不同的水上干预对痉挛型脑瘫儿童肌肉力量、平衡、耐力和功能技能的影响。

IF 1.7
Developmental neurorehabilitation Pub Date : 2025-01-01 Epub Date: 2025-07-06 DOI:10.1080/17518423.2025.2526352
Najwa Khan, Alaa Ibrahim
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引用次数: 0

摘要

目的:探讨水上干预对痉挛性脑瘫患儿身体功能和功能独立性的影响。方法:2017 - 2018年在某康复中心进行随机对照试验,纳入48名6 - 12岁诊断为痉挛性CP的儿童。参与者被随机分为三组:游泳组(SW, n = 16)、太极拳拉伸组(AS, n = 16)和对照组(n = 16)。结果测量包括大运动功能测量(GMFM-66)、改良Ashworth量表(MAS)、手动肌肉测试(MMT)、握力计读数、儿童平衡量表(PBS)和6分钟步行测试(6MWT)。结果:游泳(SW)组和太极拳(AS)组大肌运动功能均有显著改善(p = 0.04)。痉挛水平保持一致(p < 0.05)。然而,SW组肌肉力量(p = 0.001)和握力(p = 0.05)增加。SW组平衡改善(p = 0.05), AS组耐力增加(p = 0.01)。结论:本研究强调了水生干预在提高痉挛性脑瘫儿童身体表现方面的价值,并揭示了这种锻炼可以改善儿童的健康和生活质量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The effects of different aquatic interventions on muscle power, balance, endurance, and functional skills in children with spastic cerebral palsy.

Purpose: This study examined the impact of aquatic interventions on children with spastic CP regarding their physical function and functional independence.

Methods: A randomized controlled trial was conducted from 2017 to 2018 at a rehabilitation center, involving 48 children diagnosed with spastic CP, aged between 6 and 12 years. Participants were randomly assigned into three groups: a Swimming Group (SW, n = 16), Ai Chi Stretching Group (AS, n = 16), and a Control Group (n = 16). Outcome measures included the Gross Motor Function Measure (GMFM-66), Modified Ashworth Scale (MAS), Manual Muscle Testing (MMT), hand grip dynamometer readings, Pediatric Balance Scale (PBS), and 6-Minute Walk Test (6MWT).

Results: The findings revealed that both the Swimming (SW) and Ai Chi Stretching (AS) Groups showed significant improvements in gross motor function (p = .04). Spasticity levels remained consistent (p > .05). However, the SW Group exhibited increased muscle power (p = .001) and hand grip strength (p = .05). Balance improved in the SW Group (p = .05), and endurance increased in the AS Group (p = .01).

Conclusion: This study underscored the value of aquatic interventions in enhancing the physical performance of children suffering from spastic CP and revealed that this exercise improves children's well-being and quality of life.

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