Son Min Soo, Jung Do Hee, You Joshua Sung H, Yi Chung Hwi, Jeon Hye Seon, Cha Young Joo
Anyang Community Kwanak Rehabilitation Center.
Sports Movement Healing Lab, Department of Physical Therapy, Yonsei University, Wonju, Republic of Korea.
NeuroRehabilitation. 2017;41(4):739-746. doi: 10.3233/NRE-172155.
To determine the effects of a novel dynamic neuromuscular stabilization (DNS) technique on gross motor function, diaphragm movement, and activation of the external oblique (EO) and internal oblique (IO)/transversus abdominal (TrA) muscles in participants with cerebral palsy (CP).
Fifteen participants with CP (7 females) underwent DNS intervention for 30 minutes/day, 3 days a week for 4 weeks. Gross motor function, diaphragm movement, and muscle activation were determined using a gross motor function measure (GMFM-88), ultrasound, and electromyography measurements, respectively, before and after the DNS core stabilization intervention. Paired t-tests were used at p < 0.05.
A single-arm, pretest-posttest clinical trial.
GMFM scores for standing, walking, and jumping domains were significantly improved after the intervention (P < 0.05). Diaphragm descending movement (P = 0.0001) and activation of the internal oblique and transversus abdominals were initially undetectable, but remarkably increased after the intervention (P = 0.012).
DNS is a promising, effective intervention for facilitating deep core muscle activation of the underactive muscle chain comprising the diaphragm, internal oblique, and transversus abdominals, thereby improving age-appropriate standing, walking, and jumping in participants with spastic diplegic CP.
确定一种新型动态神经肌肉稳定化（DNS）技术对脑瘫（CP）患者的总体运动功能、膈肌运动以及腹外斜肌（EO）和腹内斜肌/腹横肌（IO/TrA）激活的影响。
15名CP患者（7名女性）接受DNS干预，每天30分钟，每周3天，共4周。在DNS核心稳定化干预前后，分别使用总体运动功能测量（GMFM - 88）、超声和肌电图测量来确定总体运动功能、膈肌运动和肌肉激活情况。采用配对t检验，p<0.05。
单臂、干预前后测试的临床试验。
干预后，站立、行走和跳跃领域的GMFM评分显著提高（P<0.05）。膈肌下降运动（P = 0.0001）以及腹内斜肌和腹横肌的激活在干预前最初无法检测到，但干预后显著增加（P = 0.012）。
DNS是一种有前景的有效干预措施，可促进由膈肌、腹内斜肌和腹横肌组成的不活跃肌肉链的深层核心肌肉激活，从而改善痉挛性双侧瘫CP患者的适龄站立、行走和跳跃能力。
