Department of Physical Therapy, University of Findlay , Findlay, OH , USA .
Physiother Theory Pract. 2014 Apr;30(3):189-95. doi: 10.3109/09593985.2013.863414. Epub 2013 Dec 11.
The purpose of this study was to describe the effects of an ice skating program on the ambulation, strength, posture and balance of a child with cerebral palsy (CP).
The subject was a five-year-old female with a diagnosis of CP and a Gross Motor Classification System level of III. The subject was a slow and labored household ambulator on level surfaces with bilateral forearm crutches and bilateral ankle foot orthoses. She was unable to transfer to and from the floor to stand independently, stand unsupported or take steps independently. Until the initiation of this study she was receiving physical therapy services 2×/week. For the purpose of this study she participated in a 1 h/week local ice skating program for people with disabilities for a period of four months.
The subject displayed clinically significant improvements in functional mobility including: improved standing posture; independent transfer to and from the floor to stand; maintenance of independent standing for 3 min; independent walking for 10 feet; increased ability to isolate extremity musculature; increased strength; improved Gross Motor Function Measure-88 scores and increased endurance. A subsequent testing session four months after the ice skating program had ended displayed declines but not to pre-intervention levels in muscle strength; ability to transfer to and from the floor to stand; functional mobility and standing balance.
The results appear to suggest that the participation in an ice skating program clinically improved this child's functional mobility. Further research needs to be done with regard to physical recreational programs and the benefit they can have on the function of children with activity limitations.
本研究旨在描述滑冰计划对脑瘫儿童（CP）的步行、力量、姿势和平衡的影响。
研究对象是一名 5 岁女性，患有脑瘫，运动功能分级系统水平为 III 级。她是一个行动缓慢、费力的家庭步行者，需要双侧前臂腋杖和双侧踝足矫形器才能在水平表面上行走。她无法独立从地面转移到站立位置，无法独立站立或独立行走。在开始本研究之前，她每周接受 2 次物理治疗服务。为了进行本研究，她参加了为期 4 个月的每周 1 小时的当地残疾人滑冰项目。
研究对象在功能性移动方面表现出显著的临床改善，包括：改善站立姿势；独立从地面转移到站立位置；独立站立 3 分钟；独立行走 10 英尺；能够独立隔离肢体肌肉；增强力量；改善粗大运动功能测量-88 评分和增强耐力。在滑冰计划结束后的后续测试中，肌肉力量、从地面转移到站立位置的能力、功能性移动和站立平衡的能力有所下降，但并未降至干预前的水平。
结果表明，参加滑冰计划在临床上改善了这个孩子的功能性移动能力。需要进一步研究体育娱乐计划及其对活动受限儿童功能的益处。
