The effects of a 'home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury
The effects of a 'home-based' task-oriented exercise programme on motor and balance performance in children with spastic cerebral palsy and severe traumatic brain injury
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DOI：
10.1177/0269215509335293
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发表时间：
2009-08-01
影响因子：
3
通讯作者：
Meyer, Shirley
中科院分区：
文献类型：
--
作者：
Katz-Leurer, Michal;Rotem, Hemda;Meyer, Shirley
目的：评估招募和保留严重创伤性脑损伤或脑瘫儿童及其家人参加简单的家庭锻炼计划的可行性和能力，并评估这种干预对减轻损伤和改善功能的即时和短期效果。研究设计：随机临床试验。参与者：20名7-13岁的儿童，患有创伤性脑损伤（N = 10）或脑瘫（N = 10），可独立行走。每组五名儿童被随机分配到一个控制组-日常活动，或实验组-日常活动加上以家庭为基础的任务为导向的锻炼计划，从坐到站和步进exercise.Outcome措施：可行性：参与者的数量谁完成了程序协议。疗效：功能平衡测试采用计时起身行走测试和功能性前伸测试。最大等长力量进行了评估，通过使用手持式测力计;步行性能进行了评估，由10米步行试验，2分钟步行试验和能量消耗Index.Results：9名儿童完成了所有部分的培训计划。在干预期结束时，在实验组中注意到平均功能性到达测试增加3 - 4cm，并且在计时起身和行走测试中减少1.6 +/-2.1秒（P < 0.01），而在对照组中没有注意到变化。在评估的所有其他结局中，未观察到组间存在显著差异。在实验组中的平衡性能的积极变化保持在6周的随访periods.Conclusions：以家庭为基础的任务为导向的运动计划，可以提高痉挛性脑瘫或严重创伤性脑损伤的儿童的平衡性能。
Objectives: To evaluate the feasibility and the ability to recruit and retain children with severe traumatic brain injury or cerebral palsy, and their families, to a simple home-based exercise programme and to assess the immediate and short-term effects of such intervention on reducing impairment and improving function.Study design: Randomized clinical trial.Participants: Twenty children aged 7-13 years, with traumatic brain injury (N = 10) or cerebral palsy (N = 10) who were independent ambulators. Five children from each group were randomly assigned to a control group - regular daily activities, or to an experimental group - regular daily activities plus a home-based task-oriented exercise programme of sit-to-stand and step-up exercise, for six weeks.Outcome measures: Feasibility: The number of participants who completed the programme protocol. Efficacy: Timed Up and Go Test and Functional Reach Test were used as functional balance tests. Maximal isometric strength was assessed by using a hand-held dynamometer; walking performance was assessed by the 10 m walk test, 2-minute walk test and Energy Expenditure Index.Results: Nine children completed all parts of the training programme. At the end of the intervention period an increase of 3 - 4 cm in the mean Functional Reach Test and a reduction of 1.6 +/- 2.1 seconds in the Timed Up and Go Test were noted (P < 0.01) in the experimental group while no changes were noted in the control group. In all other outcomes assessed no significant differences were noted between groups. The positive change in balance performance in the experimental group was maintained during a six-week follow-up period.Conclusions: A home-based task-oriented exercise programme can improve balance performance in children with spastic cerebral palsy or severe traumatic brain injury.