PDF(Pubmed)
Abstract：
UNASSIGNED: Cerebral palsy (CP) is the most common motor disability in children. The initial lesion to the developing brain may result in a myriad of neuromuscular comorbidities, including mobility deficiencies. The neuromuscular contributions to disability and rehabilitative frameworks specific to children with CP have been investigated separately. However, few reviews have examined the relationship between neuromuscular pathophysiology and rehabilitative frameworks among children with CP. Therefore, the purpose of this review was to investigate the impact of dynamic stretching orthoses and therapeutic exercise on range of motion (ROM), aerobic capacity, and mobility in relation to the neuromuscular contributions to disability in children with CP.
UNASSIGNED: Reviews of PubMed, Google Scholar, and Web of Science were conducted to identify literature focusing on the neuromuscular pathophysiology contributing to disability in children with CP and rehabilitative frameworks associated with this population. The search used a combination of keywords and subject headings to include \'cerebral palsy\', \'musculoskeletal\', \'neuromuscular\', \'spasticity\', \'rehabilitation\', \'exercise\', \'aerobic\', and \'orthosis\'. Selected manuscripts featured original cross-sectional and longitudinal research and meta-analyses.
UNASSIGNED: A total of 303 manuscripts were initially identified through search terms, with 182 articles excluded based on title and abstract evaluation, leaving 121 manuscripts for full-text analysis. Seven studies meeting the narrative review criteria were included. Evidence supporting the efficacy of dynamic stretching orthoses for improving lower extremity ROM is inconclusive. Aerobic and progressive resistive training may be beneficial for improving aerobic capacity and muscle strength in children with CP, which may result in enhanced mobility.
UNASSIGNED: Depending on the individual\'s clinical presentation, ROM and therapeutic exercise may be implemented to optimize function. Incorporating progressive resistive and aerobic exercises into a rehabilitation plan may improve mobility and aerobic capacity. As such, clinicians should consider resistance and aerobic exercise prescription as part of a long-term treatment plan for children with CP.
UNASSIGNED: Reviews of PubMed, Google Scholar, and Web of Science were conducted to identify literature focusing on the neuromuscular pathophysiology contributing to disability in children with CP and rehabilitative frameworks associated with this population. The search used a combination of keywords and subject headings to include \'cerebral palsy\', \'musculoskeletal\', \'neuromuscular\', \'spasticity\', \'rehabilitation\', \'exercise\', \'aerobic\', and \'orthosis\'. Selected manuscripts featured original cross-sectional and longitudinal research and meta-analyses.
UNASSIGNED: A total of 303 manuscripts were initially identified through search terms, with 182 articles excluded based on title and abstract evaluation, leaving 121 manuscripts for full-text analysis. Seven studies meeting the narrative review criteria were included. Evidence supporting the efficacy of dynamic stretching orthoses for improving lower extremity ROM is inconclusive. Aerobic and progressive resistive training may be beneficial for improving aerobic capacity and muscle strength in children with CP, which may result in enhanced mobility.
UNASSIGNED: Depending on the individual\'s clinical presentation, ROM and therapeutic exercise may be implemented to optimize function. Incorporating progressive resistive and aerobic exercises into a rehabilitation plan may improve mobility and aerobic capacity. As such, clinicians should consider resistance and aerobic exercise prescription as part of a long-term treatment plan for children with CP.
摘要：
■脑瘫（CP）是儿童最常见的运动障碍。发育中的大脑的初始病变可能导致无数的神经肌肉合并症，包括流动性不足。已分别研究了CP儿童特有的神经肌肉对残疾和康复框架的贡献。然而,很少有综述研究了CP患儿的神经肌肉病理生理学与康复框架之间的关系。因此,这篇综述的目的是研究动态拉伸矫形器和治疗运动对运动范围（ROM）的影响，有氧能力，和活动性与CP儿童神经肌肉对残疾的贡献有关。
■评论PubMed，谷歌学者，和WebofScience进行了研究，以确定有关导致CP儿童残疾的神经肌肉病理生理学和与该人群相关的康复框架的文献。搜索使用了关键词和主题词的组合，包括“脑瘫”，\'肌肉骨骼\',\'神经肌肉\',\'痉挛\',\'康复\',\'练习\',\'有氧\',和“矫形器”。精选的手稿具有原始的横截面和纵向研究以及荟萃分析。
■最初通过搜索词确定了总共303份手稿，根据标题和摘要评价排除了182篇文章，留下121份手稿供全文分析。纳入了符合叙述性审查标准的七项研究。支持动态拉伸矫形器改善下肢ROM疗效的证据尚无定论。有氧和渐进式阻力训练可能有利于改善CP患儿的有氧能力和肌肉力量。这可能会导致流动性增强。
■根据个人的临床表现，ROM和治疗锻炼可以被实施以优化功能。将渐进式阻力和有氧运动纳入康复计划可以改善活动能力和有氧能力。因此，临床医生应将抗阻和有氧运动处方作为CP患儿长期治疗计划的一部分.
■评论PubMed，谷歌学者，和WebofScience进行了研究，以确定有关导致CP儿童残疾的神经肌肉病理生理学和与该人群相关的康复框架的文献。搜索使用了关键词和主题词的组合，包括“脑瘫”，\'肌肉骨骼\',\'神经肌肉\',\'痉挛\',\'康复\',\'练习\',\'有氧\',和“矫形器”。精选的手稿具有原始的横截面和纵向研究以及荟萃分析。
■最初通过搜索词确定了总共303份手稿，根据标题和摘要评价排除了182篇文章，留下121份手稿供全文分析。纳入了符合叙述性审查标准的七项研究。支持动态拉伸矫形器改善下肢ROM疗效的证据尚无定论。有氧和渐进式阻力训练可能有利于改善CP患儿的有氧能力和肌肉力量。这可能会导致流动性增强。
■根据个人的临床表现，ROM和治疗锻炼可以被实施以优化功能。将渐进式阻力和有氧运动纳入康复计划可以改善活动能力和有氧能力。因此，临床医生应将抗阻和有氧运动处方作为CP患儿长期治疗计划的一部分.
