Effects of Standing Board on Antigravity Muscles in Children with Cerebral Palsy Aging between 3 to 10 Years; A Multi-Centered Randomized Control Trial

Aqsa Faiz, Bushra Zaman, Mubushara Afzal, Malik Osama, Mustafa Zaveri
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Abstract

Cerebral palsy is one of the most common conditions contributing to childhood motor disability. It is usually categorized by a diverse range of gait abnormalities making ambulation very challenging. Standing board/frame has been a widely used physical therapy intervention practiced globally. Objective: To evaluate the effect of a standing board on the antigravity muscles among cerebral palsy children aged between 3 to 10 years. Methods: A 6-months experimental study was conducted in Karachi, Pakistan on children suffering from cerebral palsy. They were assessed for weight-bearing status, alignment, and range of motion of the child’s hip and knee joints based on varying positions. Results: After 6 months of intervention, the ROM and muscle strength grading in groups X and Y remained unchanged. The mean duration of standing with support increased to 20.2 min and 19.3 min and without support to 9.5 min and 6.7 min, respectively. Conclusions: The use of a standing board amongst CP children with non-ambulatory status is much more apparent when used daily for at least 45 minutes. It is more effective in correspondence to the alignment of the hip and knee joints. 
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站立板对 3 至 10 岁脑瘫儿童反重力肌肉的影响;多中心随机对照试验
脑瘫是导致儿童运动障碍的最常见疾病之一。它通常表现为各种步态异常,因此行走非常困难。站立板/架一直是全球广泛使用的物理治疗干预措施。目的评估站立板对 3 至 10 岁脑瘫儿童反重力肌肉的影响。方法:进行为期 6 个月的实验研究:在巴基斯坦卡拉奇对患有脑瘫的儿童进行了为期 6 个月的实验研究。根据不同的姿势,对儿童髋关节和膝关节的负重状态、排列和活动范围进行了评估。结果显示经过 6 个月的干预后,X 组和 Y 组的活动范围和肌肉力量分级保持不变。有支撑站立的平均持续时间分别增至 20.2 分钟和 19.3 分钟,无支撑站立的平均持续时间分别增至 9.5 分钟和 6.7 分钟。结论:在无法行走的 CP 儿童中,每天使用站立板至少 45 分钟的效果更为明显。它对髋关节和膝关节的排列更有效。
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