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探索家庭式vojta疗法对唐氏综合征患者步态表现的影响:一项初步可行性研究。

Exploring the impact of home-based Vojta therapy on gait performance in individuals with Down syndrome: a preliminary feasibility study.

作者信息

Qian Guoping, Perzanowska Ewelina, Wilczyńska Dominika, Kozakiewicz Mirela, Yu Hongli, Marcelina Hejła, Ossowski Zbigniew

机构信息

Department of Physical Culture, Gdansk University of Physical Education and Sport, Gdansk, Poland.

Faculty of Social and Humanities, WSB Merito University Gdansk, Gdańsk, Poland.

出版信息

Front Neurol. 2025 Mar 11;16:1537635. doi: 10.3389/fneur.2025.1537635. eCollection 2025.

Abstract

BACKGROUND

Vojta therapy (VT) enhances postural control and improves gait abilities. However, there is limited evidence regarding the impact of home-based VT on individuals with Down syndrome (DS).

OBJECTIVE

This study aimed to assess the feasibility and preliminary effects of a two-week home-based VT program on spatiotemporal gait parameters in individuals with DS.

METHODS

Sixteen individuals with DS (mean age = 17.88 ± 4.57 years, 8 females) participated in a two-week home-based VT program. Feasibility was measured through adherence rates and the occurrence of adverse events. Spatiotemporal gait parameters were evaluated before and after the intervention using the Vicon motion capture system.

RESULTS

All participants (100%) successfully completed the home-based VT program with no reported adverse events. Significant improvements were observed in walking speed, cadence, step time (left and right), stride time (left and right), step length (left and right), stride length (left and right), and single support (left and right) ( < 0.05).

CONCLUSION

This preliminary study suggests that home-based VT is a feasible approach and can lead to meaningful improvements in spatiotemporal gait parameters for individuals with DS. Further research with larger sample sizes, more robust designs, and extended follow-up periods is recommended.

摘要

背景

vojta疗法(VT)可增强姿势控制并改善步态能力。然而,关于居家vojta疗法对唐氏综合征(DS)患者的影响的证据有限。

目的

本研究旨在评估为期两周的居家vojta疗法对唐氏综合征患者时空步态参数的可行性和初步效果。

方法

16名唐氏综合征患者(平均年龄=17.88±4.57岁,8名女性)参加了为期两周的居家vojta疗法项目。通过依从率和不良事件的发生情况来衡量可行性。使用Vicon运动捕捉系统在干预前后评估时空步态参数。

结果

所有参与者(100%)均成功完成了居家vojta疗法项目,且未报告不良事件。观察到步行速度、步频、步时(左右)、步幅时(左右)、步长(左右)、步幅长度(左右)和单支撑(左右)有显著改善(<0.05)。

结论

这项初步研究表明,居家vojta疗法是一种可行的方法,可为唐氏综合征患者的时空步态参数带来有意义的改善。建议进行更大样本量、更稳健设计和更长随访期的进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/affd/11932913/26440294ca38/fneur-16-1537635-g001.jpg

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