Effects of the Integration of Dynamic Weight Shifting Training Into Treadmill Training on Walking Function of Children with Cerebral Palsy: A Randomized Controlled Study.
Effects of the Integration of Dynamic Weight Shifting Training Into Treadmill Training on Walking Function of Children with Cerebral Palsy: A Randomized Controlled Study.
复制标题
动态重心转移训练与跑步机训练相结合对脑瘫儿童步行功能的影响：一项随机对照研究。
DOI：
10.1097/phm.0000000000000776
复制
发表时间：
2017
影响因子：
3
通讯作者：
Zhang,Yunhui
中科院分区：
文献类型：
--
作者：
Wu,Ming;Kim,Janis;Arora,Pooja;Gaebler-Spira,DeborahJ;Zhang,Yunhui
目的本研究的目的是确定在跑步机训练期间对骨盆和腿部施加辅助力是否可以改善脑瘫儿童的步行功能。设计将23名脑瘫儿童随机分配到仅使用机器人组或仅使用跑步机组。对于分配到机器人组的参与者，在跑步机行走期间对骨盆和腿部施加受控的力。对于被分配到仅跑步机组的参与者，根据需要提供手动帮助。每个参与者每周训练 3 次，持续 6 周。结果测量包括步行速度、6分钟步行距离和运动功能的临床评估，在训练前、训练后和训练结束后8周进行评估，并在两组之间进行比较。结果机器人训练后观察到步行速度和6分钟步行距离显着增加（P=0.03），但仅在跑步机训练后没有观察到显着变化。机器人训练后 6 分钟步行距离比仅跑步机训练后有更大的增加（P = 0.01）。结论在跑步机训练期间对骨盆和腿部施加受控的力，分别促进重心转移和腿部摆动，可以提高脑瘫儿童的步行速度和耐力。
ObjectiveThe aim of the study was to determine whether applying an assistance force to the pelvis and legs during treadmill training can improve walking function in children with cerebral palsy.DesignTwenty-three children with cerebral palsy were randomly assigned to the robotic or treadmill only group. For participants who were assigned to the robotic group, a controlled force was applied to the pelvis and legs during treadmill walking. For participants who were assigned to the treadmill only group, manual assistance was provided as needed. Each participant trained 3 times/wk for 6 wks. Outcome measures included walking speed, 6-min walking distance, and clinical assessment of motor function, which were evaluated before, after training, and 8 wks after the end of training, and were compared between two groups.ResultsSignificant increases in walking speed and 6-min walking distance were observed after robotic training (P= 0.03), but no significant change was observed after treadmill training only. A greater increase in 6-min walking distance was observed after robotic training than that after treadmill only training (P= 0.01).ConclusionsApplying a controlled force to the pelvis and legs, for facilitating weight-shift and leg swing, respectively, during treadmill training may improve walking speed and endurance in children with cerebral palsy.