Department of Health Care and Child Development, Saitama Children's Medical Center , Saitama, Japan.
Master Course of Health Sciences, Department of Physical Therapy, Graduate School, Sapporo Medical University , Sapporo, Japan.
Dev Neurorehabil. 2020 Aug;23(6):383-389. doi: 10.1080/17518423.2019.1692947. Epub 2019 Nov 19.
: This study aims to compare the total heart beat index (THBI) in evaluating energy efficiency between using a manual wheelchair and walking for children with cerebral palsy (CP). : The energy efficiency was measured in 21 participants with CP (mean age, 13.6 ± 3.4 years) who walk or drive a manual wheelchair using a square course. THBI was calculated as total number of heart beats during the exercise period/total distance traveled. : Significant differences in the THBI were observed between Gross Motor Function Classification System (GMFCS) levels III and IV ( = .049, effect size = 1.60). No significant differences in THBI were observed between GMFCS levels II and III or between GMFCS levels II and IV ( > .05). : The energy efficiency of children with CP who use a manual wheelchair in this study was equal to or better than that for walking.
本研究旨在比较使用手动轮椅和行走时的总心跳指数（THBI），以评估脑瘫（CP）儿童的能量效率。在这项研究中，使用正方形路线，对 21 名 CP 参与者（平均年龄，13.6 ± 3.4 岁）进行了能量效率测量。THBI 计算为运动期间的总心跳数/总行进距离。在粗大运动功能分级系统（GMFCS）水平 III 和 IV 之间观察到 THBI 存在显著差异（= 0.049，效应量 = 1.60）。在 GMFCS 水平 II 和 III 之间或 GMFCS 水平 II 和 IV 之间未观察到 THBI 存在显著差异（> 0.05）。本研究中使用手动轮椅的 CP 儿童的能量效率与行走时相等或更好。
