跑步机训练与地面行走：为一名患有脊柱裂的幼儿做决策

Treadmill training and overground gait: decision making for a toddler with spina bifida.

作者信息

Moerchen Victoria A, Habibi Mohammad, Lynett Kelly A, Konrad Jeffrey D, Hoefakker Heather L

机构信息

Physical Therapy Program, Department of Human Movement Sciences, College of Health Sciences, University of Wisconsin-Milwaukee, WI, USA.

出版信息

Pediatr Phys Ther. 2011 Spring;23(1):53-61. doi: 10.1097/PEP.0b013e318208a310.

DOI:10.1097/PEP.0b013e318208a310

PMID:21304342

Abstract

BACKGROUND AND PURPOSE

This case report describes a decision-making process that was used to progress a home-based intervention that coupled treadmill and walker stepping for a preambulatory toddler with spina bifida.

CASE DESCRIPTION

The toddler in this report had an L4-L5 level lesion, and began this home-based intervention at 18 months of age when she was pulling to stand.

INTERVENTION

The intervention included parameters for treadmill stepping that prepared this toddler for gait with orthotics and was progressed to overground walking with a walker using a decision-making algorithm based on data obtained from a parent log and coded video.

OUTCOMES

This toddler progressed from not stepping at the start of the study to ambulating 150 m with a walker at age 23 months, after 18 weeks of this intervention.

DISCUSSION AND CONCLUSION

The intervention and decision-making process used in this study were family centered and may be applicable to gait intervention with other populations.

摘要