Department of Physical Therapy and Health Rehabilitation, Collage of Applied Medical Sciences, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Eur Rev Med Pharmacol Sci. 2022 Mar;26(6):1952-1962. doi: 10.26355/eurrev_202203_28343.
The aim of the study was to investigate the effect of a 3-month, trampoline-based stretch-shortening cycle (SSC) exercises on muscle strength and postural control in children with Down's syndrome (DS).
Thirty-two children with DS aged between 7-9 years were enrolled and randomly assigned into the control group (n = 16); received standard physical therapy (sPT) or SSC group (n = 16); received sPT in addition to a 15-minute, trampoline-based SSC training program twice per week for 12 successive weeks. Lower limb muscle strength and postural stability [anterior/posterior stability index (A/P-SI), medial/lateral stability index (M/L-SI)], and overall stability index (O-SI) were assessed pre- and post-treatment.
Strength of hip extensor (p=0.034) and adductor (p=0.015), knee extensor (p=0.028) and flexor (p=0.01), and ankle dorsi (p=0.033) and plantar flexor (p=0.007) muscles increased significantly in the SSC group when compared with the control group. Also, the A/P-SI (p=0.019), M/L-SI (p=0.002), and O-SI (p=0.021) decreased significantly in the SSC group when compared with the control group, suggesting better postural control.
Twelve weeks of trampoline-based SSC exercises are likely effective for enhancing muscle strength and postural control in children with DS and should consequently be included in the rehabilitation programs for these children.
本研究旨在探讨为期 3 个月的蹦床式拉伸-缩短循环（SSC）运动对唐氏综合征（DS）儿童肌肉力量和姿势控制的影响。
共纳入 32 名 7-9 岁的 DS 患儿，随机分为对照组（n=16），接受标准物理疗法（sPT）；SSC 组（n=16），在接受 sPT 的基础上，每周 2 次、每次 15 分钟，进行 12 周的蹦床式 SSC 训练。治疗前后评估下肢肌肉力量和姿势稳定性[前/后稳定性指数（A/P-SI）、内/外稳定性指数（M/L-SI）]和整体稳定性指数（O-SI）。
与对照组相比，SSC 组髋关节伸肌（p=0.034）和内收肌（p=0.015）、膝关节伸肌（p=0.028）和屈肌（p=0.01）以及踝关节背屈肌（p=0.033）和跖屈肌（p=0.007）的力量显著增加。与对照组相比，SSC 组的 A/P-SI（p=0.019）、M/L-SI（p=0.002）和 O-SI（p=0.021）显著降低，表明姿势控制更好。
12 周的蹦床式 SSC 运动可能对增强 DS 儿童的肌肉力量和姿势控制有效，因此应将其纳入这些儿童的康复计划中。
