You J, Yamasaki M
Graduate School of Integrated Arts and Sciences, Hiroshima University, Higashi-Hiroshima, Japan.
Int J Sports Med. 2015 Apr;36(4):315-20. doi: 10.1055/s-0034-1390431. Epub 2015 Jan 22.
The aim of the study was to examine the relationship between whole body range of motion (ROM) and aerobic capacity based on the fact that motor ability is closely related to ROM in adults with cerebral palsy (CP). The subjects were ambulant adults with CP (N=56). Their age, height, weight, and BMI were 36.4±9.2 years, 162.6±9.5 cm, 58.9±11.0 kg, and 22.2±3.4 kg·m (- 2), respectively. Active ROM (AROM) was measured in this study. Measurements included 25 AROMs of the cervical spine, shoulder, elbow, wrist, hip, knee, and ankle. Peak oxygen uptake (VO2peak) was measured during a maximal treadmill test. Correlation analysis revealed that shoulder abduction and hip abduction were significantly associated with many other AROMs. Many AROMs including the cervical spine (rotation), shoulder (flexion, extension, and abduction), hip (internal rotation, external rotation, abduction and adduction), knee (flexion) and ankle (dorsiflexion and plantarflexion) were significantly correlated with VO2peak (p<0.05). The highest correlation coefficient was observed in the relationship between ankle dorsiflexion and VO2peak (p<0.01). Ankle dorsiflexion and cervical rotation of AROMs were maintained within the regression model of factors associated with VO2peak. The present study demonstrated a strong relationship between ankle dorsiflexion and cervical rotation of AROMs and VO2peak in ambulant adults with CP.
本研究的目的是基于运动能力与脑瘫（CP）成人的关节活动范围（ROM）密切相关这一事实，探讨全身关节活动范围（ROM）与有氧运动能力之间的关系。研究对象为能行走的CP成人（N = 56）。他们的年龄、身高、体重和体重指数分别为36.4±9.2岁、162.6±9.5厘米、58.9±11.0千克和22.2±3.4千克·米（-2）。本研究测量了主动关节活动范围（AROM）。测量包括颈椎、肩部、肘部、腕部、髋部、膝部和踝部的25项AROM。在最大跑步机测试期间测量峰值摄氧量（VO2peak）。相关性分析显示，肩关节外展和髋关节外展与许多其他AROM显著相关。许多AROM，包括颈椎（旋转）、肩部（屈曲、伸展和外展）、髋部（内旋、外旋、外展和内收）、膝部（屈曲）和踝部（背屈和跖屈）与VO2peak显著相关（p<0.05）。在踝背屈与VO2peak之间的关系中观察到最高的相关系数（p<0.01）。在与VO2peak相关的因素回归模型中，维持了AROM的踝背屈和颈椎旋转。本研究表明，在能行走的CP成人中，AROM的踝背屈和颈椎旋转与VO2peak之间存在密切关系。
