行政院國家科學委員會補助專題研究計畫成果報告:坐/站功能性肌力訓練對腦性麻痺兒童粗動作功能之效果
Date Issued
2001
Date
2001
Author(s)
廖華芳
DOI
892314B002454
Abstract
Recently, strengthening program for
children with cerebral palsy (CP) is paid great
attention to. Studies have indicated that muscle
strengthening can increase muscle strength;
however, the effectiveness of strengthening for
motor function is still controversial. The
movement pattern of isolated and open kinetic
chain under traditional strengthening program
does not similar to the functional movement
used in activity of daily living. A functional sitto-
stand loading testing (STSLT) and exercise
(STSLE) method was developed in our
laboratory before. That STSLT method is a
multi-joint, closed kinetic chain activity with
strength and movement control dimensions. Our
previous study found that STSLT was a reliable
test for children with CP and non-disabled
children. The purpose of this study was to
investigate the relations between (1) functional
strength and gross motor; and (2) STSN1RM
and the individual muscle strength in children
with CP. Methods: A convenience sample of 20
children with spastic diplegia in Northern
Taiwan was recruited. Their age ranged from
892314B002454.doc2001/10/29
72 – 122 months (88 ± 14 mo). Gross Motor
Function Measure (GMFM), normalized 1
repetitive maximum of STSLT (STSN1RM),
speed of sit-to-stand 5 times and maximum
isometric contraction in lower extremities with
Nicholas hand-held dynamometer were
measured. STSN1RM represents the functional
strength of lower extremities. Results: There
was significant correlation between STSN1RM
and the scores of 3 dimensions of GMFM (r =
0.76~ 0.80, p <0.01), and between STSN1RM
and muscle strength of 12 muscles of lower
extremities(r = 0.4~ 0.78, p <0.05). The
stepwise regression test found that the muscle
strengths of knee extensor and hip abductor
were the best predicting factors for STSN1RM
( r2 = 0.72, p <0.01). Conclusion: STSN1RM is
highly correlated with the gross motor function
and the muscle strength of lower extremities in
children with CP. However the effects of
STSLE need further studies.
Subjects
腦性麻痺
坐/站活動
粗動作功能
肌力訓練
Publisher
臺北市：國立臺灣大學醫學院物理治療學系暨研究所
Type
journal article
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