Paediatric Neurology Unit, Catholic University, Largo A. Gemelli, 00168, Rome, Italy.
Physical Medicine and Rehabilitation Unit, Catholic University, Largo A. Gemelli, 00168, Rome, Italy.
Eur J Paediatr Neurol. 2018 Sep;22(5):831-836. doi: 10.1016/j.ejpn.2018.04.014. Epub 2018 May 3.
Lycra garments have recently been used for children with cerebral palsy (CP), with favorable effects on alignment, biomechanics and neuromuscular activity. The aim of the present study is to determine the efficacy of a Lycra suit in improving motor function and static balance in children with CP. Five children with CP wore the Lycra suit for more than 4 h per day for 6 months. They were all assessed at baseline and 6 months after with an evaluation of static balance, using a "seated stabilometry exam", and a motor function assessment, using the Gross Motor Function Measure and Gross Motor function Classification System. The assessment of static balance was performed with and without the suit. Another 5 children with CP performed the same assessments and were used as a control group. An immediate improvement of static balance was observed at baseline, with the first use of the Lycra suit. Further improvement was observed at the 6 month follow up, with a statistical significance for the parameters assessing the antero-posterior axis. Both parents and children also reported functional benefits. Further studies are needed on long-term functional effects in a large cohort of children.
莱卡服装最近已被用于脑瘫儿童(CP),对姿势、生物力学和神经肌肉活动均有积极影响。本研究旨在确定莱卡服在改善 CP 儿童运动功能和静态平衡方面的功效。5 名 CP 儿童每天穿着莱卡服超过 4 小时,持续 6 个月。所有儿童在基线和 6 个月时都进行了静态平衡评估,使用“坐姿稳定度检查”,以及运动功能评估,使用粗大运动功能测量和粗大运动功能分类系统。在穿着和不穿着莱卡服的情况下进行静态平衡评估。另外 5 名 CP 儿童进行了相同的评估,作为对照组。首次使用莱卡服时,儿童的静态平衡在基线时立即得到改善。在 6 个月的随访中,进一步得到改善,评估前后轴的参数具有统计学意义。父母和孩子也报告了功能上的益处。还需要对更大队列的儿童进行长期功能影响的进一步研究。