来说，发展高效且独立的行走能力是一个重要的治疗目标。因此，人们越来越关注确定这些儿童使用跑步机训练计划的效果。
系统地回顾了文献，以评估跑步机训练对 CP 儿童的有效性。通过搜索电子数据库和引文追踪来确定相关试验。
在最初确定的 125 篇论文中，有 5 篇符合综述标准。结果表明，跑步机训练对年龄和功能能力广泛的 CP 儿童是安全且可行的。行走能力受影响更严重的儿童在训练后显著提高了他们的步行速度（d = 1.48，95%置信区间：0.49-2.40）和粗大运动表现（d = 1.5，95%置信区间：0.50-2.50）。然而，结果还表明，跑步机的速度和训练时间可能需要根据具体的干预目标进行设置，例如提高步行速度或耐力。
综述表明，跑步机训练对 CP 儿童是安全且可行的，并表明在短距离行走速度和总体粗大运动技能方面可能有一些积极的益处。提供个人步行训练系统可能对行走障碍更严重的儿童（GMFCS III 和 IV）特别有益。在得出跑步机训练对 CP 儿童有益的结论之前，还需要进一步的研究。
