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首页> 外文期刊>Fisioterapia em Movimento >Efeitos da descarga de peso em membros superiores sobre o alinhamento corporal de indivíduos com paralisia cerebral do tipo hemiparesia espástica: ensaio clínico randomizadoEfectos de la descarga de peso en los miembros superiores sobre la alineación corp
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Efeitos da descarga de peso em membros superiores sobre o alinhamento corporal de indivíduos com paralisia cerebral do tipo hemiparesia espástica: ensaio clínico randomizadoEfectos de la descarga de peso en los miembros superiores sobre la alineación corp

机译：上肢体重减轻对痉挛性偏瘫等脑性瘫痪患者身体取向的影响：一项随机临床试验

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Introduction: Cerebral Palsy (CP) patients who have spastic hemiparesis usually present asymmetrical weight shift between the affected and non-affected side. Objective: To assess the effects of upper limb (UL) weight-bearing exercises on trunk symmetry, weight shift to the affected side and possible secondary effects on gait (speed and quality). Method: eleven participants with CP were randomized into two groups: Intervention Group (IG) and Control Group (CG); IG (n = 6) performed stretching exercises of the major muscle groups of UL and lower limbs (LL) and UL weight-bearing exercises in prone and seated position for 12 weeks. The CG (n = 5) did not undergo any kind of motor therapy during the study period but received the same exercises that IG after the study. The variables analyzed were: Gross Motor Function Measure (GMFM-88); Pediatric Berg Scale; Trunk Impairment Scale (TIS); Six-minute walking test (6MWT); Ten meters walking test (10MWT); Timed Up & Go (TUG); Edinburgh Visual Gait Scale (EVGS); and ground reaction force. Results: The IG showed improvement on 6MWT, TUG, TIS and Pediatric Berg Scale (p 0.01), and CG showed improvement on GMFM-88 (p 0.04) only for the intragroup analysis. Conclusion: The exercises were effective to improve static and dynamic balance, increasing gait speed and identifying a trend of improvement on body alignment and weight shift to the affected side.
机译：简介：患有痉挛性偏瘫的脑性瘫痪（CP）患者通常在患侧和非患侧之间出现不对称的体重变化。目的：评估上肢负重锻炼对躯干对称性，体重向患侧转移以及对步态的可能继发影响（速度和质量）的影响。方法：将11名CP患者随机分为两组：干预组（IG）和对照组（CG）。 IG（n = 6）对UL和下肢（LL）的主要肌肉群进行伸展运动，并俯卧和坐姿进行UL负重运动，为期12周。在研究期间，CG（n = 5）未接受任何形式的运动疗法，但在研究后接受了与IG相同的锻炼。分析的变量为：运动功能总测量值（GMFM-88）;小儿伯格量表;躯干损伤量表（TIS）;六分钟步行测试（6MWT）;十米步行测试（10MWT）;定时走（TUG）;爱丁堡视觉步态量表（EVGS）;和地面反作用力。结果：IG仅在组内分析中显示出6MWT，TUG，TIS和小儿Berg量表的改善（p <0.01），而CG显示GMFM-88的改善（p <0.04）。结论：这些练习可有效改善静态和动态平衡，提高步态速度，并确定身体对准和体重向患侧转移的改善趋势。

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