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首页> 外文学位 >Comparison of effects of a motorized standing program on bone mineral density, lower extremity muscle length and health related quality of life in an ambulatory and non-ambulatory boy with DMD.
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Comparison of effects of a motorized standing program on bone mineral density, lower extremity muscle length and health related quality of life in an ambulatory and non-ambulatory boy with DMD.

机译：比较动态站立计划对非卧床和非卧床DMD男孩的骨矿物质密度，下肢肌肉长度和健康相关生活质量的影响。

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摘要

Purpose. (1) Evaluate if the use of a motorized standing program is feasible for boys with DMD; (2) Compare lower extremity muscle length, bone mineral density and health related quality of life (HRQoL) with a standing program in an ambulatory and a non-ambulatory boy with DMD. Materials & Methods. Two boys with DMD engaged in a standing program using a motorized power wheelchair. An A1-B1-A2 single subject design was employed. Primary outcome variables included lower extremity muscle length and bone mineral density. HRQOL was also collected. Data Analysis. The two Standard Deviation Band width Method was employed to examine change over time in primary outcome variables quantitatively within subjects across the three study phases. Results. Lower extremity muscle length of hip flexors, hamstrings and plantar flexors declined significantly in Subject 1 with standing following loss of ambulation. In contrast, muscle length of hip flexors and plantar flexors remained stable and hamstring muscle length improved significantly with standing in Subject 2, who was non-ambulatory throughout the standing intervention. Lumbar bone mineral density declined significantly in Subject 1 with standing, coinciding with loss of ambulation, but remained stable in Subject 2. Conclusion. A standing program using a power sit to stand wheelchair of 30 minutes per day, 3-4 days was feasible for both an ambulatory and a non-ambulatory boy with DMD, but positive effects on muscle length and bone mineral density are overshadowed the negative effects of ambulation loss.
机译：目的。 （1）评估使用电动站立程序对患有D​​MD的男孩是否可行； （2）比较非卧床和非卧床男孩的DMD站立程序与下肢肌肉长度，骨矿物质密度和健康相关的生活质量（HRQoL）。材料与方法。两个患有DMD的男孩正在使用电动轮椅进行站立训练。采用A1-B1-A2单主题设计。主要结果变量包括下肢肌肉长度和骨矿物质密度。还收集了HRQOL。数据分析。在两个研究阶段中，采用两种标准偏差带宽方法来定量检查受试者主要结果变量随时间的变化。结果。受试者1的下屈肌，绳肌和足底屈肌的下肢肌肉长度显着下降，并在失去运动后站立。相反，在受试者2站立时，髋屈肌和plant屈肌长度保持稳定并且绳肌长度显着改善，受试者2在站立干预期间始终处于非活动状态。站立时受试者1的腰椎骨矿物质密度显着下降，与移动能力下降相吻合，但受试者2则保持稳定。结论。每天30分钟，每天3-4天使用电动坐着轮椅站立的站立计划对于DMD的非卧床和非卧床男孩都是可行的，但是对肌肉长度和骨矿物质密度的积极影响被负面影响所掩盖移动损失。

著录项

  • 作者

    Nandakumar, Nidhi.;

  • 作者单位

    MGH Institute of Health Professions.;

  • 授予单位 MGH Institute of Health Professions.;
  • 学科 Health Sciences Rehabilitation and Therapy.
  • 学位 M.S.
  • 年度 2011
  • 页码 117 p.
  • 总页数 117
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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