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首页> 外文期刊>Physiotherapy theory and practice >Description of a multifaceted rehabilitation program including overground gait training for a child with cerebral palsy: A case report.
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Description of a multifaceted rehabilitation program including overground gait training for a child with cerebral palsy: A case report.

机译：描述多方面的康复计划，包括对脑性瘫痪儿童进行地面步态训练：一例病例报告。

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This case describes the outcomes of a multifaceted rehabilitation program including body weight-supported overground gait training (BWSOGT) in a nonambulatory child with cerebral palsy (CP) and the impact of this treatment on the child's functional mobility. The patient is a nonambulatory 10-year-old female with CP who during an inpatient rehabilitation stay participated in direct, physical therapy 6 days per week for 5 weeks. Physical therapy interventions included stretching of her bilateral lower extremities, transfer training, bed mobility training, balance training, kinesiotaping, supported standing in a prone stander, two trials of partial weight-supported treadmill training, and for 4 weeks, three to five times per week, engaged in 30 minutes of BWSOGT using the Up n' go gait trainer, Lite Gait Walkable, and Rifton Pacer gait trainer. Following the multifaceted rehabilitation program, the patient demonstrated increased step initiation, increased weight bearing through bilateral lower extremities, improved bed mobility, and increased participation in transfers. The child's Gross Motor Functional Measure (GMFM) scores increased across four dimensions and her Physical Abilities and Mobility Scale (PAMS) increased significantly. This case report illustrates that a multifaceted rehabilitation program including BWSOGT was an effective intervention strategy to improve functional mobility in this nonambulatory child with CP.
机译：该病例描述了多方面康复计划的结果，包括在非活动性脑瘫儿童（CP）中进行体重支持的地面步态训练（BWSOGT），以及该治疗对儿童功能性活动的影响。该患者为10​​岁CP的非活动性女性，在住院康复期间，每周进行6天的直接物理治疗，持续5周。物理疗法的干预措施包括伸展双侧下肢，转移训练，卧床运动训练，平衡训练，运动训练，俯卧站立时的站立站立，两项部分减重跑步机训练的试验，以及4周的试验，每次3至5次一周，使用Up n'go步态训练器，Lite Gait Walkable和Rifton Pacer步态训练器进行30分钟的BWSOGT。经过多方面的康复计划，患者表现出增加的步伐启动，双侧下肢的负重增加，床的活动性提高以及对转移的参与增加。该孩子的运动能力总测量值（GMFM）得分在四个维度上均得到提高，而她的身体能力和运动量表（PAMS）则得到了显着提高。该病例报告说明，包括BWSOGT在内的多方面康复计划是一种有效的干预策略，可改善该非门诊性CP儿童的功能活动能力。

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