Pagliano Emanuela, Foscan Maria, Marchi Alessia, Corlatti Alice, Aprile Giorgia, Riva Daria
a Developmental Neurology Unit , C. Besta Neurological Institute Foundation , Milan , Italy.
Dev Neurorehabil. 2018 Nov;21(8):542-545. doi: 10.1080/17518423.2017.1354091. Epub 2017 Aug 1.
Effective drugs for type 1A Charcot-Marie-Tooth (CMT1A) disease are not available. Various forms of moderate exercise are beneficial, but few data are available on the effectiveness of exercise in CMT1A children.
To investigate the feasibility and effectiveness of exercises to improve ankle strength and limb function in a child with CMT1A.
Outpatient clinic.
Nine-year-old boy with CMT1A.
The rehabilitation program consisted of ankle exercises and Kinect videogame-directed physical activities (using an Xbox 360 console/movement sensor) that aimed to improve balance and limb strength. The program was given 3 times a week for 5 weeks. The child was assessed at baseline, after 5 weeks, and 3 and 6 months after.
By the end of follow-up, child balance and endurance had improved, but ankle strength did not.
The encouraging results for balance and endurance justify further studies on videogame-directed activities in CMT1A children/adolescents.
目前尚无治疗1A型夏科-马里-图斯病（CMT1A）的有效药物。各种形式的适度运动有益，但关于运动对CMT1A患儿有效性的数据较少。
探讨运动对一名CMT1A患儿改善踝关节力量和肢体功能的可行性及有效性。
门诊诊所。
一名9岁的CMT1A患儿。
康复计划包括踝关节运动和由Kinect视频游戏引导的体育活动（使用Xbox 360游戏机/运动传感器），旨在改善平衡和肢体力量。该计划每周进行3次，共5周。在基线、5周后、3个月和6个月后对患儿进行评估。
随访结束时，患儿的平衡和耐力有所改善，但踝关节力量未改善。
平衡和耐力方面令人鼓舞的结果证明有必要进一步研究视频游戏引导活动对CMT1A儿童/青少年的作用。
