痉挛型双瘫儿童的矫形器治疗与全身振动对骨密度的影响。
Suit therapy versus whole-body vibration on bone mineral density in children with spastic diplegia.
机构信息
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt.
出版信息
J Musculoskelet Neuronal Interact. 2021 Mar 1;21(1):79-84.
OBJECTIVES
Osteoporosis because of physical inactivity is one of the major complications associated with neuromuscular disorders. The study aimed to compare using Suit therapy and whole-body vibration in addition to selected physical therapy program to improve Bone Mineral Density in children with cerebral palsy of spastic diplegia.
METHODS
Forty-six patients were classified randomly into two equal groups. Patients in the group (A) engaged in a selected physical therapy program, also besides, suit therapy training program while those in the group (B) received the same selected physical therapy program received by group (A) in addition to the whole-body vibration training program. The treatment programs were conducted three times per week for twelve successive weeks. Measurements obtained included bone mineral density at the lumbar spine as well as at the femoral neck. These measures were recorded pre- and post-treatment.
RESULTS
There was a significant improvement in favor of the whole-body Vibration group. Bone mineral density improved significantly at both the lumbar spine (P=.038) and the femoral neck (P=.005) in the WBV group as compared to the Suit therapy group.
CONCLUSIONS
Whole-body vibration is effective in improving Bone Mineral Density rather than Suit therapy in children with cerebral palsy of spastic diplegia.
目的
因缺乏体力活动而导致的骨质疏松症是与神经肌肉疾病相关的主要并发症之一。本研究旨在比较使用套装疗法和全身振动以及选择的物理治疗方案，以改善痉挛性双瘫脑瘫儿童的骨矿物质密度。
方法
将 46 名患者随机分为两组。组（A）接受选择的物理治疗方案，此外还接受套装疗法训练方案，而组（B）则接受与组（A）相同的选择的物理治疗方案，此外还接受全身振动训练方案。治疗方案每周进行三次，连续进行 12 周。测量包括腰椎和股骨颈的骨矿物质密度。这些测量值在治疗前后记录。
结果
全身振动组有明显改善。与套装治疗组相比，全身振动组的腰椎（P=.038）和股骨颈（P=.005）的骨矿物质密度均显著改善。
结论
全身振动在改善痉挛性双瘫脑瘫儿童的骨矿物质密度方面比套装疗法更有效。
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