Kim Yumi, Lee Byoung-Hee
Department of Physical Therapy, College of Health Science, Sahmyook University.
J Phys Ther Sci. 2013 Aug;25(8):947-51. doi: 10.1589/jpts.25.947. Epub 2013 Sep 20.
[Purpose] This study was conducted in order to investigate the effects of child-centered task-oriented training on balance ability in patients with cerebral palsy. [Subjects] Twenty-six subjects with cerebral palsy were recruited. [Methods] This study applied a child-centered task-oriented training program to 26 subjects during a period of 15 weeks, with two 40-minute sessions per week. The Pediatric Berg Balance Scale (PBS) was used for measurement of the effect of child-centered task-oriented training. [Results] Balance ability showed a significant change after the intervention in age groups younger than nine, between 10 and 12, and older than 13. In addition, a significant difference in balance ability was observed in the spastic type, athetoid type, diplegia, and quadriplegia transport groups, including an independent walking group, a group of subjects who used walkers, and a group of subjects who used wheelchairs. [Conclusion] Although we suggest conduct of a follow-up study on child-centered task-oriented training, the results of this study showed improved balance ability in patients with cerebral palsy. Therefore, these results recommend a variety of applications in clinical trials of conservative therapeutic methods.
[目的] 本研究旨在探讨以儿童为中心的任务导向训练对脑瘫患者平衡能力的影响。[对象] 招募了26名脑瘫患者。[方法] 本研究对26名受试者实施了为期15周的以儿童为中心的任务导向训练计划，每周进行两次，每次40分钟。采用小儿Berg平衡量表（PBS）来测量以儿童为中心的任务导向训练的效果。[结果] 9岁以下、10至12岁以及13岁以上年龄组在干预后平衡能力有显著变化。此外，在痉挛型、手足徐动型、双瘫和四肢瘫运动组中，包括独立行走组、使用助行器的受试者组和使用轮椅的受试者组，平衡能力存在显著差异。[结论] 尽管我们建议对以儿童为中心的任务导向训练进行后续研究，但本研究结果显示脑瘫患者的平衡能力有所改善。因此，这些结果推荐在保守治疗方法的临床试验中进行多种应用。
