Ko Myung-Sook, Lee Jung-Ah, Kang Sun-Young, Jeon Hye-Seon
Department of Physical Therapy, Graduate School, Yonsei University , Wonju , Korea .
Physiother Theory Pract. 2015 May;31(4):275-82. doi: 10.3109/09593985.2014.996307. Epub 2014 Dec 30.
The purpose of this research report is to investigate the long-term effect of Adeli suit treatment (AST) in a child with cerebral palsy (CP) on spatial-temporal gait parameters, 10-meter walking speed, gross motor functional measure (GMFM) and performance on the pediatric balance scale (PBS). An eight-year-old girl with spastic diplegia classified as level III on the Gross Motor Function Classification System participated in this single-subject A-B design study, with a baseline and an intervention phase. The baseline phase was collected at one-week intervals for six weeks and then the AST intervention phase was carried out with 18 AST sessions, 50 min per session, once a week for an 18-week period. Spatial-temporal gait parameters significantly improved after the completion of 18 sessions. Furthermore, 10-meter walking speed, GMFM and PBS changed significantly from the baseline measurement (p < 0.05). In conclusion, the AST was effective in improving gait, gross motor function and balance in a child with diplegic CP. Clinically, neuro-rehabilitation with AST provided a complementary and alternative treatment for lower extremity rehabilitation in this child with CP. These findings provide preliminary evidence supporting the effectiveness of AST in children with spastic CP, and thus underscore the need for additional research in this area.
本研究报告的目的是调查阿迪力套装疗法（AST）对一名脑性瘫痪（CP）儿童的时空步态参数、10米步行速度、粗大运动功能测量（GMFM）以及儿科平衡量表（PBS）表现的长期影响。一名在粗大运动功能分类系统中被归类为三级的痉挛型双侧瘫八岁女孩参与了这项单受试者A - B设计研究，该研究包括一个基线期和一个干预期。基线期每隔一周收集一次数据，为期六周，然后进行AST干预期，共进行18次AST治疗，每次治疗50分钟，每周一次，为期18周。在完成18次治疗后，时空步态参数有显著改善。此外，10米步行速度、GMFM和PBS与基线测量相比有显著变化（p < 0.05）。总之，AST对改善双侧瘫CP儿童的步态、粗大运动功能和平衡有效。临床上，AST神经康复为该CP儿童的下肢康复提供了一种补充性和替代性治疗方法。这些发现为支持AST对痉挛型CP儿童有效性提供了初步证据，因此强调了该领域进一步研究的必要性。
