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核心稳定性练习和跑步机训练对唐氏综合征儿童平衡能力的影响:随机对照试验。

Effect of Core Stability Exercises and Treadmill Training on Balance in Children with Down Syndrome: Randomized Controlled Trial.

机构信息

The Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

Rehabilitation Sciences Department, College of Health and Rehabilitation Sciences, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.

出版信息

Adv Ther. 2019 Sep;36(9):2364-2373. doi: 10.1007/s12325-019-01024-2. Epub 2019 Jul 12.

Abstract

INTRODUCTION

Core stability exercises and treadmill training play a crucial role in physical therapy interventions and have an effect on balance in children with Down Syndrome (DS); however, whether core stability exercises or treadmill training has more effect on improving balance has not been investigated yet. The aim of the study was to investigate the effect of core stability training versus treadmill exercises on balance in children with Down Syndrome.

METHODS

Forty-five children aged 4-6 years with Down Syndrome were included in the study. The children were equally divided randomly into three groups. Group A received traditional physical therapy intervention strategies to facilitate the balance of participating children. Group B received the same as group A and additional core stability exercise training. Group C received the same intervention strategies as group A in conjunction with a treadmill exercise program. The children's balance was evaluated using the Berg balance scale and the Biodex Balance System. Treatment sessions were for 60 min, thrice a week, for 8 consecutive weeks.

RESULTS

There were significance improvements in the three groups in functional balance and over all stability indices in favor of groups B and C.

CONCLUSIONS

Core stability and treadmill training improved balance in children with Down Syndrome and should be applied in conjunction with physical therapy programs.

摘要

简介

核心稳定性练习和跑步机训练在物理治疗干预中起着至关重要的作用,并且对唐氏综合征(DS)儿童的平衡能力有影响;然而,核心稳定性练习或跑步机训练对改善平衡能力的影响哪个更大,尚未得到研究。本研究旨在调查核心稳定性训练与跑步机运动对唐氏综合征儿童平衡能力的影响。

方法

本研究纳入了 45 名 4-6 岁的唐氏综合征儿童。这些儿童被随机平均分为三组。A 组接受传统的物理治疗干预策略,以促进参与儿童的平衡能力。B 组接受与 A 组相同的干预策略,外加核心稳定性练习训练。C 组接受与 A 组相同的干预策略,并结合跑步机运动方案。使用伯格平衡量表和 Biodex 平衡系统评估儿童的平衡能力。治疗时间为 60 分钟,每周三次,连续 8 周。

结果

三组儿童的功能性平衡和整体稳定性指标均有显著改善,B 组和 C 组更为明显。

结论

核心稳定性和跑步机训练改善了唐氏综合征儿童的平衡能力,应与物理治疗方案结合应用。

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