{"title":"不同躯干集中运动方法对单侧脑瘫儿童疗效的比较：一项随机对照试验。","authors":"Derya Azim, Burcu Ersoz Huseyinsinoglu, Ipek Yeldan","doi":"10.1123/pes.2024-0126","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study compared the effects of Neuro-Developmental Treatment-based trunk training, video game-based trunk training (VG-TT), and VG-TT with an orthotic garment in children with unilateral cerebral palsy.</p><p><strong>Methods: </strong>Forty-two children with unilateral cerebral palsy received usual physiotherapy (2 d/wk) for 8 weeks (control period). They were then randomized to 8 weeks of Neuro-Developmental Treatment-based trunk training, VG-TT, or VG-TT with an orthotic garment (2 d/wk) alongside usual physiotherapy (intervention period). Primary outcomes were the Trunk Control Measurement Scale and Becure Balance Assessment System. Secondary outcomes included the Pediatric Berg Balance Scale and Gillette Functional Assessment Questionnaire.</p><p><strong>Results: </strong>No significant improvements in trunk control were observed during the control period (P > .05), and all groups showed significant gains during the intervention period (P < .05). Functional and sitting balance improved in all groups throughout both periods (P < .05). However, no significant differences were found between intervention groups in trunk control, sitting balance, balance, or walking function (P > .05).</p><p><strong>Discussion: </strong>Trunk-specific training enhances trunk control and functional balance in children with unilateral cerebral palsy. As no approach proved superior, interventions can be tailored based on individual needs and clinical context.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"1-9"},"PeriodicalIF":1.4000,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of the Effectiveness of Different Trunk-Focused Exercise Approaches for Children With Unilateral Cerebral Palsy: A Randomized Controlled Trial.\",\"authors\":\"Derya Azim, Burcu Ersoz Huseyinsinoglu, Ipek Yeldan\",\"doi\":\"10.1123/pes.2024-0126\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study compared the effects of Neuro-Developmental Treatment-based trunk training, video game-based trunk training (VG-TT), and VG-TT with an orthotic garment in children with unilateral cerebral palsy.</p><p><strong>Methods: </strong>Forty-two children with unilateral cerebral palsy received usual physiotherapy (2 d/wk) for 8 weeks (control period). They were then randomized to 8 weeks of Neuro-Developmental Treatment-based trunk training, VG-TT, or VG-TT with an orthotic garment (2 d/wk) alongside usual physiotherapy (intervention period). Primary outcomes were the Trunk Control Measurement Scale and Becure Balance Assessment System. Secondary outcomes included the Pediatric Berg Balance Scale and Gillette Functional Assessment Questionnaire.</p><p><strong>Results: </strong>No significant improvements in trunk control were observed during the control period (P > .05), and all groups showed significant gains during the intervention period (P < .05). Functional and sitting balance improved in all groups throughout both periods (P < .05). However, no significant differences were found between intervention groups in trunk control, sitting balance, balance, or walking function (P > .05).</p><p><strong>Discussion: </strong>Trunk-specific training enhances trunk control and functional balance in children with unilateral cerebral palsy. As no approach proved superior, interventions can be tailored based on individual needs and clinical context.</p>\",\"PeriodicalId\":49712,\"journal\":{\"name\":\"Pediatric Exercise Science\",\"volume\":\" \",\"pages\":\"1-9\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2025-04-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pediatric Exercise Science\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1123/pes.2024-0126\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pediatric Exercise Science","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1123/pes.2024-0126","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
Comparison of the Effectiveness of Different Trunk-Focused Exercise Approaches for Children With Unilateral Cerebral Palsy: A Randomized Controlled Trial.
Purpose: This study compared the effects of Neuro-Developmental Treatment-based trunk training, video game-based trunk training (VG-TT), and VG-TT with an orthotic garment in children with unilateral cerebral palsy.
Methods: Forty-two children with unilateral cerebral palsy received usual physiotherapy (2 d/wk) for 8 weeks (control period). They were then randomized to 8 weeks of Neuro-Developmental Treatment-based trunk training, VG-TT, or VG-TT with an orthotic garment (2 d/wk) alongside usual physiotherapy (intervention period). Primary outcomes were the Trunk Control Measurement Scale and Becure Balance Assessment System. Secondary outcomes included the Pediatric Berg Balance Scale and Gillette Functional Assessment Questionnaire.
Results: No significant improvements in trunk control were observed during the control period (P > .05), and all groups showed significant gains during the intervention period (P < .05). Functional and sitting balance improved in all groups throughout both periods (P < .05). However, no significant differences were found between intervention groups in trunk control, sitting balance, balance, or walking function (P > .05).
Discussion: Trunk-specific training enhances trunk control and functional balance in children with unilateral cerebral palsy. As no approach proved superior, interventions can be tailored based on individual needs and clinical context.
期刊介绍：
Pediatric Exercise Science is a journal committed to enriching the scientific knowledge of exercise during childhood and adolescence. To this end it publishes information that contributes to an understanding of (a) the unique aspects of the physiologic, physical, biochemical, and psychologic responses of children to exercise, (b) the role of exercise in the treatment of pediatric chronic diseases, (c) the importance of physical activity in the prevention of illness and preservation of wellness, and (d) the means by which participation in sports may be made safer and more enjoyable for children and youth. Consideration will be given for publication of work by various methodologies consistent with the scientific approach.
Besides original research, the journal includes review articles, abstracts from other journals, book reviews, and editorial comments. Pediatric Exercise Science encourages the expression of conflicting opinions regarding children and exercise by providing a forum for alternative viewpoints. At the same time it serves as a means of accumulating a base of research information that will allow application of experimental data to clinical practice. The scientific disciplines contributing to this body of knowledge are diverse. Therefore it is the purpose of this journal to provide a common focus for disseminating advances in the science of exercise during childhood. In doing so, the journal allows the opportunity for cross-fertilization of ideas between disciplines that will potentiate the growth of knowledge in this field. Pediatric Exercise Science seeks to stimulate new ideas regarding exercise in children and to increase the awareness of scientists, health care providers, and physical educators of the importance of exercise during childhood.
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