脑瘫儿童姿势控制与步态的康复：以躯干为重点的姿势活动的有益效果
Rehabilitation of Postural Control and Gait in Children with Cerebral Palsy: the Beneficial Effects of Trunk-Focused Postural Activities.
作者信息
Pierret Jonathan, Beyaert Christian, Vasa Rajul, Rumilly Emilie, Paysant Jean, Caudron Sébastien
机构信息
Institut Régional de Médecine Physique et de Réadaptation de Nancy, UGECAM du Nord-Est, Nancy, France.
Université de Lorraine, DevAH, Nancy, France.
出版信息
Dev Neurorehabil. 2023 Apr;26(3):180-192. doi: 10.1080/17518423.2023.2193269. Epub 2023 Mar 23.
PURPOSE
In children with cerebral palsy (CP), with impaired trunk control and toe-walking, trunk-focused rehabilitation (TFR) based on postural activities was hypothesized to improve trunk postural control, early trunk deceleration, and ankle dorsiflexion braking during walking. Methods: Seventeen children with CP (5-12 years) walking autonomously were randomly assigned to TFR and then usual rehabilitation (TFR-UR) or vice versa (UR-TFR).
RESULTS
Only after TFR was significant improvements in (i) the Trunk Control Measurement Scale score, postural sway on an unstable sitting device and standing, and (ii) early sternal and sacral decelerations and coupled negative ankle power due to plantar flexors.
CONCLUSION
TFR improves trunk dynamics and consequently improves coupled toe-walking.
目的
在患有脑瘫（CP）、躯干控制受损且存在足尖行走问题的儿童中，基于姿势活动的以躯干为重点的康复训练（TFR）被假定可改善躯干姿势控制、行走时早期躯干减速以及踝背屈制动。方法：17名能够自主行走的脑瘫儿童（5 - 12岁）被随机分配接受TFR然后进行常规康复训练（TFR - UR），或者反之（UR - TFR）。
结果
仅在进行TFR后，（i）躯干控制测量量表得分、在不稳定坐立装置和站立时的姿势摆动，以及（ii）早期胸骨和骶骨减速以及由于跖屈肌导致的耦合负向踝关节功率有显著改善。
结论
TFR改善了躯干动力学，从而改善了与之相关的足尖行走问题。
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