Kim Sung-Gyung, Ryu Young Uk, Je Hyun Dong, Jeong Ji Hoon, Kim Hyeong-Dong
Department of Physical Therapy, College of Medical Sciences, Catholic University of Daegu, Gyeongbuk, Republic of Korea.
Int J Rehabil Res. 2013 Sep;36(3):246-52. doi: 10.1097/MRR.0b013e32835dd620.
The aim of this study was to determine whether an 8-week period of backward walking (BW) training on the treadmill can improve the gross motor function measure (GMFM), weight-bearing symmetry, and temporospatial gait parameters in individuals with spastic cerebral palsy. Twelve participants aged 5-15 years with spastic cerebral palsy participated in this study. The BW training was conducted on a treadmill for up to 20 min, with three sessions per week for 8 consecutive weeks. Before each treadmill training session, lower limb stretching was included in the session. Interlimb differentials of vertical ground reaction force while standing, temporal-distance gait parameters, and scores of dimension D and dimension E of the GMFM were determined. Participants showed statistically significant improvements in a measure of GMFM (P<0.01) and weight-bearing symmetry value (P<0.05), forward walking velocity (P<0.05), and step/stride length (P<0.05 or P<0.01). This pilot study suggests that BW therapy on a treadmill may help to improve walking abilities and other gross motor skills in this sample of patients.
本研究的目的是确定在跑步机上进行为期8周的倒走（BW）训练是否能改善痉挛型脑瘫患者的粗大运动功能测量（GMFM）、负重对称性和时空步态参数。12名年龄在5至15岁的痉挛型脑瘫患者参与了本研究。BW训练在跑步机上进行，最长可达20分钟，每周进行3次，连续进行8周。在每次跑步机训练前，训练中都包括下肢伸展。测定了站立时垂直地面反作用力的双侧差异、时空步态参数以及GMFM的D维度和E维度得分。参与者在GMFM测量（P<0.01）、负重对称值（P<0.05）、向前行走速度（P<0.05）以及步长/步幅（P<0.05或P<0.01）方面均有统计学意义的改善。这项初步研究表明，在跑步机上进行BW治疗可能有助于改善该样本患者的行走能力和其他粗大运动技能。
