Simão Camila R, Regalado Isabelly Cristina R, Spaniol Ana Paula, Fonseca Débora O S, Ribeiro Tatiana de Souza, Lindquist Ana R
Anita Garibaldi Center for Education and Research in Health, Santos Dumont Institute, Macaíba, Brazil.
Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.
NeuroRehabilitation. 2019;44(1):9-17. doi: 10.3233/NRE-182516.
Children with hemiparetic cerebral palsy are often characterized by reduced speed progression, shorter step length, and increased support base. These kinematic alterations result in inefficient gait.
To assess the immediate effects of treadmill training with additional lower limb loading on kinematic gait parameters in children with Cerebral Palsy (CP).
This cross-sectional, observational study, involved 20 children with hemiparetic CP that underwent single treadmill session with ankle loading. Kinematic gait data were collected by the Qualisys Motion Capture System during baseline (PRE), immediately after training (POST) and 5 minutes after post session (FOLLOW UP).
The results demonstrated increase in knee (p = 0.001) and hip (p = 0.005) range of motion, maximum knee (p <.0.001) and hip (p =.001) flexion in swing and paretic foot height during swing (p <0.001) when PRE x POST were compared.
Treadmill gait training with additional lower limb loading was a disturbance capable of modifying the locomotor strategy of these population. The increase in hip flexion during swing phase allowed higher paretic foot clearance which may favor the improvement of gait function.
偏瘫型脑瘫患儿的特点通常是速度进展降低、步长缩短和支撑面增加。这些运动学改变导致步态效率低下。
评估在跑步机训练中增加下肢负荷对脑瘫（CP）患儿运动学步态参数的即时影响。
这项横断面观察性研究纳入了20名偏瘫型CP患儿，他们进行了一次带踝关节负荷的跑步机训练。在基线期（PRE）、训练后即刻（POST）和训练后5分钟（随访），通过Qualisys运动捕捉系统收集运动学步态数据。
当比较PRE与POST时，结果显示膝关节（p = 0.001）和髋关节（p = 0.005）活动范围增加，摆动期最大膝关节（p < 0.001）和髋关节（p = 0.001）屈曲以及摆动期患侧足高度增加（p < 0.001）。
在跑步机上进行的增加下肢负荷的步态训练是一种能够改变这些人群运动策略的干扰因素。摆动期髋关节屈曲增加使得患侧足有更高的离地间隙，这可能有利于步态功能的改善。
