PDF(Pubmed)
Abstract：
UNASSIGNED: Children with cerebral palsy (CP), even those who have very mild impairment, have lower muscle strength than their typically developing peers. The ankle dorsiflexors (DFs) and plantarflexors (PFs) of children with CP are especially weak. Weakness in the ankle muscles causes problems in functional skills, mobility, and balance in spastic CP (SCP). The aim of this study was to investigate the effects of progressive functional exercises (PFEs) on the DF, PF, or dorsi-plantar flexor (DPF) muscles in children with SCP, specifically, the functional mobility, balance, and maximum voluntary contraction (MVC), and compare the effects of strengthening these muscles individually or combined.
UNASSIGNED: This randomized trial was conducted between December 1st, 2018, and May 15th, 2019, at Gazi University, Department of Physiotherapy and Rehabilitation. Randomly assigned into groups were 27 independently ambulant patients with unilateral/bilateral SCP, where PFEs were applied to the DF, PF, or DPF muscles. Muscle tone, balance, and functional mobility were assessed. The MVC was evaluated by surface electromyography. PFEs were performed 4 times a week, for 6 weeks.
UNASSIGNED: The spasticity of the PF muscles decreased in all of the groups. PFE of the DF muscles led to an increase in ankle joint range of motion (ROM) and improved functional mobility (p < 0.05). PFE of the PF muscles resulted in improvements in balance and functional mobility (p < 0.05). PFE of the DPF muscles brought about improvements in balance but not in functional mobility (p < 0.05). No significant difference in the MVC was observed in any of the groups (p > 0.05).
UNASSIGNED: Gains are obtained according to the function of a muscle group. By training the DF muscles, it is possible to improve function and ROM. Furthermore, training the PF muscles led to improvements in balance and functional mobility, indicating that it is possible to bring about positive changes in spastic muscles. This study showed that muscle groups must be exercised according to the intended goal.
UNASSIGNED: This randomized trial was conducted between December 1st, 2018, and May 15th, 2019, at Gazi University, Department of Physiotherapy and Rehabilitation. Randomly assigned into groups were 27 independently ambulant patients with unilateral/bilateral SCP, where PFEs were applied to the DF, PF, or DPF muscles. Muscle tone, balance, and functional mobility were assessed. The MVC was evaluated by surface electromyography. PFEs were performed 4 times a week, for 6 weeks.
UNASSIGNED: The spasticity of the PF muscles decreased in all of the groups. PFE of the DF muscles led to an increase in ankle joint range of motion (ROM) and improved functional mobility (p < 0.05). PFE of the PF muscles resulted in improvements in balance and functional mobility (p < 0.05). PFE of the DPF muscles brought about improvements in balance but not in functional mobility (p < 0.05). No significant difference in the MVC was observed in any of the groups (p > 0.05).
UNASSIGNED: Gains are obtained according to the function of a muscle group. By training the DF muscles, it is possible to improve function and ROM. Furthermore, training the PF muscles led to improvements in balance and functional mobility, indicating that it is possible to bring about positive changes in spastic muscles. This study showed that muscle groups must be exercised according to the intended goal.
摘要：
■脑瘫（CP）儿童，即使是那些有非常轻微损伤的人，肌肉力量比通常发育中的同龄人低。CP儿童的踝背屈肌（DFs）和足底屈肌（PFs）尤其弱。脚踝肌肉的虚弱会导致功能技能的问题，移动性,痉挛CP(SCP)平衡。这项研究的目的是调查渐进性功能锻炼（PFEs）对DF的影响，PF,或患有SCP的儿童的背足屈肌（DPF），具体来说,功能移动性，balance,和最大自愿收缩(MVC)，并比较单独或联合加强这些肌肉的效果。
■这项随机试验于12月1日进行，2018年5月15日,2019年，在加齐大学，物理治疗和康复科。随机分组为27名独立的单侧/双侧SCP患者，将PFE应用于DF，PF,或DPF肌肉。肌肉张力,balance,和功能流动性进行了评估。通过表面肌电图评估MVC。每周进行4次PFE，6周。
■所有组的PF肌肉的痉挛程度均降低。DF肌肉的PFE导致踝关节活动范围（ROM）增加并改善功能活动性（p<0.05）。PF肌肉的PFE导致平衡和功能运动性的改善(p<0.05)。DPF肌肉的PFE改善了平衡，但没有改善功能活动性（p<0.05）。在任何组中都没有观察到MVC的显著差异(p>0.05)。
■根据肌肉群的功能获得增益。通过训练DF肌肉，可以改善功能和ROM。此外，训练PF肌肉导致平衡和功能活动的改善，这表明痉挛肌肉有可能发生积极的变化。这项研究表明，必须根据预期目标锻炼肌肉群。
■这项随机试验于12月1日进行，2018年5月15日,2019年，在加齐大学，物理治疗和康复科。随机分组为27名独立的单侧/双侧SCP患者，将PFE应用于DF，PF,或DPF肌肉。肌肉张力,balance,和功能流动性进行了评估。通过表面肌电图评估MVC。每周进行4次PFE，6周。
■所有组的PF肌肉的痉挛程度均降低。DF肌肉的PFE导致踝关节活动范围（ROM）增加并改善功能活动性（p<0.05）。PF肌肉的PFE导致平衡和功能运动性的改善(p<0.05)。DPF肌肉的PFE改善了平衡，但没有改善功能活动性（p<0.05）。在任何组中都没有观察到MVC的显著差异(p>0.05)。
■根据肌肉群的功能获得增益。通过训练DF肌肉，可以改善功能和ROM。此外，训练PF肌肉导致平衡和功能活动的改善，这表明痉挛肌肉有可能发生积极的变化。这项研究表明，必须根据预期目标锻炼肌肉群。
