Randomized Controlled Study of Home-Based Treadmill Training for Ambulatory Children With Spina Bifida
Randomized Controlled Study of Home-Based Treadmill Training for Ambulatory Children With Spina Bifida
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DOI：
10.1177/1545968311400094
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发表时间：
2011-09-01
影响因子：
4.2
通讯作者：
Helders, Paul
中科院分区：
文献类型：
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作者：
de Groot, Janke F.;Takken, Tim;Helders, Paul
背景资料。许多患有脊柱裂(SB)的活动儿童尽管运动功能稳定甚至有所改善，但他们的行走能力仍然下降。目标。作者评估了以家庭为基础的跑步机训练计划对步行功能和有氧健身的影响。方法：研究方法。这项随机临床试验涉及34名患有SB的儿童，其中18人在家中接受12周的有监督的跑步机训练，14人接受常规护理。在家庭训练中，患者每周锻炼两次，强度为心率峰值(峰值心率)的66%，并逐渐从个人步行速度的70%提高到140%。在基线、干预后和干预后3个月获得主要结果指标。用6分钟步行试验(6MWT)测量步行能力，计算总能量消耗(ECS总能量)和能量成本。最大运动量是通过递增的跑步机试验测量的。同时记录VO2峰值和速度(峰值)作为结果参数。结果。训练后，6 MWT(P=.002；D=1.08)、速度(峰值)(P=.001；D=1.14)、VO2峰值(P=.034；D=0.78)和ECS总量(P=0.004；D=1.01)组间差异有统计学意义。6MWT(P=0.003；ETA=0.34)、SPEED(峰值)(P=0.003；ETA=0.35)和ECS总有效(P=0.014；ETA=0.29)的远期疗效被记录下来，而VO2峰值则没有。结论。对于患有SB的非卧床儿童，一个基于家庭的渐进式跑步机训练计划对步行有很大的长期影响，对VO2峰值有中等的短期影响。
Background. Many ambulatory children with spina bifida (SB) decline in their walking despite stable or even improved motor function. Objective. The authors evaluated the effects of a home-based treadmill training program on both ambulatory function and aerobic fitness. Methods. This randomized clinical trial of 34 ambulatory children with SB allocated 18 to supervised treadmill training for 12 weeks at home and 14 to usual care. Patients in home training exercised twice a week at an intensity of 66% of HRpeak (peak heart rate) and gradually progressed from 70% to 140% of their individual walking speed. Main outcome measures were obtained at baseline, after intervention, and 3 months postintervention. Ambulation was measured using the 6-minute walk test (6MWT), during which gross energy consumption (ECSgross) and energy cost were calculated. Maximal exercise capacity was measured using an incremental treadmill test. Both VO2peak and speed(peak) were recorded as outcome parameters. Results. After training, significant changes were seen between the groups for 6MWT (P = .002; d = 1.08), speed(peak) (P = .001; d = 1.14), VO2peak (P = .034; d = 0.78), and ECSgross (P = .004; d = 1.01). Long-term effects were recorded for 6MWT (P = .003; eta = 0.34), speed(peak) (P = .003; eta = 0.35), and ECSgross (P = .014; eta = 0.29) but not for VO2peak. Conclusion. A home-based, progressive treadmill training program for ambulatory children with SB has a large long-term effect on ambulation, with a moderate short-term effect on VO2peak.