Sardar Bhagwan Singh Post Graduate Institute of Biomedical Sciences, Balawala, Dehradun, India.
Clin Rehabil. 2011 May;25(5):425-32. doi: 10.1177/0269215510382929. Epub 2010 Nov 8.
The aim of the study was to determine the effect of exercise training on strength and balance in children with Down's syndrome.
Randomized controlled trial.
Rehabilitation school for special children.
Twenty-three children were randomized to intervention and control group. The intervention group (n = 12) underwent progressive resistive exercises for lower limbs and balance training for six weeks. The control group continued their regular activities followed at school.
A handheld dynamometer was used to measure the lower limb muscle strength. Balance was assessed by the balance subscale of Bruininks Oseretsky Test of Motor Proficiency (BOTMP).
Following the training, the children in the intervention group showed a statistically significant improvement (P < 0.05) in the lower limb strength of all the muscle groups assessed. The strength of knee extensors was 12.12 lbs in the control group versus 18.4 lbs in the experimental group; in hip flexors it was 12.34 lbs in the control group versus 16.66 lbs in the experimental group post-intervention. The balance of the children also improved significantly with an improvement in scores of the balance subscale of BOTMP (19.50 in the experimental group versus 9.00 in the control group, P = 0.001).
This study suggests that a specific exercise training programme may improve the strength and balance in children with Down's syndrome.
本研究旨在探讨运动训练对唐氏综合征儿童肌力和平衡的影响。
随机对照试验。
特殊儿童康复学校。
23 名儿童被随机分为干预组和对照组。干预组（n=12）接受为期 6 周的下肢渐进性抗阻训练和平衡训练。对照组继续在学校进行常规活动。
使用手持测力计测量下肢肌肉力量。平衡通过 Bruininks-Oseretsky 运动能力测试（BOTMP）的平衡分量表进行评估。
经过训练，干预组儿童所有评估肌肉群的下肢力量均有统计学意义的改善（P<0.05）。对照组的膝关节伸展肌力量为 12.12 磅，实验组为 18.4 磅；对照组的髋关节屈肌力量为 12.34 磅，实验组为 16.66 磅。儿童的平衡也有显著改善，BOTMP 平衡分量表的得分提高（实验组为 19.50，对照组为 9.00，P=0.001）。
本研究表明，特定的运动训练方案可能改善唐氏综合征儿童的肌力和平衡。
