脑瘫儿童姿势控制和步态的康复:躯干集中姿势活动的有益作用。

IF 1.1 4区医学 Q4 CLINICAL NEUROLOGY

Developmental Neurorehabilitation Pub Date : 2023-04-01 DOI:10.1080/17518423.2023.2193269

Jonathan Pierret, Christian Beyaert, Rajul Vasa, Emilie Rumilly, Jean Paysant, Sébastien Caudron

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引用次数: 1

摘要

目的:对于躯干控制和脚趾行走受损的脑瘫(CP)儿童，假设基于姿势活动的躯干聚焦康复(TFR)可以改善躯干姿势控制、早期躯干减速和行走时踝关节背屈制动。方法:17例自主行走的CP患儿(5 ~ 12岁)随机接受TFR后常规康复(TFR- ur)或常规康复(UR-TFR)治疗。结果:只有经过TFR后，在(i)躯干控制测量量表评分、不稳定坐姿装置和站立时的姿势摇摆以及(ii)早期胸骨和骶骨减速以及足底屈肌引起的踝关节负动力方面才有显著改善。结论:TFR改善躯干动力学，从而改善耦合脚趾行走。

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Rehabilitation of Postural Control and Gait in Children with Cerebral Palsy: the Beneficial Effects of Trunk-Focused Postural Activities.

Purpose: In children with cerebral palsy (CP), with impaired trunk control and toe-walking, trunk-focused rehabilitation (TFR) based on postural activities was hypothesized to improve trunk postural control, early trunk deceleration, and ankle dorsiflexion braking during walking. Methods: Seventeen children with CP (5-12 years) walking autonomously were randomly assigned to TFR and then usual rehabilitation (TFR-UR) or vice versa (UR-TFR).

Results: Only after TFR was significant improvements in (i) the Trunk Control Measurement Scale score, postural sway on an unstable sitting device and standing, and (ii) early sternal and sacral decelerations and coupled negative ankle power due to plantar flexors.

Conclusion: TFR improves trunk dynamics and consequently improves coupled toe-walking.

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来源期刊

Developmental Neurorehabilitation CLINICAL NEUROLOGY-PEDIATRICS

CiteScore

3.10

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.