Functional outcomes of strength training in spastic cerebral palsy
Functional outcomes of strength training in spastic cerebral palsy
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DOI：
10.1016/s0003-9993(98)90287-8
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发表时间：
1998-02-01
影响因子：
4.3
通讯作者：
Abel, MF
中科院分区：
文献类型：
--
作者：
Damiano, DL;Abel, MF
目的：确定痉挛型脑性瘫痪儿童力量训练的临床效果。设计：前瞻性试验前和试验后，受试者参加了为期6周的力量训练计划。所有收到之前和之后的8个肌肉群在两个下肢的手持测力计，3-D步态分析，在自由和快速的速度，管理的粗大运动功能测量（GMFM），并评估能量消耗在gait.Setting：三级护理hospital.Patients的儿科康复中心：11名儿童符合纳入标准的参与。6名患者患有痉挛性双侧瘫痪，是有限的社区步行者，并表现出低于正常肌肉力量的50%。五痉挛性偏瘫，并表现出20%的力量不对称，在至少两个肌肉across extremes.Results：每组有显着的力量增益在肌肉的目标。整个队列的步态速度更高，主要是由于步频增加，具有更快行走的能力。GMFM维度5也有所改善，能量消耗没有变化。不对称的力量改善偏瘫，没有改变不对称的支持时间或关节运动across extremes.Conclusions：这项研究加强了脑瘫的力量与运动功能的关系，并进一步证明了加强在这一人群的有效性。(C)1998年由美国康复医学大会和美国物理医学和康复学会。
Objective: To determine clinical effectiveness of strength training in children with spastic cerebral palsy.Design: Prospective before and after trial in which subjects participated in a 6-week strength training program. All received before and after isometric strength evaluation of eight muscle groups in both lower extremities with a hand-held dynamometer, 3-D gait analysis at free and fast speeds, administration of the Gross Motor Function Measure (GMFM), and assessment of energy expenditure during gait.Setting: Pediatric rehabilitation center at a tertiary care hospital.Patients: Eleven children met inclusion criteria for participation. Six had spastic diplegia, were limited community ambulators, and demonstrated less than 50% of normal muscle strength. Five had spastic hemiplegia and demonstrated a 20% strength asymmetry in at least two muscles across extremities.Results: Each group had significant strength gains in the muscles targeted. The entire cohort had higher gait velocity primarily as a result of increased cadence, with greater capacity to walk faster. GMFM Dimension 5 also improved, with no change in energy expenditure. Asymmetry in strength improved in hemiplegia, with no change in asymmetry in support times or joint motion across extremities.Conclusions: This study reinforced the relationship of strength to motor function in cerebral palsy and further demonstrated the effectiveness of strengthening in this population. (C) 1998 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.