Ameer Mariam A, Fayez Eman S, Elkholy Hossameldien H
Department of Biomechanics, College of Physical Therapy, Cairo University, Giza, Egypt; Department of Physical Therapy, College of Applied Medical Sciences, Dammam University, Dammam, Kingdom of Saudi Arabia.
Department of Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt.
J Bodyw Mov Ther. 2019 Oct;23(4):937-942. doi: 10.1016/j.jbmt.2019.02.003. Epub 2019 Feb 7.
Even though several physiotherapy techniques help to improve the spatiotemporal gait parameters of diplegic children, the efficacy of treadmill gait training together with conventional treatment techniques on spatiotemporal parameter improvement needs more investigation.
This study's main purpose is to investigate the effect of treadmill gait training as an adjunct to conventional physiotherapy treatment on the spatiotemporal gait parameters of diplegic children.
Twenty diplegic children were distributed randomly into two equal groups (a control group of ten children who received a traditional treatment and an experimental group of ten children who received the traditional treatment together with treadmill gait training). Gait data were collected using a Vicon three-dimensional motion analysis system during regular walking.
Walking speed, cadence, step length, stride length, and single limb support were enhanced in both groups (p < 0.05). Cadence and walking speed increased by 6.5 steps/min and 0.2 m/sec respectively in the experimental group, compared to the control group. Also, step length, stride length and single limb support time increased by 0.13 m, 0.27 m, and 0.07 s respectively in the experimental group, compared to the control group.
The use of treadmill gait training together with conventional physical therapy treatment enhances the walking performance of diplegic children by improving several spatiotemporal gait parameters. Furthermore, walking balance is improved by increasing the single-leg support time.
尽管多种物理治疗技术有助于改善双侧瘫患儿的时空步态参数，但跑步机步态训练与传统治疗技术联合对改善时空参数的疗效仍需更多研究。
本研究的主要目的是探讨跑步机步态训练作为传统物理治疗辅助手段对双侧瘫患儿时空步态参数的影响。
将20名双侧瘫患儿随机分为两组，每组10名（对照组接受传统治疗，实验组在接受传统治疗的同时进行跑步机步态训练）。在正常行走过程中，使用Vicon三维运动分析系统收集步态数据。
两组患儿的步行速度、步频、步长、步幅和单腿支撑时间均有所提高（p < 0.05）。与对照组相比，实验组的步频和步行速度分别提高了6.5步/分钟和0.2米/秒。此外，与对照组相比，实验组的步长、步幅和单腿支撑时间分别增加了0.13米、0.27米和0.07秒。
跑步机步态训练与传统物理治疗相结合，通过改善多个时空步态参数，提高了双侧瘫患儿的步行能力。此外，通过增加单腿支撑时间，改善了步行平衡。
