Shin Seung-Oh, Kim Nan-Soo
Department of Physical Therapy, Ulsan Rehabilitation Social Welfare Center, Republic of Korea.
Department of Physical Therapy, College of Health Sciences, Catholic University of Pusan: 57 Oryundae-ro, Geumjeong-gu, Busan 46252, Republic of Korea.
J Phys Ther Sci. 2017 Dec;29(12):2077-2080. doi: 10.1589/jpts.29.2077. Epub 2017 Dec 7.
[Purpose] We investigated the effects of upper extremity resistance exercise with elastic bands on respiratory function in children with cerebral palsy. [Subjects and Methods] Fifteen children were divided into two groups: the experimental (n=8) and control (n=7) groups. Both groups performed general exercises for 30 minutes per session, two times a week during the intervention period. The experimental group performed an additional upper extremity resistance exercise with elastic bands for 20-30 minutes per session, twice weekly for 8 weeks. Pulmonary function, and respiratory muscle and grip strength were measured before and after the exercise. [Results] There was no significant difference in forced vital capacity, forced expiratory volume in one second, the ratio of forced expiratory volume in one second to forced vital capacity, and peak expiratory flow before and after the intervention in either group. The increment of maximal expiratory pressure was significantly greater in the experimental group, compared with the control group. In addition, grip strength was significantly increased in the experimental group after the intervention than before. [Conclusion] We found that upper extremity resistance exercise with elastic bands has a positive effect on expiration and improves grip strength in children with cerebral palsy.
[目的] 我们研究了使用弹力带进行上肢抗阻训练对脑瘫患儿呼吸功能的影响。[对象与方法] 15名儿童被分为两组:实验组(n = 8)和对照组(n = 7)。两组在干预期内均进行每次30分钟的常规训练,每周两次。实验组额外进行每次20 - 30分钟的弹力带上肢抗阻训练,每周两次,共8周。在训练前后测量肺功能、呼吸肌力量和握力。[结果] 两组干预前后的用力肺活量、一秒用力呼气量、一秒用力呼气量与用力肺活量之比以及呼气峰值流速均无显著差异。与对照组相比,实验组的最大呼气压力增加更为显著。此外,实验组干预后的握力比干预前显著增加。[结论] 我们发现使用弹力带进行上肢抗阻训练对脑瘫患儿的呼气功能有积极影响,并能提高其握力。