下肢训练值 剂量和运动学习策略 脑麻儿童的报告
Matthew Haddon1, Isabella Pessóta Sudati, Jizelle Kenworthy-Groen
1The Healthy Strides Foundation, Perth, Western Australia, Australia (Mr Haddon, Dr Pool, and Ms Dolling); Physiotherapy Department, Perth Children's Hospital, Perth, Western Australia, Australia (Mr Haddon, Ms Kenworthy-Groen, and Ms O'Connor); Physical Therapy Department, Federal University of São Carlos, São Carlos, São Paulo, Brazil (Dr Sudati); School of Allied Health, Curtin University, Perth, Western Australia, Australia (Dr Pool); Kids Rehab WA, Perth Children's Hospital, Perth, Western Australia, Australia (Ms O'Connor); Biostatistics Unit, Griffith University, Brisbane, Queensland, Australia (Prof Ware); Rocky Bay, Perth, Western Australia, Australia (Ms Lee); Queensland Cerebral Palsy and Rehabilitation Research Centre, Child Health Research Centre, The University of Queensland, Brisbane, Queensland, Australia (Prof Sakzewski).
这次审查发现,对于脑性麻 (CP) 的儿童来说,最佳的下肢活动训练剂量可以改善行走和运动功能. 关于运动学习策略的报道很低,表明需要在未来的研究中提供更好的干预细节.
科学领域:
- 儿科康复儿童康复中心
- 神经肌肉疾病 神经肌肉疾病
- 临床试验方法论 临床试验方法论
背景情况:
- 大脑 (CP) 显著影响儿童的运动功能.
- 积极的下肢训练是改善儿科CP结果的关键干预措施.
- 了解最佳训练剂量对于有效的康复至关重要.
研究的目的:
- 确定积极下肢训练的门剂量,以改善CP儿童的治疗结果.
- 在相关研究中评估运动学习策略的报告质量.
主要方法:
- 来自五个数据库的随机对照试验 (RCT) 的系统审查.
- 独立评估研究选择,数据提取和偏差风险.
- 基于临床显著的平均组变化而建立的剂量值.
主要成果:
- 包括101项涉及3566名患有CP的儿童的研究.
- 确定的值剂量:步行速度为12小时,耐力为7.5小时,总运动功能为23.33小时,目标性能为21小时.
- 关于运动学习策略的报告很少,大多数研究中偏差风险很高.
结论:
- 提供了初步指导,以优化治疗持续时间,以提高儿科CP的功能结果.
- 强调需要进行更高质量的研究,并提供详细的干预报告.
- 强调将运动学习原则纳入CP干预措施的重要性.
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