任务导向力量训练对增强脑瘫儿童上肢运动功能的有效性研究

Madeshwaran S, Senthil kumar N
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摘要

背景:由于中枢神经系统的神经运动元件受损,从出生或婴儿期开始就可能出现各种静态、非进行性运动障碍,如脑瘫。调节运动活动通常需要大脑皮层、丘脑、基底节、脑干、小脑、脊髓以及连接感觉和运动的通路之间的交流。任务导向训练是一种磨练运动技能的康复技术,也是一种增强肌肉功能或力量的方案。本研究的目的是比较传统疗法和任务导向力量训练对脑瘫儿童的疗效:根据选择标准共纳入 48 名受试者,并征得儿童家长的知情同意。A组(24人)将接受常规肩部锻炼,B组(24人)将接受以任务为导向的负重力量训练。结果测量包括肩关节 ROM 和 GMFCS 量表。结果应列表并进行统计分析。两个训练计划都将在 2022 年 11 月至 2023 年 4 月进行,为期 4 周,每周 5 天:对定量数据进行统计分析后发现,A 组和 B 组之间存在显著的统计学差异。
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A Study on the Effectiveness of Task Oriented Strength Training to Enhance Upper Limb Motor Function in Children with Cerebral Palsy
Background: A wide variety of static, non-progressive motor impairments, such as cerebral palsy, can developfrom birth or infancy as a result of damage to the central nervous system’s neuromotor components. Regulatingmotor activity frequently requires communication between the cerebral cortex, thalamus, basal ganglia, brain stem,Cerebellum, spinal cord, and linking sensory-motor pathways. Task-oriented training is utilized as a rehabilitationtechnique to hone motor skills and as a programme to enhance muscular function or strength. Objective of thisstudy is to compare the effectiveness of Conventional therapy and task-oriented strength training in children withcerebral palsy.Purpose: To compare the effectiveness of conventional therapy and task-oriented strength training in childrenwith cerebral palsy.Materials and Methods: A total of 48 subjects were included into the study based on the selection criteria andinformed consent was obtained from the parents of the children. Group A (n=24) will be treated with Conventionalshoulder exercises while Group B (n=24) will be treated with task-oriented strength training with weights. Outcomemeasures include Shoulder ROM and GMFCS Scale. Results should be tabulated and statistically analyzed. Bothtraining programs will be given for 4 weeks, weekly 5 days from November 2022 to April 2023.Result: Statistical analysis made with quantitative data revealed statistically significant differences between groupA and group B. The test shows that subjects who received task oriented strength training have better effects inimproving the motor function of children with Cerebral Palsy.
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