Gonçalves Rejane Vale, Fonseca Sérgio Teixeira, de Araújo Priscila Albuquerque, Souza Thales Rezende, Resende Renan Alves, Mancini Marisa Cotta
Graduate Program in Rehabilitation Sciences (Drs Fonseca, Araújo, Souza, Resende and Mancini), School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Physical Therapy Department (Dr Gonçalves), Faculdade de Ciências Médicas de Minas Gerais, Belo Horizonte, MG, Brazil.
Pediatr Phys Ther. 2019 Apr;31(2):208-215. doi: 10.1097/PEP.0000000000000588.
Reduced propulsive capability can impact negatively on mobility activities of many children with spastic unilateral cerebral palsy (SUCP). This study investigated the effect of a task-oriented training program combined with functional electrical stimulation (FES) on the motor capacity of children with SUCP.
Single-case A-B design with follow-up. Gross motor function and biomechanical walking data of 4 children with SUCP were measured repeatedly across the baseline, intervention, and follow-up phases. Intervention was a task-oriented training program combined with FES applied on the gastrocnemius. Outcome variables included gait speed, impulsive torque, and ankle/hip power generation ratio. The 2-SD band and celeration line methods compared outcomes among the baseline, intervention, and follow-up periods.
One child improved walking speed. All children improved impulsive torque and ankle/hip power ratio of the affected leg. All children improved gross motor function.
The intervention improved children's propulsive capability and positively influenced their mobility.
推进能力下降会对许多痉挛型单侧脑瘫（SUCP）儿童的移动活动产生负面影响。本研究调查了一项任务导向训练计划结合功能性电刺激（FES）对SUCP儿童运动能力的影响。
采用单病例A-B设计并进行随访。对4名SUCP儿童的粗大运动功能和生物力学步行数据在基线、干预和随访阶段进行反复测量。干预是一项任务导向训练计划，结合对腓肠肌施加FES。结果变量包括步态速度、冲动扭矩和踝/髋功率产生比率。采用2标准差带和加速度线方法比较基线、干预和随访期间的结果。
1名儿童步行速度提高。所有儿童患侧腿的冲动扭矩和踝/髋功率比均有所改善。所有儿童的粗大运动功能均得到改善。
该干预改善了儿童的推进能力，并对其移动能力产生了积极影响。
