The Effect of Treadmill Training on Gross Motor Function and Walking Speed in Ambulatory Adolescents with Cerebral Palsy A Randomized Controlled Trial
The Effect of Treadmill Training on Gross Motor Function and Walking Speed in Ambulatory Adolescents with Cerebral Palsy A Randomized Controlled Trial
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DOI：
10.1097/phm.0b013e3182643eba
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发表时间：
2012-09-01
影响因子：
3
通讯作者：
Koutsouki, Dimitra
中科院分区：
文献类型：
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作者：
Chrysagis, Nikolaos;Skordilis, Emmanouil K.;Koutsouki, Dimitra
杨建军，李建军，李建军，等。跑步机训练对脑性瘫痪青少年大运动功能和步行速度的影响：一项随机对照试验。中华医学杂志2012；91:747 - 760。目的：本研究的目的是评估跑步机项目对患有痉挛性脑瘫（双瘫和四肢瘫）的不能活动青少年的大运动功能、步行速度和痉挛的影响。设计：随机对照试验将22名13-19岁的残疾儿童特殊学校青少年随机分为实验组和对照组。实验训练组在没有体重支撑的情况下以舒适的速度进行跑步机训练。对照组接受常规物理治疗，包括三组运动，包括垫子活动、平衡、步态训练和功能性大运动活动。该计划持续了12周，两组的频率为每周三次。对自选步行速度、大肌肉运动功能和痉挛进行测试前和测试后测量。结果：自选步行速度（F = 8.545, P = 0.000）和大肌肉运动功能（F = 9.088, P = 0.007）组间协方差分析差异有统计学意义，而痉挛性差异无统计学意义。结论：跑步机训练可提高青少年痉挛性脑瘫患者的行走速度和粗大运动功能，且对痉挛无不良影响。
Chrysagis N, Skordilis EK, Stavrou N, Grammatopoulou E, Koutsouki D: The effect of treadmill training on gross motor function and walking speed in ambulatory adolescents with cerebral palsy: a randomized controlled trial. Am J Phys Med Rehabil 2012; 91:747-760.Objective: The aim of this study was to evaluate the effect of a treadmill program on gross motor function, walking speed, and spasticity of ambulatory adolescents with spastic cerebral palsy (diplegia and tetraplegia).Design: In this randomized controlled trial, 22 adolescents (13-19 yrs old) from a special school for children with physical disabilities were randomly allocated to the experimental and control training groups. The experimental training group underwent a treadmill program without body weight support at a comfortable speed. The control group received treatment with conventional physiotherapy, which consisted of three sets of exercises with mat activities, balance, gait training, and functional gross motor activities. The program lasted 12 wks with a frequency of three times per week for both groups. Pretest and posttest measurements of self-selected walking speed, gross motor function, and spasticity were conducted.Results: The analysis of covariance findings examining posttest differences between groups were significant with respect to self-selected walking speed (F = 8.545, P = 0.000) and gross motor function (F = 9.088, P = 0.007), whereas no significance was found for spasticity.Conclusions: Treadmill training may improve the walking speed and gross motor function of adolescents with spastic cerebral palsy, without adverse effects on spasticity.