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下肢正压跑步机训练对脑瘫儿童动态平衡的影响。

The Effects of Lower Body Positive Pressure Treadmill Training on Dynamic Balance of Children with Cerebral Palsy.

作者信息

Dadashi F, Kharazi M R, Lotfian M, Shahroki A, Mirbagheri A, Mirbagheri M M

出版信息

Annu Int Conf IEEE Eng Med Biol Soc. 2018 Jul;2018:2487-2490. doi: 10.1109/EMBC.2018.8512837.

DOI:10.1109/EMBC.2018.8512837
PMID:30440912
Abstract

We aimed to characterize the therapeutic effects of Anti-gravity (AlterG) body weight supported treadmill training on the impaired balance of children with cerebral palsy (CP). Four spastic CP children participated; two received AlterG training 3 times a week for 8 weeks and the other two received typical occupational therapy accordingly. Their dynamic balance was evaluated before the start of the treatment and 2 months after it. Features related to the center of pressure (COP) and the center of mass (COM) were considered as dynamic balance parameters. Our results showed that the maximum velocity and acceleration of the COP and COM, the average variability (RMS) and peak to peak of the COM-COP separation, and RMS of velocity and acceleration of the COM and COP were all improved for both AlterG training patients (15-90%), though there was a limited improvement of 0.2-24% in some features of the control patients. Our results demonstrate that intensive sessions of the AlterG training program could have the potential to be used as a therapeutic tool that can produce dynamic balance improvements in CP children compared to that of typical occupational therapy.

摘要

我们旨在研究反重力(AlterG)体重支持式跑步机训练对脑瘫(CP)儿童平衡功能障碍的治疗效果。四名痉挛型脑瘫儿童参与了研究;其中两名儿童每周接受3次AlterG训练,为期8周,另外两名儿童则接受相应的传统职业治疗。在治疗开始前和治疗后2个月对他们的动态平衡进行评估。与压力中心(COP)和质心(COM)相关的特征被视为动态平衡参数。我们的结果表明,接受AlterG训练的两名患者的COP和COM的最大速度和加速度、COM-COP分离的平均变异性(RMS)以及COM和COP的速度和加速度的峰峰值均有改善(提高了15%-90%),而对照组患者某些特征仅有限改善了0.2%-24%。我们的结果表明,与传统职业治疗相比,强化的AlterG训练方案有可能作为一种治疗工具,改善脑瘫儿童的动态平衡。

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