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首页> 外文期刊>Egyptian Journal of Medical Human Genetics >Effect of arm cycling on gait of children with hemiplegic cerebral palsy
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Effect of arm cycling on gait of children with hemiplegic cerebral palsy

机译：手臂骑行对偏瘫性脑瘫患儿步态的影响

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Background Arm swing during gait is usually neglected, as it is not an essential component of walking that it spontaneously occurs, so there are doubts if it affects gait or not. The upper limb in hemiplegic cerebral palsy is more involved than the lower limb. The aim of this study was to enhance swinging of arm by using arm cycling and assess its impact on both upper and lower limb joints’ angular displacements during gait cycle of children with hemiplegic cerebral palsy. Methods Forty-eight hemiplegic cerebral palsy children participated in this study (18 boys, 30 girls) with an average age of 5.1±0.87years. Children were randomly assigned to two groups, study group (A) and control group (B). The study group received arm cycling in addition to gait training exercise, while the control group received gait training exercises only. Three dimensional (3D) motion analysis was used before and after the training program to evaluate the angular displacements of shoulder, elbow, hip, knee, and ankle joints during gait sub phases. Results Results showed a significant improvement ( p <0.05) in arm swing. Improvement was manifested by decreasing flexion angular displacements of shoulder and elbow joints. Also there was a significant increase ( p <0.05) in flexion angular displacements of the hip and ankle joints during gait cycle. Conclusion Using arm cycling exercise is an effective method for improving both arm swing and leg angular displacements during gait of hemiplegic children.
机译：背景技术步态中的手臂摆动通常被忽略，因为它不是自然发生的步行必不可少的组成部分，因此怀疑它是否影响步态。偏瘫性脑瘫的上肢比下肢更受累。这项研究的目的是通过手臂循环来增强手臂的摆动，并评估其对偏瘫性脑瘫患儿步态周期中上下肢关节角度位移的影响。方法四十八例偏瘫性脑瘫患儿（男18例，女30例）平均年龄5.1±0.87岁。将儿童随机分为两组，研究组（A）和对照组（B）。除步态训练运动外，研究组还接受了手臂骑行，而对照组仅接受了步态训练运动。在训练程序之前和之后使用三维（3D）运动分析来评估步态子阶段中肩膀，肘部，臀部，膝盖和踝关节的角位移。结果结果表明，手臂摆动有显着改善（p <0.05）。减少肩关节和肘关节的屈曲角度位移可以改善症状。在步态周期中，髋和踝关节的屈曲角位移也有显着增加（p <0.05）。结论进行臂骑自行车运动是改善偏瘫儿童步态时手臂摆动和腿部角度位移的有效方法。

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