Gibson Noula, Chappell Annie, Blackmore Amanda Marie, Morris Susan, Williams Gavin, Bear Natasha, Allison Garry
a Princess Margaret Hospital for Children , Perth , Western Australia.
b Ability Centre , Perth , Western Australia.
Disabil Rehabil. 2018 Dec;40(25):3041-3049. doi: 10.1080/09638288.2017.1367426. Epub 2017 Aug 21.
The purpose of this study is to evaluate effects of a running intervention on running ability and participation in children with cerebral palsy.
Children with cerebral palsy (9-18 years) with Gross Motor Function Classification System levels I-III were randomly assigned to a 12-week running intervention or usual care. Primary outcomes included improvement in running ability (assessed by Goal Attainment Scaling, high level mobility (assessed by the High-Level Mobility Assessment Tool) and participation (assessed by the Participation and Environment Measure for Children and Youth). Secondary outcomes were aerobic and anaerobic fitness and agility. Blinded assessments took place at baseline and 12 weeks. Regression analysis adjusting for baseline differences was used to determine between group differences.
Forty-two participants (mean age 12.5 years, SD 2.8 years; 15 female) completed the study. Statistically significant group differences at 12-weeks were found for improvements in running ability (86% treatment group versus 0% control group achieved or exceeded their running goals, p < 0.001), and participation in the school environment (Participation and Environment Measure mean difference 1.18: 95%CI 1.00-1.39, p = 0.045).
A 12-week individualized running training skills intervention results in achievement of running ability goals and participation in the school environment in children with cerebral palsy. Implications for Rehabilitation Children with cerebral palsy who can walk unaided demonstrate impairments in higher level mobility such as running. Running is a motor skill that can be trained in children with cerebral palsy. Individually tailored running skills intervention, delivered in a group context can improve goal-identified running ability and translate into a higher frequency of participation in school activities.
本研究旨在评估跑步干预对脑瘫儿童跑步能力和参与度的影响。
将粗大运动功能分类系统I - III级的9至18岁脑瘫儿童随机分为12周跑步干预组或常规护理组。主要结局包括跑步能力的改善（通过目标达成量表评估）、高水平运动能力（通过高水平运动评估工具评估）和参与度（通过儿童和青少年参与及环境测量工具评估）。次要结局为有氧和无氧适能以及敏捷性。在基线和12周时进行盲法评估。采用调整基线差异的回归分析来确定组间差异。
42名参与者（平均年龄12.5岁，标准差2.8岁；15名女性）完成了研究。在12周时，发现跑步能力改善（治疗组86%达到或超过跑步目标，对照组为0%，p < 0.001）以及在学校环境中的参与度（参与及环境测量工具平均差异为1.18：95%置信区间1.00 - 1.39，p = 0.045）方面存在统计学显著的组间差异。
为期12周的个体化跑步训练技能干预可使脑瘫儿童实现跑步能力目标并提高在学校环境中的参与度。康复意义 能够独立行走的脑瘫儿童在诸如跑步等更高水平运动能力方面存在障碍。跑步是一种可在脑瘫儿童中进行训练的运动技能。在小组环境中提供的个体化定制跑步技能干预可提高目标明确的跑步能力，并转化为更高频率的学校活动参与度。
