Synergistic effect of functional strength training and cognitive intervention on gross motor function in children with cerebral palsy.

IF 1.4 4区心理学 Q4 CLINICAL NEUROLOGY Applied Neuropsychology: Child Pub Date : 2024-07-01 Epub Date: 2022-12-26 DOI:10.1080/21622965.2022.2159408

Alaa Al-Nemr

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Abstract

Background: Cerebral palsy (CP) is a posture and movement disorder, however; it often includes disturbance of different aspects of cognitive function. This study aimed to investigate if combined functional strength training (FST) and cognitive intervention are more effective than either of them alone on gross motor function in children with spastic diplegic CP.

Methods: Sixty-four children with spastic diplegic CP, with ages ranging from 8 to 12 years, were assigned randomly into four treatment groups; Group I; FST, group II; cognitive training, group III; combined FST and cognitive training, group IV; conventional physical therapy. The Gross Motor Function Measure (GMFM-88) was used to assess gross motor function at baseline, post-treatment, and 6 months follow-up.

Results: Group III achieved a significant improvement in GMFM-88 when compared to other groups post-treatment and at follow-up.

Conclusion: This study suggests that combined lower limb FST and cognitive intervention had the potential to produce significantly more favorable effects than the single use of either of them on gross motor function in children with spastic diplegia.

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功能性力量训练和认知干预对脑瘫儿童粗大运动功能的协同效应。

背景：脑性瘫痪（CP）是一种姿势和运动障碍，但它通常也包括不同方面的认知功能障碍。本研究旨在探讨功能性力量训练（FST）与认知干预相结合对痉挛性偏瘫儿童的粗大运动功能是否比单独使用其中一种方法更有效：64名年龄在8至12岁之间的痉挛性偏瘫CP患儿被随机分配到四个治疗组：第一组；第二组：功能力量训练；第三组：认知训练；第四组：常规物理治疗。粗大运动功能测量（GMFM-88）用于评估基线、治疗后和6个月随访时的粗大运动功能：结果：与其他组相比，第三组在治疗后和随访时的 GMFM-88 均有明显改善：本研究表明，在痉挛性截瘫儿童的粗大运动功能方面，联合使用下肢FST和认知干预有可能比单独使用其中任何一种方法产生更明显的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Applied Neuropsychology: Child CLINICAL NEUROLOGY-PSYCHOLOGY

CiteScore

4.00

自引率

5.90%

发文量

期刊介绍： Applied Neuropsychology: Child publishes clinical neuropsychological articles concerning assessment, brain functioning and neuroimaging, neuropsychological treatment, and rehabilitation in children. Full-length articles and brief communications are included. Case studies of child patients carefully assessing the nature, course, or treatment of clinical neuropsychological dysfunctions in the context of scientific literature, are suitable. Review manuscripts addressing critical issues are encouraged. Preference is given to papers of clinical relevance to others in the field. All submitted manuscripts are subject to initial appraisal by the Editor-in-Chief, and, if found suitable for further considerations are peer reviewed by independent, anonymous expert referees. All peer review is single-blind and submission is online via ScholarOne Manuscripts.