背景:大多数脑瘫(CP)患者由于营养状况恶化而对物理治疗无反应,继发于胃肠道疾病和疾病本身的分解代谢状态。然而,基本治疗只考虑能量需求,不考虑补充谷氨酰胺,锌,硒,骨化醇,螺旋藻,欧米茄3甚至植物蛋白。
目的:在本研究中,我们确定了使用营养支持系统(NSS)的效果:饮食和补充剂,关于痉挛型双相和粗大运动功能分类系统III(GMFCSIII)的CP儿童的粗大运动功能。
方法:进行了一项探索性研究。30名患者(4至12岁)被随机分配到:(1)饮食监测(FG),(2)驱虫和WHO饮食(CG),或(3)驱虫和NSS(IG)。使用粗大运动功能测量(GMFM)量表评估粗大运动功能。
结果:与FG和CG组相比,IG治疗组在GMFM中分析的站立和步行参数方面显着改善。接受IG治疗的患者中有50%设法走路,而在其他群体中,没有病人能走路。
结论:本研究中使用的NSS可改善CP患者的粗大运动功能并促进步行。
BACKGROUND: Most patients with cerebral palsy (CP) do not respond to physical therapy due to deterioration in their nutritional status, secondary to gastrointestinal disorders and the catabolic state of the disease itself. However, basic treatments only contemplate the energy requirements and do not consider supplementation with glutamine, zinc, selenium, colecalciferol, spirulina, omega 3 or even vegetal proteins.
OBJECTIVE: In this study, we determined the effect of using a nutritional support system (NSS): diet and supplements, on the gross motor function in children with CP with spastic diparesic and Gross Motor Function Classification System III (GMFCS III).
METHODS: An exploratory study was performed. Thirty patients (from 4 to 12 years old) were randomly assigned to: (1) dietary surveillance (FG), (2) deworming and WHO diet (CG), or (3) deworming and the NSS (IG). Gross motor function was evaluated using the gross motor function measure (GMFM) scale.
RESULTS: The IG-treated group presented a significant improvement in standing and walking parameters analyzed in the GMFM compared with FG and CG groups. Fifty percent of the IG-treated patients managed to walk, while in the other groups, no patients were able to walk.
CONCLUSIONS: The NSS used in the present work improves gross motor function and promotes walking in patients with CP.