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全身振动对偏瘫脑瘫儿童痉挛和运动表现的短期和长期影响。

Short and Long-Term Effects of Whole-Body Vibration on Spasticity and Motor Performance in Children With Hemiparetic Cerebral Palsy.

机构信息

School of Physical Therapy and Rehabilitation, Pamukkale University, Denizli, Turkey.

出版信息

Percept Mot Skills. 2021 Jun;128(3):1107-1129. doi: 10.1177/0031512521991095. Epub 2021 Feb 3.

DOI:10.1177/0031512521991095
PMID:33535899
Abstract

This study aimed to investigate the short and long-term effects of Whole-Body Vibration (WBV) therapy on spasticity and motor performance in children with hemiparetic cerebral palsy. We recruited 26 patient participants from among children undergoing conventional physiotherapy in a private rehabilitation center. We randomly assigned 22 participants to equally sized treatment (n = 11) and control (n = 11) groups. We evaluated the participants at the beginning of the study with the Gross Motor Function Measure-88, LEGSys™ Spatio-Temporal Gait Analyzer, SportKAT550™ Portable Computerized Kinesthetic Balance Device and the Modified Ashworth Scale. While children in the treatment group were treated with Compex-Winplate™ to administer WBV in three 15-minute sessions per week for eight weeks, children in the control group received continued conventional physiotherapy during this period. We then re-evaluated all participants both immediately after the treatment and again 12 weeks after the treatment. Following WBV, both gross motor functions and gait and balance skills were significantly improved ( < 0.05), and spasticity in lower and upper extremity muscles was significantly inhibited ( < 0.05). These improvements were preserved even after 12 weeks. We conclude that WBV is an effective incremental approach to conventional physiotherapy in children with hemiparetic cerebral palsy for inhibiting spasticity and improving motor performance.

摘要

本研究旨在探讨全身振动(WBV)疗法对偏瘫脑瘫儿童痉挛和运动表现的短期和长期影响。我们从一家私人康复中心正在接受常规物理治疗的儿童中招募了 26 名患者参与者。我们将 22 名参与者随机分为治疗(n=11)和对照组(n=11)。我们在研究开始时使用粗大运动功能测量-88、LEGSys™时空步态分析仪、SportKAT550™便携式计算机动平衡仪和改良 Ashworth 量表评估参与者。治疗组的儿童接受 Compex-Winplate™治疗,每周进行三次 15 分钟的 WBV 治疗,持续八周,而对照组的儿童在此期间继续接受常规物理治疗。然后,我们在治疗后立即和治疗后 12 周再次对所有参与者进行重新评估。在接受 WBV 治疗后,粗大运动功能、步态和平衡技能均显著改善( < 0.05),上下肢肌肉的痉挛也显著得到抑制( < 0.05)。即使在 12 周后,这些改善仍得以维持。我们的结论是,WBV 是一种有效的补充治疗方法,可与常规物理治疗相结合,用于抑制偏瘫脑瘫儿童的痉挛并改善运动表现。

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