核心稳定性锻炼对小脑共济失调型脑瘫儿童平衡和协调能力的影响。
Effects of a core stability exercise program on balance and coordination in children with cerebellar ataxic cerebral palsy.
机构信息
Department of Physical Therapy for Pediatrics, Faculty of Physical Therapy, Cairo University, Egypt.
Department of Basic Sciences, Faculty of Physical Therapy, Cairo University, Egypt.
出版信息
J Musculoskelet Neuronal Interact. 2022 Jun 1;22(2):172-178.
OBJECTIVE
To evaluate the effects of a core stability exercise program on balance, coordination, and severity of ataxia in children with cerebellar ataxic cerebral palsy (CP).
METHODS
Forty children with cerebellar ataxic CP (mean age: 6.75±1.35 years) were randomly assigned to a control group and an intervention group for 2 months of follow-up. The control group received a standard physical therapy program three times weekly (1 h ), while the intervention group received a core stability program for 30 min, in addition to the selected physical therapy program. Both groups were evaluated pre-treatment and post-treatment using the Scale for the Assessment and Rating of Ataxia, the Balance Error Scoring Systems scale, Bruininks-Oseretsky tests of motor proficiency, and HUMAC balance system scores.
RESULTS
We found statistically significant reductions in the severity of ataxia, as well as improved balance and coordination in both groups, with stronger effects observed in the intervention group (<0.05).
CONCLUSION
The core stability program can improve balance and coordination in children with cerebellar ataxic CP when incorporated with a standard physical therapy program.
目的
评估核心稳定性练习对小脑共济失调型脑瘫（CP）儿童平衡、协调和共济失调严重程度的影响。
方法
40 名小脑共济失调型 CP 患儿（平均年龄：6.75±1.35 岁）被随机分为对照组和干预组，随访 2 个月。对照组每周接受 3 次标准物理治疗（1 小时），而干预组在接受选定的物理治疗方案的同时，还接受 30 分钟的核心稳定性训练。两组在治疗前和治疗后均使用共济失调评定量表、平衡错误评分系统量表、Bruininks-Oseretsky 运动能力测试和 HUMAC 平衡系统评分进行评估。
结果
我们发现两组的共济失调严重程度均显著降低，平衡和协调能力均得到改善，且干预组的效果更强（<0.05）。
结论
当与标准物理治疗方案结合使用时，核心稳定性训练可以改善小脑共济失调型 CP 儿童的平衡和协调能力。
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