THE MUSCLE SHORTENING MANOEUVRE: APPLICABILITY AND PRELIMINARY EVALUATION IN CHILDREN WITH HEMIPLEGIC CEREBRAL PALSY: A RETROSPECTIVE ANALYSIS.

Diego Longo, Marco Lombardi, Paolo Lippi, Daniela Melchiorre, Maria Angela Bagni, Francesco Ferrarello
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引用次数: 2

Abstract

Introduction: Physiotherapy plays a key role in cerebral palsy rehabilitation, through addressing body function/structure deficits, minimizing activity limitations, and encouraging participation. The muscle shortening manoeuvre is an innovative therapeutic technique, characterized by the ability to induce changes in muscle strength in a short time.

Objective: To describe the applicability and estimate the effect of the muscle shortening manoeuvre applied to improve motor weakness and joint excursion of the ankle in children with hemiplegic cerebral palsy.

Methods: Nine children with hemiplegic cerebral palsy received 3 intervention sessions in one week. Muscle strength, passive and active range of motion were assessed before, during and after the training, and at 1-week follow-up.

Results: The children experienced an immediate increase in muscle strength and joint excursion of the ankle; the improvements were still present at follow-up after 7 days.

Conclusion: The muscle shortening manoeuvre may be an effective intervention to induce an immediate increase in muscle strength and range of motion of the ankle in children affected by hemiplegia due to cerebral palsy, thus promoting better physical functioning.

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肌肉缩短手法在儿童偏瘫性脑瘫中的适用性及初步评价:回顾性分析。
物理治疗在脑瘫康复中起着关键作用,通过解决身体功能/结构缺陷,减少活动限制,并鼓励参与。肌肉缩短术是一种创新的治疗技术,其特点是能够在短时间内引起肌肉力量的变化。目的:探讨肌肉缩短术在改善偏瘫性脑瘫患儿踝关节运动无力和关节移位中的适用性和效果。方法:9例偏瘫性脑瘫患儿在1周内接受3次干预。在训练前、训练中和训练后以及1周随访时评估肌肉力量、被动和主动活动范围。结果:儿童的肌肉力量和踝关节活动立即增加;在7天后的随访中仍有改善。结论:肌短缩术是一种有效的干预措施,可使脑瘫偏瘫患儿的肌肉力量和踝关节活动度立即增加,从而促进身体功能的改善。
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