肌肉力量的改善与脑瘫幼儿步行能力的改善相关：二次分析。
Improvements in Muscle Strength Are Associated With Improvements in Walking Capacity in Young Children With Cerebral Palsy: A Secondary Analysis.
机构信息
Amsterdam Rehabilitation Research Center/Reade (Drs van Vulpen and de Groot), Amsterdam, the Netherlands; Centre for Human Movement Sciences, University Medical Center Groningen, University of Groningen (Dr de Groot), Groningen, the Netherlands; Department of Rehabilitation Medicine, School for Public Health and Primary Care (CAPHRI) (Dr Rameckers), Maastricht University, Maastricht, the Netherlands, and Rehabilitation Science, University of Hasselt (Dr Rameckers), Hasselt, Belgium, and Adelante Center of Expertise in Rehabilitation and Audiology (Dr Rameckers), Valkenburg and Hoensbroek, the Netherlands, and University for Professionals for Pediatric Physical Therapy, AVANSplus (Dr Rameckers), Breda, the Netherlands; Amsterdam Movement Sciences, Department of Rehabilitation Medicine, Amsterdam UMC, Vrije Universiteit Amsterdam (Drs Becher and Dallmeijer), Amsterdam, the Netherlands.
出版信息
Pediatr Phys Ther. 2021 Jan 1;33(1):24-30. doi: 10.1097/PEP.0000000000000764.
PURPOSE
To evaluate whether changes in lower-limb muscle strength explain changes in walking capacity during 14-week periods of usual care, power training and follow-up for children with spastic cerebral palsy.
METHODS
Secondary analysis of a previously conducted double-baseline controlled trial of 22 children with spastic cerebral palsy. Generalized estimating equations were used to evaluate the relationships between within-subject changes in isometric muscle strength and walking capacity over 3 periods.
RESULTS
Changes in hip abductor strength were associated with changes in the Muscle Power Sprint Test, changes in gastrocnemius and hip abductor strength were associated with changes in the Shuttle Run Test, and changes in gastrocnemius strength were associated with changes in the 1-minute walk test. All associations supported better walking capacity with increased strength.
CONCLUSION
Walking capacity, especially sprint capacity, can be improved by increasing strength by functional power training in this population.
目的
评估在痉挛性脑瘫儿童接受常规护理、力量训练和随访的 14 周期间，下肢肌肉力量的变化是否可以解释步行能力的变化。
方法
对先前进行的一项痉挛性脑瘫儿童双基线对照试验的二次分析。使用广义估计方程评估 3 个时期内个体内等长肌肉力量变化与步行能力变化之间的关系。
结果
髋关节外展肌力量的变化与肌肉爆发力短跑测试的变化相关，腓肠肌和髋关节外展肌力量的变化与穿梭跑测试的变化相关，腓肠肌力量的变化与 1 分钟步行测试的变化相关。所有关联都支持力量增加与步行能力提高之间的关系。
结论
在该人群中，通过功能性力量训练增强力量可以提高步行能力，特别是短跑能力。
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