Group aquatic training improves gait efficiency in adolescents with cerebral palsy
Group aquatic training improves gait efficiency in adolescents with cerebral palsy
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团体水上训练可提高脑瘫青少年的步态效率
DOI：
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发表时间：
2011
影响因子：
2.2
通讯作者：
M. Lemay
中科院分区：
文献类型：
--
作者：
L. Ballaz;S. Plamondon;M. Lemay
目的：评估为期10周的团体水上训练计划对脑瘫青少年步态效率的影响和可行性。 第二个目的是确定运动强度在一个异质组的青少年与CP的水上训练和调查的影响，训练计划对肌肉骨骼系统。方法：招募12名患有痉挛性脑瘫的非卧床青少年。 他们参加了20次水上训练课程（每周两次，每次45分钟）。三名物理治疗师和一名体育教师监督培训课程。参与者佩戴心率监测器来评估训练强度，并酌情佩戴漂浮装置。主要结局指标是通过步态能量消耗指数（EEI）测量的步态效率。次要指标为（1）步态时空参数，（2）最大等长膝关节力量和（3）粗大运动功能。结果：10名青少年完成了培训方案。 未报告不良反应。平均运动强度为轻度至中度的训练课程的一半以上。一个显着减少的EEI和心率在步行过程中观察到的训练计划后。次要结局指标未观察到显著变化。结论：团体水上训练可以提高青少年脑瘫患者的步态效率。 这种改善与全身心肺适应有关。团体水上训练计划在不同严重程度的CP青少年中是可行的。
Purpose. To evaluate the effect and feasibility of a 10-week group aquatic training programme on gait efficiency in adolescents with cerebral palsy (CP). The secondary purpose was to determine the exercise intensity during aquatic training in a heterogeneous group of adolescents with CP and to investigate the impact of the training programme on the musculoskeletal system. Method. Twelve ambulatory adolescents with spastic CP were recruited. They participated in 20 aquatic training sessions (45 min twice a week). Three physical therapists and a sports teacher supervised the training sessions. Participants wore a heart rate monitor to assess sessions' intensity and a floatation device as appropriate. The primary outcome measure was gait efficiency as measured by the gait energy expenditure index (EEI). The secondary measures were (1) gait spatiotemporal parameters, (2) maximal isometric knee strength and (3) gross motor function. Results. Ten adolescents completed the training programme. No adverse effect was reported. Average exercise intensity was mild to moderate for more than half of the training session. A significant reduction of the EEI and the heart rate during walking was observed following the training programme. No significant change was observed on secondary outcome measures. Conclusions. Group aquatic training increases gait efficiency in adolescents with CP. This improvement is related to systemic cardiorespiratory adaptations. Group aquatic training programme is feasible in adolescents presenting CP at different levels of severity.
影响因子：
5.1
作者：
Strong, WB;Malina, RM;Trudeau, FO
通讯作者：
Trudeau, FO