This study investigated the effects of exercise on the motor function of 11 young people (10 females, one male; age range 11-15y; mean age 12y 7mo [SD 1y 4mo]) with cerebral palsy (CP) who were non-ambulant (Gross Motor Function Classification System Levels IV or V), using an adapted static bicycle. Three participants had dyskinetic quadriplegia, seven had spastic quadriplegia, had spastic quadriplegia, and one had spastic diplegia. The study used an ABA design with participants acting as their own controls with 6-week baseline, 6-week exercise (three sessions a week), and 6-week follow-up periods. Outcomes were assessed with the Gross Motor Function Measure (GMFM)-66 and GMFM-88. A "graded exercise test" determined pedalling resistance, and "overload" was ensured by increasing the duration and speed of pedalling. Results showed significant improvements in GMFM-66 (p=0.010) and in GMFM-88 dimensions D (Standing; P=0.012) and E (Walking, Running, and Jumping; p=0.011) over the intervention period, but not over the baseline or follow-up periods. Significant improvements were found in "cycling" ability for duration of pedalling (p<0.001), speed (p=0.01), and resistance (p=0.001). This study demonstrates that a relatively short, clinically feasible training programme on a static bicycle can lead to valuable improvements in functional ability in young people with CP. The static bicycle provided a safe, effective means of exercise to a population with very limited opportunities for activity.
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机译:这项研究调查了运动对11例非行动性脑瘫(CP)的年轻人(10名女性,一名男性;年龄11-15y;平均年龄12y 7mo [SD 1y 4mo])的运动功能的影响。总动能分类系统等级IV或V),使用改装的静态自行车。三名参与者患有运动障碍性四肢瘫痪,七名患有痉挛性四肢瘫痪,有痉挛性四肢瘫痪,其中一名患有痉挛性四肢瘫痪。这项研究采用了ABA设计,参与者以6周的基线,6周的运动(每周3节)和6周的随访期作为自己的对照。结果通过总运动功能测量(GMFM)-66和GMFM-88进行评估。 “分级运动测试”确定踩踏阻力,并通过增加踩踏的持续时间和速度来确保“过载”。结果显示,在干预期间,GMFM-66(p = 0.010)和GMFM-88尺寸D(站立; P = 0.012)和E(步行,奔跑和跳跃; p = 0.011)有显着改善,但在整个干预期间没有改善。基线或随访期。发现在踩踏持续时间(p <0.001),速度(p = 0.01)和阻力(p = 0.001)的“骑车”能力上有显着改善。这项研究表明,在静态自行车上进行相对较短的,临床上可行的培训计划可以使患有CP的年轻人的功能能力得到重大改善。静态自行车为运动机会非常有限的人群提供了一种安全有效的锻炼手段。
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