Kwon Hae-Yeon, Kim Byeong-Jo
Department of Physical Therapy, Dong-eui University: 176 Umkwang-ro, Busanjin-gu, Busan 47340, Republic of Korea.
J Phys Ther Sci. 2018 Aug;30(8):1073-1080. doi: 10.1589/jpts.30.1073. Epub 2018 Aug 7.
[Purpose] This study was conducted to examine the effects of task-specific movement patterns during resistance exercise program, which are applied to children with cerebral palsy, on respiratory functions and thickness of abdominal muscles. [Participants and Methods] This study was conducted with randomized double-blinded controlled research was pursued since it is a clinical trial with minors with disabilities as the participants. Seventeen children with cerebral palsy were randomly allocated to both experimental group and placebo group by means of simple randomized sampling. The experimental group wore weighted vest to which loaded-resistance was applied by means of sand bag while the placebo group wore weighted vest without loaded-resistance. Task-specific movement patterns during resistance exercise were performed for 40 minutes 2 times a week over a period of 12 weeks for the participants in both groups. Differences in respiratory functions and thickness of abdominal muscles measured prior to and after 12 weeks of the experiment were compared. [Results] All the measurement values for the respiratory functions and abdominal muscle thickness displayed statistically significant changes between those prior to and after the exercise in both of the experimental group and the placebo group. There were statistically significant differences in the changes prior to and following the exercise between the two groups. [Conclusion] Therefore, task-specific movement patterns in anatomical plane, diagonal patterns and combined forms during resistance exercise program on for children with cerebral palsy can be considered as an efficient intervention method in improving respiratory capacity.
[目的] 本研究旨在探讨阻力训练计划中特定任务的运动模式对脑瘫儿童呼吸功能和腹肌厚度的影响,该训练计划应用于脑瘫儿童。[参与者与方法] 由于本研究是以残疾未成年人作为参与者的临床试验,因此采用随机双盲对照研究。通过简单随机抽样将17名脑瘫儿童随机分为实验组和安慰剂组。实验组穿着通过沙袋施加负荷阻力的加重背心,而安慰剂组穿着无负荷阻力的加重背心。两组参与者在12周的时间里,每周进行2次特定任务的阻力运动模式训练,每次40分钟。比较实验12周前后测量的呼吸功能和腹肌厚度的差异。[结果] 实验组和安慰剂组的呼吸功能和腹肌厚度的所有测量值在运动前后均显示出统计学上的显著变化。两组运动前后的变化存在统计学上的显著差异。[结论] 因此,针对脑瘫儿童的阻力训练计划中,解剖平面、对角线模式和组合形式的特定任务运动模式可被视为提高呼吸能力的有效干预方法。