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一项针对脑瘫儿童的家庭式体重支撑跑步机训练计划:一项初步研究。

A Home-Based Body Weight-Supported Treadmill Program for Children With Cerebral Palsy: A Pilot Study.

作者信息

Visser Allie, Westman Marci, Otieno Sango, Kenyon Lisa

机构信息

Mary Free Bed Rehabilitation Hospital (Drs Visser and Westman), Grand Rapids, Michigan; Department of Statistics (Dr Otieno), Grand Valley State University, Allendale, Michigan; Department of Physical Therapy (Dr Kenyon), Grand Valley State University, Grand Rapids, Michigan.

出版信息

Pediatr Phys Ther. 2017 Jul;29(3):223-229. doi: 10.1097/PEP.0000000000000406.

Abstract

PURPOSE

The purpose of this pilot study was to explore the effect and feasibility of a home-based body weight-supported treadmill training (BWSTT) program on walking capacity and functional mobility in children with cerebral palsy (CP).

METHODS

A within-subjects, repeated-measures design was used. Ten children with CP ages 6 to 16 years participated in pre- and postintervention testing sessions, an initial home training session, and a 12-week home-based BWSTT program conducted 3 to 4 times per week by a parent or caregiver for up to 20 minutes each session. Multiple outcome measures for walking capacity and functional mobility were used.

RESULTS

As a group, participants demonstrated significant improvements in walking capacity and functional mobility at the completion the 12-week intervention program.

CONCLUSIONS

Additional research regarding home-based BWSTT programs in children with CP is warranted and should focus on identifying specific parameters that promote achievement of optimal functional outcomes.

摘要

目的

本初步研究的目的是探讨基于家庭的体重支持跑步机训练(BWSTT)计划对脑瘫(CP)儿童步行能力和功能活动能力的影响及可行性。

方法

采用受试者内重复测量设计。10名6至16岁的CP儿童参加了干预前后的测试环节、一次初始家庭训练环节,以及由家长或照顾者每周进行3至4次、每次长达20分钟的为期12周的基于家庭的BWSTT计划。使用了多种步行能力和功能活动能力的结果测量指标。

结果

作为一个群体,参与者在完成12周干预计划后,步行能力和功能活动能力有显著改善。

结论

有必要对CP儿童基于家庭的BWSTT计划进行更多研究,且应侧重于确定促进实现最佳功能结果的具体参数。

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