Effects of combined Adeli suit and neurodevelopmental treatment in children with spastic cerebral palsy with gross motor function classification system levels I and II
Mi-Ra Kim MS, PT , Byoung-Hee Lee PhD , Dae-Sung Park PT, PhD
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引用次数: 17
Abstract
Background
Children with cerebral palsy (CP) exhibit diverse gait patterns depending on their neurological deficits and musculoskeletal problems. The Adeli suit treatment (AST) has been proposed as an intensive exercise protocol in the management of CP.
Objectives
The aim of this study was to compare the effects of a 6-week programme of combined AST and neurodevelopment treatment (NDT) with those of NDT alone on Gross Motor Function Measure (GMFM), balance, and gait in children with CP.
Methods
Twenty children with CP of Gross Motor Function Classification System levels I and II were randomly assigned to one of the following two groups: (1) NDT or (2) AST/NDT. The participants were assessed using the GMFM, Pediatric Balance Scale (PBS), Timed Up and Go (TUG) test, and spatiotemporal gait parameters.
Results
The GMFM, PBS, and TUG test for both groups showed a statistically significant increase (p < 0.05). Three children were excluded. Compared to the NDT group (n = 9), the AST/NDT group (n = 8) demonstrated a significant increase in spatiotemporal gait parameters (p < 0.05).
Conclusion
These results provide evidence for the greater effectiveness of combined AST/NDT than NDT alone in improving spatiotemporal gait parameters but not GMFM, PBS, and TUG test.
脑瘫儿童因其神经缺陷和肌肉骨骼问题表现出不同的步态模式。埃德里适合治疗(AST)已被建议作为一个密集的锻炼协议管理CP.ObjectivesThe本研究的目的是比较计划为期6周的影响结合AST和神经发育疗法与无损检测(NDT)独自粗大运动功能测量(GMFM),平衡,和儿童步态CP.MethodsTwenty CP患儿的粗大运动功能分类系统水平I和II被随机分配到下列两组:(1)无损检测或(2)AST/无损检测。采用GMFM、小儿平衡量表(PBS)、Timed Up and Go (TUG)测试和时空步态参数对参与者进行评估。结果两组患者GMFM、PBS、TUG评分均有统计学差异(p <0.05)。3名儿童被排除在外。与NDT组(n = 9)相比,AST/NDT组(n = 8)表现出时空步态参数的显著增加(p <0.05)。结论AST/NDT联合治疗对大鼠时空步态参数的改善效果优于NDT单独治疗,而GMFM、PBS和TUG试验对大鼠时空步态参数的改善效果不显著。
期刊介绍:
The Hong Kong Physiotherapy Journal is the official journal of the Hong Kong Physiotherapy Association Limited (HKPA Ltd). This peer-reviewed journal aims to contribute to and document the advancements in the principles and practice of physiotherapy in Hong Kong.The Hong Kong Physiotherapy Journal is published annually and papers are categorized into research reports, treatment reports, technical reports, literature reviews, and letters to the editor.