Influence d’un entraînement sur tapis roulant avec restriction de circulation sanguine (blood flow restriction – BFR) sur les performances à la marche au sein d’une population d’enfants atteints de troubles du développement neuromoteur

Q4 Medicine

Motricite Cerebrale Pub Date : 2025-06-01 DOI:10.1016/j.motcer.2025.02.002

J. Mahé, P. Provot, C. Kinet

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引用次数: 0

Abstract

Objective

To study the association of blood flow restriction (BFR) with treadmill gait training on the walking endurance capacities of children with non-progressive neuromotor disorders (cerebral palsy and associated).

Method

Non-randomized controlled trial conducted over a 10-week period in the physiotherapy department of the IEM le Château de Bailly in children with non-progressive neuro-central disorders aged 8 to 15. The children, divided non-randomly into a test group (GT) and a control group (GC) according to their age and Gross Motor Function Classification System (GMFCS), followed the same training protocol on a treadmill. The parameters studied were: 10-meter walking speed (10mWT), Index of Energy Expenditure (IDE5), number of sit-stands in 60 seconds (STS60′′) and the 6-minute walk test (TD6M).

Results

Significant improvements were seen in some of the parameters studied: STS60′′ (P = 0.039 on GT), IDE5 (P = 0.022 on GC) and TD6M (P = 0.058 on GT and P = 0.022 on GC). However, there was no significant improvement in the parameters retained by the GT compared with the GC.

Conclusion

Improvements in endurance parameters are linked to the training protocol implemented. However, the association of an arterial occlusion device does not appear to be necessary to obtain a functional improvement in gait. Further studies would be necessary to confirm the results.

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血液流动受限的跑步机训练对神经运动发育障碍儿童步行表现的影响

目的探讨血流量限制（BFR）与跑步机步态训练对非进行性神经运动障碍（脑瘫及相关）患儿步行耐力的影响。方法在IEM le chalteau de Bailly的物理治疗部门进行了为期10周的非随机对照试验，研究对象为8至15岁的非进行性神经中枢疾病儿童。这些儿童根据年龄和大肌肉运动功能分类系统（GMFCS）非随机分为实验组（GT）和对照组（GC），在跑步机上遵循相同的训练方案。研究参数为：10米步行速度（10mWT）、能量消耗指数（IDE5）、60秒坐立次数（STS60”）和6分钟步行测试（TD6M）。结果STS60”（GT时P = 0.039）、IDE5 （GC时P = 0.022）和TD6M （GT时P = 0.058， GC时P = 0.022）等参数均有显著改善。然而，与GC相比，GT保留的参数没有显着改善。结论耐力参数的改善与训练方案的实施有关。然而，动脉闭塞装置的关联似乎并不是获得步态功能改善所必需的。需要进一步的研究来证实这些结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Motricite Cerebrale Medicine-Rehabilitation

CiteScore

0.10

自引率

0.00%

发文量

审稿时长

58 days

期刊介绍： La recherche et les traitements des atteintes cérébrales Motricité cérébrale sa adresse aux ?praticiens de la motricité concernés par le examen et la rééducation des handicapés souffrant de troubles neurologiques et associés, allant du polyhandicap a le IMC. Motricité cérébrale publie des études et des évaluations sur les conséquences motrices, psychomotrices, pédagogiques et sociales résultant des atteintes cérébrales. La revue propose également des articles de clinique et de réadaptation.