The effects of neurodevelopmental treatment versus practice on the reaching of children with spastic cerebral palsy
The effects of neurodevelopmental treatment versus practice on the reaching of children with spastic cerebral palsy
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DOI：
10.1093/ptj/76.4.346
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发表时间：
1996-04-01
期刊：
影响因子：
3.2
通讯作者：
Kluzik, J
中科院分区：
文献类型：
--
作者：
Fetters, L;Kluzik, J
背景和目的。脑性瘫痪(CP)的儿童经常被转介进行物理治疗，然而治疗的有效性还没有很好的文献记录。在相对较少的可用研究中，结果分为支持和缺乏治疗支持两种。这项研究的目的是记录和评估物理治疗计划对痉挛脑瘫儿童伸展运动的影响。受试者。8名10-15岁的脑性瘫痪儿童接受神经发育治疗(NDT)，每天5天，并练习完成任务。方法：研究方法。通过运动学分析量化和描述运动时间、路径和伸展平坦度的变化。结果。在5天的NDT后，任何变量都没有差异。在5天的训练后，运动时间有差异，但没有其他变量。当治疗时间而不是治疗类型成为自变量时，数据显示出变化。治疗5天后，运动时间和运动单位均减少。完成两种类型的治疗后，运动时间、运动单位和移位减少，但反应时间不减少。结论和讨论。为了达到这些效果，这两种治疗方法的结合可能是必要的。或者，任何一种单独的治疗类型，当给予至少两周时，可能会产生类似的结果。
Background and Purpose. Children with cerebral palsy (CP) are frequently referred for physical therapy, yet the effectiveness of treatment has not been well-documented. In the relatively few available studies, outcomes are divided between support and lack of support for treatment. The purpose of this research was to document and evaluate the effects of a physical therapy program on the reaching movements of children with spastic CP. Subjects. Eight children with CP, 10 to 15 years of age, were treated daily for 5 days with a version of neurodevelopmental treatment (NDT) and for 5 days with practice of reaching tasks. Methods. Changes in movement time, path, and smoothness of reach were quantified and described using kinematic analysis. Results. There were no differences in any of the variables following 5 days of NDT. There was a difference in movement time, but in no other variables, following 5 days of practice. When time in treatment, rather than type of treatment, was the independent variable, the data showed changes. Both movement time and movement units were reduced following 5 days of treatment. Movement time, movement units, and displacement, but not reaction time, were reduced following the completion of both types of treatment. Conclusion and Discussion. The two treatments in combination may be necessary to achieve these results. Alternatively, either treatment type alone, when given for at least 2 weeks, may produce similar results.