Stark C, Nikopoulou-Smyrni P, Stabrey A, Semler O, Schoenau E
Brunel University of West London, School of Health Science and Social Care, UK.
J Musculoskelet Neuronal Interact. 2010 Jun;10(2):151-8.
The purpose of this study was to determine the effect of a new physiotherapy concept on bone density, muscle force and motor function in bilateral spastic cerebral palsy children.
In a retrospective data analysis 78 children were analysed. The concept included whole body vibration, physiotherapy, resistance training and treadmill training. The concept is structured in two in-patient stays and two periods of three months home-based vibration training. Outcome measures were dual-energy x-ray absorption (DXA), Leonardo Tilt Table and a modified Gross Motor Function Measure before and after six months of training.
Percent changes were highly significant for bone mineral density, -content, muscle mass and significant for angle of verticalisation, muscle force and modified Gross Motor Function Measure after six months training.
The new physiotherapy concept had a significant effect on bone mineral density, muscle force and gross motor function in bilateral spastic cerebral palsy children. This implicates an amelioration in all International Classification of Functioning, Disability and Health levels. The study serves as a basis for future research on evidence based paediatric physiotherapy taking into account developmental implications.
本研究旨在确定一种新的物理治疗方案对双侧痉挛型脑瘫患儿骨密度、肌肉力量和运动功能的影响。
通过回顾性数据分析对78名儿童进行分析。该方案包括全身振动、物理治疗、阻力训练和跑步机训练。该方案分为两个住院阶段和两个为期三个月的家庭振动训练阶段。在训练六个月前后，采用双能X线吸收法（DXA）、莱昂纳多倾斜台和改良粗大运动功能测量量表进行结果测量。
训练六个月后，骨矿物质密度、含量、肌肉质量的百分比变化非常显著，垂直角度、肌肉力量和改良粗大运动功能测量量表的变化也很显著。
这种新的物理治疗方案对双侧痉挛型脑瘫患儿的骨矿物质密度、肌肉力量和粗大运动功能有显著影响。这意味着在《国际功能、残疾和健康分类》的各个层面都有所改善。本研究为未来基于证据的儿科物理治疗研究提供了基础，同时考虑到发育方面的影响。
