{"title":"跑步机步态训练结合平衡训练对脑瘫儿童功能活动和平衡的影响：一项随机对照试验。","authors":"Theofani Bania, Maria Sxiza","doi":"10.1123/pes.2025-0018","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effects of a gait training program on functional mobility and balance in children with cerebral palsy.</p><p><strong>Methods: </strong>Twenty-two children 6-12 years old with spastic cerebral palsy (Gross Motor Function Classification System levels I-III) participated. They were randomly assigned to a gait training program or a control group. Both groups received neurodevelopmental treatment over a 12-week period. In addition, the intervention group received treadmill training combined with balance exercises. Walking speed, Gross Motor Function Measure dimension D and E, Pediatric Balance Scale, 1-minute walk test, and ankle range of motion were measured at baseline and at 12 weeks by a blind assessor. Data were analyzed with 2-way analysis of variance with 1 repeated factor (time) and 1 independent factor (group).</p><p><strong>Results: </strong>The intervention group improved walking speed (10-m walk) by a mean of 7.4 units (95% CI, 1.6-16.4) and the Gross Motor Function Measure-E score by a mean of 16.8 units (95% CI, 3.9-29.7) compared with the control group. No other significant between-group differences were observed. Within-group statistically significant differences were observed primarily for the gait training group. No serious adverse events were reported.</p><p><strong>Conclusion: </strong>A gait training program appeared to be beneficial for mobility-related outcomes in young children with cerebral palsy. Training focused on gait, and this was increased with less, if any, change in other outcomes, such as balance or range of motion.</p>","PeriodicalId":49712,"journal":{"name":"Pediatric Exercise Science","volume":" ","pages":"1-6"},"PeriodicalIF":1.3000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of Treadmill Gait Training Combined With Balance Exercises on Functional Mobility and Balance in Children With Cerebral Palsy: A Randomized Controlled Trial.\",\"authors\":\"Theofani Bania, Maria Sxiza\",\"doi\":\"10.1123/pes.2025-0018\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>To investigate the effects of a gait training program on functional mobility and balance in children with cerebral palsy.</p><p><strong>Methods: </strong>Twenty-two children 6-12 years old with spastic cerebral palsy (Gross Motor Function Classification System levels I-III) participated. They were randomly assigned to a gait training program or a control group. Both groups received neurodevelopmental treatment over a 12-week period. In addition, the intervention group received treadmill training combined with balance exercises. Walking speed, Gross Motor Function Measure dimension D and E, Pediatric Balance Scale, 1-minute walk test, and ankle range of motion were measured at baseline and at 12 weeks by a blind assessor. Data were analyzed with 2-way analysis of variance with 1 repeated factor (time) and 1 independent factor (group).</p><p><strong>Results: </strong>The intervention group improved walking speed (10-m walk) by a mean of 7.4 units (95% CI, 1.6-16.4) and the Gross Motor Function Measure-E score by a mean of 16.8 units (95% CI, 3.9-29.7) compared with the control group. No other significant between-group differences were observed. Within-group statistically significant differences were observed primarily for the gait training group. No serious adverse events were reported.</p><p><strong>Conclusion: </strong>A gait training program appeared to be beneficial for mobility-related outcomes in young children with cerebral palsy. Training focused on gait, and this was increased with less, if any, change in other outcomes, such as balance or range of motion.</p>\",\"PeriodicalId\":49712,\"journal\":{\"name\":\"Pediatric Exercise Science\",\"volume\":\" \",\"pages\":\"1-6\"},\"PeriodicalIF\":1.3000,\"publicationDate\":\"2025-09-24\",\"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.2025-0018\",\"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.2025-0018","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
Effect of Treadmill Gait Training Combined With Balance Exercises on Functional Mobility and Balance in Children With Cerebral Palsy: A Randomized Controlled Trial.
Purpose: To investigate the effects of a gait training program on functional mobility and balance in children with cerebral palsy.
Methods: Twenty-two children 6-12 years old with spastic cerebral palsy (Gross Motor Function Classification System levels I-III) participated. They were randomly assigned to a gait training program or a control group. Both groups received neurodevelopmental treatment over a 12-week period. In addition, the intervention group received treadmill training combined with balance exercises. Walking speed, Gross Motor Function Measure dimension D and E, Pediatric Balance Scale, 1-minute walk test, and ankle range of motion were measured at baseline and at 12 weeks by a blind assessor. Data were analyzed with 2-way analysis of variance with 1 repeated factor (time) and 1 independent factor (group).
Results: The intervention group improved walking speed (10-m walk) by a mean of 7.4 units (95% CI, 1.6-16.4) and the Gross Motor Function Measure-E score by a mean of 16.8 units (95% CI, 3.9-29.7) compared with the control group. No other significant between-group differences were observed. Within-group statistically significant differences were observed primarily for the gait training group. No serious adverse events were reported.
Conclusion: A gait training program appeared to be beneficial for mobility-related outcomes in young children with cerebral palsy. Training focused on gait, and this was increased with less, if any, change in other outcomes, such as balance or range of motion.
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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