Kenyon Lisa K, Westman Marci, Hefferan Ashley, McCrary Peter, Baker Barbara J
a Department of Physical Therapy , Grand Valley State University , Grand Rapids , MI , USA.
Physiother Theory Pract. 2017 Jul;33(7):576-585. doi: 10.1080/09593985.2017.1325956. Epub 2017 May 30.
Contemporary approaches to the treatment of cerebral palsy (CP) advocate a task-specific approach that emphasizes repetition and practice of specific tasks. Recent studies suggest that body-weight-supported treadmill training (BWSTT) programs may be beneficial in clinical settings. The purposes of this case series were to explore the outcomes and feasibility of a home-based BWSTT program for three children with CP.
Three children with CP at Gross Motor Function Classification System (GMFCS) Levels III or IV participated in this case series. Examination included the Functional Assessment Questionnaire (FAQ), the 10-meter walk test, the Gross Motor Function Measure (GMFM-66), and the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT). A harness system was used to conduct the BWSTT program over an 8-12 week period.
All of the families reported enjoying the BWSTT program and found the harness easy to use. Participant 2 increased from a 2 to a 4 on the FAQ, while Participant 3 increased from a 6 to a 7.
Two of the participants demonstrated post-intervention improvements in functional mobility. In addition to mobility outcomes, future research should explore the potential health benefits of a home-based BWSTT program.
当代脑瘫（CP）治疗方法提倡采用任务特定的方法，强调特定任务的重复和练习。近期研究表明，体重支持式跑步机训练（BWSTT）计划在临床环境中可能有益。本病例系列的目的是探讨针对三名脑瘫儿童的家庭式BWSTT计划的效果和可行性。
三名处于粗大运动功能分类系统（GMFCS）III或IV级的脑瘫儿童参与了本病例系列。检查包括功能评估问卷（FAQ）、10米步行测试、粗大运动功能测量（GMFM - 66）以及残疾儿童评定量表 - 计算机自适应测试（PEDI - CAT）。使用吊带系统在8至12周的时间内实施BWSTT计划。
所有家庭都表示喜欢BWSTT计划，并且觉得吊带易于使用。参与者2在FAQ上的得分从2分提高到了4分，而参与者3从6分提高到了7分。
两名参与者在干预后功能移动性有所改善。除了移动性结果外，未来研究应探索家庭式BWSTT计划的潜在健康益处。
