A preliminary report on the effectiveness of trunk targeting in achieving independent sitting balance in children with cerebral palsy
A preliminary report on the effectiveness of trunk targeting in achieving independent sitting balance in children with cerebral palsy
复制标题
DOI：
10.1191/026921598667577442
复制
发表时间：
1998-08-01
影响因子：
3
通讯作者：
Butler, PB
中科院分区：
文献类型：
--
作者：
Butler, PB
目的：评价有针对性的训练对脑瘫儿童躯干和髋关节运动控制的启动或加速作用，以获得独立的坐姿平衡，而不需要专门的坐姿。设计：6个单一病例研究。地点：在一个专门的中心进行评估和回顾，并在受试者的家中或学校进行干预。在研究开始时，没有人有独立的坐姿平衡。干预：使用专门设备的定向训练针对躯干适当的几个关节，由最初的休息确定，当这些关节的控制变得自动时进行。这些设备提供了支持，并挑战了控制学习。当设备设置不当时，也使用了不干预和安慰剂干预的时期。在进行定向训练或安慰剂训练时，其中两名儿童停止了传统的理疗输入。主要结果测量：设计并验证了一种新的测试，以确定垂直姿势的最大尾部控制程度。结果：6名ALI儿童在12~25周(平均16周)内运动控制能力均有提高，均获得了独立的坐姿平衡能力。这与继续或停止传统理疗无关。结论：这些初步发现提示，定向训练可能是一种提高运动控制和功能能力的有效手段。其他调查人员对这些发现的确认将是有价值的。
Objective: To assess the potential of Targeted Training in initiating or accelerating improved movement control of the trunk and hip joints in children with cerebral palsy so that independent sitting balance without specialized seating could be achieved.Design: Six single case studies.Setting: Assessment and review were undertaken in a specialized centre with intervention in the subjects' home or school.Subjects: Children between the ages of two years five months and seven years five months (mean four years seven months) with an established diagnosis of cerebral palsy. None had independent sitting balance at the start of the study.Intervention: Targeted Training using specialized equipment was directed at the appropriate few joints of the trunk as determined by initial resting and progressed when control at those joints had become automatic. The equipment provided support and challenged control learning. Periods of no intervention and placebo intervention, when the equipment was inappropriately set up, were also used. Two of the children ceased their traditional physiotherapy input while Targeted Training or placebo training took place.Main outcome measure: A new test was devised and validated to determine the most caudal extent of control of the vertical posture. in addition, a functional test of independent sitting balance was defined.Results: Ali six children showed an increase in movement control and all gained independent sitting balance within 12-25 weeks (mean 16 weeks). This was irrespective of the continuation or cessation of traditional physiotherapy.Conclusion: These preliminary findings suggest that Targeted Training may be an effective means of promoting movement control and functional ability. Confirmation of these findings by other investigators would be of value.