一个常规计划的效果为外科医院的儿童与骨髓瘤结核:一个单个主题设计
Marianne Hanover1, Elizabeth M Ardolino2, Megan B Flores2
1Doctor of Physical Therapy Program, University of St. Augustine for Health Sciences, San Marcos, CA 92069, USA.
Healthcare (Basel, Switzerland)
|October 16, 2025
概括
基于家庭的站立计划可以增强肌肉的灵活性和运动质量在患有骨髓髓瘤结核 (MMC) 的儿童. 个性化干预是儿童物理治疗中安全性和长期结果的关键.
科学领域:
- 儿科物理治疗 儿科物理治疗
- 神经肌肉疾病 神经肌肉疾病
- 康复医学 康复医学 康复医学
背景情况:
- 患有骨髓髓瘤结核 (MMC) 的儿童经常出现下肢收缩,阻碍功能性移动.
- 对于患有MMC和关节形的门诊儿童的常设计划,研究有限.
- 这项研究调查了为MMC的门诊儿童提供在家的常设计划.
研究的目的:
- 评估家庭站立计划对MMC的门诊儿童肌肉灵活性,功能运动,步态和日常活动参与的影响.
- 评估家庭为患有MMC的儿童提供常设计划的可行性和家长的看法.
主要方法:
- 一个单个对象的ABABA戒断设计被用于两名患有MMC的门诊儿童.
- 干预包括每天60分钟的站立会议,使用坐立站立器 (STSS),由物理治疗师和家长监督.
- 主要结局包括被动运动范围 (PROM) 和10米步行测试 (10 MWT);次要结局包括Peds NRS和PEDI-CAT.
主要成果:
- 在干预阶段注意到部和膝盖灵活性的改善,在戒断期间减少.
- 两个参与者的功能运动质量都有所改善.
- 步行速度和日常活动参与度保持稳定;父母的反表明参与度高,独立性增加.
结论:
- 个性化的站立程序显示出改善肌肉灵活性和MMC的门诊儿童的功能运动的潜力.
- 需要进一步的研究来优化剂量,确保安全性,并评估长期的功能益处.
- 个性化支持至关重要,正如一个孩子因受伤而停药所证明的那样.
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