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首页> 外文期刊>Pediatric physical therapy: the official publication of the Section on Pediatrics of the American Physical Therapy Association >Effects of Short-Term Daily Community Walk Aide Use on Children With Unilateral Spastic Cerebral Palsy
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Effects of Short-Term Daily Community Walk Aide Use on Children With Unilateral Spastic Cerebral Palsy

机译：短期每日社区步行辅助使用对单侧痉挛性脑瘫患儿的影响

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摘要

Purpose: To determine the effects of functional electrical stimulation (FES) on the main impairments affecting gait in children with unilateral spastic cerebral palsy. Methods: A 20-week, multiple single-subject A-B-A design included a 6-week pre-FES phase, an 8-week FES phase, and a 6-week post-FES phase. Twelve children, aged 5 to 16 years, wore an FES device (the Walk Aide) daily for 8 weeks. Weekly measures included ankle range of motion, selective motor control, dorsiflexion and plantar flexion strength, gastrocnemius spasticity, single-limb balance, Observational Gait Scale (OGS) score, and self-reported toe drag and falls in the community. Results: Compared with the pre-FES phase, the FES phase showed significant improvements in ankle range of motion, selective motor control and strength, and reductions in spasticity, toe drag, and falls, but no change in OGS score. These improvements were maintained during the post-FES phase. Conclusions: Intermittent, short-term use of FES is potentially effective for reducing impairments affecting gait in children with unilateral spastic cerebral palsy.
机译：目的：确定功能性电刺激（FES）对单侧痉挛性脑瘫患儿步态的主要损害的影响。方法：20周，多个单项A-B-A设计包括FES前6周阶段，FES 8周阶段和FES后6周阶段。 12名5至16岁的儿童每天佩戴FES装置（助步器）8周。每周测量包括踝关节运动范围，选择性运动控制，背屈和足底屈肌强度，腓肠肌痉挛，单肢平衡，观察步态评分（OGS）得分以及自我报告的脚趾拖曳和跌落。结果：与FES之前的阶段相比，FES阶段在脚踝的运动范围，选择性运动控制和力量方面表现出显着改善，并且痉挛，脚趾阻力和跌落均有所减少，但OGS评分没有变化。这些改进在FES后阶段得以维持。结论：间歇，短期使用FES可能有效减少单侧痉挛性脑瘫患儿步态障碍。

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