Objective To design an abdominal muscle strength trainer, and to observe its clinical efficacy in children with spastic diplegia cerebral palsy (CP). Methods An abdominal muscle strength trainer was designed, consisting of three important parts: a seat plate, a base plate and a back training plate. Forty spastic diplegia CP children were enrolled in this study from January 2018 to December 2019, and were randomly divided into observation group (n=20) and control group (n=20). All children were treated with routine rehabilitation training with the frequency of once a day, 5 d/week. The control group received conventional rehabilitation, while the observation group received abdominal muscle strength trainer exercise training for 5 - 10 min per day. Children in both groups were assessed with manual muscle testing at the beginning and at the end of the three months of treatment course. Results After three-month treatment, MMT scores of children in both groups were improved significantly than those before training (t=2.517, 7.768, 2.179, 8.718, P＜0.05).MMT scores of children in the observation group were significantly higher than those in the control group (t=3.454, 2.886, P＜0.01). Conclusions The abdominal muscle strength trainer is easy and safe for children with spastic diplegia cerebral palsy to use, and it can significantly improve the rehabilitation efficacy.
Key words
abdominal muscle strength trainer /
spastic-type cerebral palsy /
abdominal muscles /
manual muscle testing
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 李晓捷,唐久来,马丙祥,等.脑性瘫痪的定义、诊断标准及临床分型[J].中华实用儿科临床杂志,2014,29(19):1520.
[2] Huang C, Chen Y, Chen G, et al. Efficacy and safety of core stability training on gait of children with cerebral palsy: A protocol for a systematic review and meta-analysis[J]. Medicine (Baltimore). 2020,99(2):e18609.
[3] Park JH,You JSH. Innovative robotic hippotherapy improves postural muscle size and postural stability during the quiet stance and gait initiation in a child with cerebral palsy: A single case study[J]. Neuro Rehabilitation, 2018,42(2):247-253.
[4] 孔祥颖,宋福祥,庞伟,等.痉挛型脑瘫患儿Bobath 球上仰卧起坐训练的疗效观察[J].中国康复医学杂志,2017,32(7):811-813.
[5] 梁文锐,吴小平,张启富,等. 束带强化核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及平衡的效果[J].中国康复,2018,24(1):97-100.
[6] Ali MS, El-Aziz H.Effect of whole-body vibration on abdominal thickness and sitting ability in children with spastic diplegia[J]. J Taibah Univ Med Sci,2020,16(3):379-386.
[7] 唐久来,秦炯,邹丽萍,等.中国脑性瘫痪康复指南(2015):第一部分[J].中国康复医学杂志,2015,30(7):533-538.
[8] O'sullivan SB, Schmitz TJ. Physical Rehabilitation [M]. 6th ed. Philadelphia: FA Davis, 2013.
[9] Vitrikas K, Dalton H, Breish D.Cerebral palsy: an overview[J].Am Fam Physician,2020,101(4):213-220.
[10] Sato H.Postural deformity in children with cerebral palsy: Why it occurs and how is it managed[J]. Phys Ther Res,2020,23(1):8-14.
[11] 白艳,王秀霞,陈海英.经颅磁刺激联合核心肌力训练在痉挛型脑瘫患儿中的应用研究[J].中国全科医学,2020,23(2):177-182.
[12] Franki I, Bar-On L, Molenaers G, et al. Tone reduction and physical therapy: Strengthening partners in treatment of children with spastic cerebral palsy[J]. Neuropediatrics,2020,51(2):89-104.
[13] Cho C, Hwang W, Hwang S, et al. Treadmill training with virtual reality improves gait, balance, and muscle strength in children with cerebral palsy[J]. Tohoku J Exp Med,2016,238(3):213-218.
[14] 梁文锐,吴小平,张启富,等.束带强化核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及平衡的效果[J].中国康复理论与实践, 2018,24(1):97-100.
[15] 范艳萍,高晶.肌电反馈疗法联合核心肌力训练对脑瘫儿童步行能力的影响[J].中国康复,2017,32(5):373-375.
[16] Dallmeijer AJ, Rameckers EA,Houdijk H,et al. Isometric muscle strength and mobility capacity in children with cerebral palsy[J]. Disabil Rehabil. 2017,39(2):135-142.
[17] van Vulpen LF, de Groot S,Rameckers E,et al. Improved walking capacity and muscle strength after functional power-training in young children with cerebral palsy[J]. Neurorehabil Neural Repair,2017,31(9):827-841.
[18] 李美萍,沈敏,徐纯鑫,等.等速肌力训练改善痉挛型脑性瘫痪患儿下肢肌力的临床观察[J]. 中国康复医学杂志,2020,35(6):713-715.
[19] Skoutelis VC, Kanellopoulos A, Vrettos S,et al.Improving gait and lower-limb muscle strength in children with cerebral palsy following selective percutaneous myofascial lengthening and functional physiotherapy[J]. NeuroRehabilitation. 2018;43(4):361-368.
[20] Song S, Lee K, Jung S,et al.Effect of horizontal whole-body vibration training on trunk and lower-extremity muscle tone and activation, balance, and gait in a child with cerebral palsy[J]. Am J Case Rep. 2018,31(19):1292-1300.
PDF(616 KB)
