El-Basatiny Heba M Youssr, Abdel-Aziem Amr Almaz
Department of Physical Therapy for Growth and Developmental Disorders in Children and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt Physical Therapy Department, College of Applied Medical Sciences, University of Dammam, Saudi Arabia.
Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt
Clin Rehabil. 2015 May;29(5):457-67. doi: 10.1177/0269215514547654. Epub 2014 Sep 25.
To study the effect of additional backward walking training on postural control in children with hemiparetic cerebral palsy.
Randomized controlled study.
Physical therapy clinics.
Thirty spastic hemiparetic cerebral palsied children of both sexes (10-14 years, 14 girls and 16 boys).
Children were randomly assigned into two equal groups: experimental and control groups. Both groups received a traditional physical therapy program for 12 weeks. Experimental group additionally received backward walking training which was provided 25 min/day, 3 days/week for 3 successive months.
Baseline and post-treatment assessment for overall, anteroposterior, and mediolateral stability indices were evaluated by using Biodex balance system.
After treatment; two way ANOVA revealed significant improvement in overall, anteroposterior and mediolateral stability indices of experimental group at the most stable level (level 12) and moderately unstable level (level 7) (1.40 ± 0.44 and 1.73 ± 0.51; 1.11 ± 0.34 and 2.13 ± 0.52; 1.93 ± 0.51 and 2.68 ± 0.52) respectively, than control group (1.77 ± 0.44 and 2.17 ± 0.56; 1.44 ± 0.44 and 2.54 ± 0.49; 2.39 ± 0.65 and 3.11 ± 0.49) respectively, (P < 0.05). There were significant improvement in all measured variables for both groups at both levels (P < 0.05).
Additional backward walking training to traditional physical therapy program yields improvement in postural stability indices in children with spastic hemiparetic cerebral palsy than traditional physical therapy alone.
研究额外的向后步行训练对偏瘫型脑瘫儿童姿势控制的影响。
随机对照研究。
物理治疗诊所。
30名痉挛性偏瘫型脑瘫儿童，男女皆有（10 - 14岁，14名女孩和16名男孩）。
将儿童随机分为两组，每组人数相等：实验组和对照组。两组均接受为期12周的传统物理治疗方案。实验组额外接受向后步行训练，每天进行25分钟，每周3天，连续进行3个月。
使用Biodex平衡系统评估基线及治疗后的整体、前后向和内外侧稳定性指标。
治疗后，双向方差分析显示，在最稳定水平（12级）和中度不稳定水平（7级）时，实验组的整体、前后向和内外侧稳定性指标均有显著改善（分别为1.40±0.44和1.73±0.51；1.11±0.34和2.13±0.52；1.93±0.51和2.68±0.52），而对照组分别为（1.77±0.44和2.17±0.56；1.44±0.44和2.54±0.49；2.39±0.65和3.11±0.49），（P<0.05）。两组在两个水平上的所有测量变量均有显著改善（P<0.05）。
在传统物理治疗方案基础上增加向后步行训练，相较于单纯传统物理治疗，能改善痉挛性偏瘫型脑瘫儿童的姿势稳定性指标。
