脑瘫儿童高强度步态训练干预：病例系列。

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-29 DOI:10.1097/PEP.0000000000001163

Megha Sanjiv, Martha H Bloyer, Cheryl Gimenez, James G Moore

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引用次数: 0

摘要

目的：本试验性系列病例旨在描述参与高强度步态训练（HIGT）以及被诊断为脑瘫（CP）的儿童在（1）步态速度/耐力、（2）有氧能力和（3）行走能力方面的变化：方法：三名患有脑瘫的儿童参加了为期 5 周的 HIGT 训练，以代替他们的常规物理治疗。方法：三名患有脑瘫的儿童参加了为期 5 周的 HIGT，以代替他们的常规物理治疗，并在基线和干预后收集了结果测量数据：结果：干预后，所有参与者的 10 米步行测试速度和 6 分钟步行测试距离均达到或超过最小临床意义差异。两名参与者在 7.5 米往返跑测试水平和粗大运动功能测量-88 维度 E 评分方面的表现超过了最小临床意义差异：本系列病例表明，参加 HIGT 可在短期内改善步行效果。还需要进行更大规模、更多样化的随机对照试验，以确定 HIGT 在这一人群中的参数和长期效果。

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High-Intensity Gait Training Intervention for Children With Cerebral Palsy: A Case Series.

Purpose: The purpose of this pilot case series was to describe participation in high-intensity gait training (HIGT) and changes in (1) gait speed/endurance, (2) aerobic capacity, and (3) walking ability in children diagnosed with cerebral palsy (CP).

Methods: Three children with CP participated in HIGT for 5 weeks in lieu of their routine physical therapy. Outcome measures were collected at baseline and post-intervention.

Results: Post-intervention, all had at or above the minimal clinically important difference for 10-m walk test speed and 6-minute walk test distance. Two participants performed above the minimal clinically important difference in 7.5-m shuttle run test level and Gross Motor Function Measure-88 Dimension E score.

Conclusion: This case series demonstrates short-term improvements in the walking outcome measures with participation in HIGT. Further research is needed with a larger and more diverse randomized controlled trial to determine parameters and long-term effects of HIGT in this population.

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.