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1.
Arislander Jonathan Lopes Dumont Maria Carolina Araujo Roberta Delasta Lazzari Cibele Almeida Santos Debora Bachin Carvalho Renata Calhes Franco de Moura Luiz Alfredo Braun Ferreira Manuela Galli Claudia Santos Oliveira 《Journal of Physical Therapy Science》2015,27(3):955-958
[Purpose] Cerebrovascular accident (stroke) is characterized by an abrupt onset of focal
or global neurological signs and symptoms. Asymmetry of the limbs is common following a
stroke due to hemiplegia or hemiparesis. [Subject and Methods] A male patient having
suffered an ischemic stroke was initially evaluated using the Timed Up-and-Go Test and the
Six-Minute Walk Test. Static balance was evaluated using a force plate (Kistler model
9286BA) for the stabilometry analysis of center of pressure (COP) sway. The data were
interpreted using the SWAY software program (BTS Engineering) synchronized with the
SMART-D 140® system. Anodal transcranial direct current stimulation (tDCS; 2
mA) was applied over the primary motor cortex for 20 minutes during gait training on a
treadmill. [Results] Under the condition of eyes open, reductions were found in
anteroposterior sway (6.18%), trace length (3.3%) and sway velocity (3.3%) immediately
following tDCS. [Conclusion] A single session of anodal tDCS combined with treadmill
training had a positive effect on the static balance of a subject with chronic hemiparesis
stemming from a stroke.Key words: Hemiparesis, Transcranial direct current stimulation, Balance 相似文献
2.
[Purpose] The purpose of the study was to evaluate the effects of conventional
neurological treatment and a virtual reality training program on eye-hand coordination in
children with cerebral palsy. [Subjects] Sixteen children (9 males, 7 females) with
spastic diplegic cerebral palsy were recruited and randomly assigned to the conventional
neurological physical therapy group (CG) and virtual reality training group (VRG).
[Methods] Eight children in the control group performed 45 minutes of therapeutic exercise
twice a week for eight weeks. In the experimental group, the other eight children
performed 30 minutes of therapeutic exercise and 15 minutes of a training program using
virtual reality twice a week during the experimental period. [Results] After eight weeks
of the training program, there were significant differences in eye-hand coordination and
visual motor speed in the comparison of the virtual reality training group with the
conventional neurological physical therapy group. [Conclusion] We conclude that a
well-designed training program using virtual reality can improve eye-hand coordination in
children with cerebral palsy.Key words: Cerebral palsy, Virtual reality, Eye hand coordination 相似文献
3.
Hyungwon Lim 《Journal of Physical Therapy Science》2014,26(1):145-148
[Purpose] We investigated the effects of modulation of the optic flow speed on gait
parameters in children with hemiplegic cerebral palsy. [Methods] We examined 10 children
with hemiplegic cerebral palsy. The children underwent gait analysis under 3 different
conditions of optic flow speed: slow, normal, and fast optic flow speed. The children
walked across the walkway of a GAITRite system, while watching a virtual reality screen,
and walking velocity, cadence, stride length, step length, single support time, and double
support time were recorded. [Results] Compared with the other applied flow speed
conditions, the fast optic flow speed (2 times the normal speed) significantly increased
walking velocity, cadence, normalized step length, base of support, and single support
cycle of both the paretic and non-paretic lower limbs. Moreover, compared with the other
applied flow speed conditions, the slow optic flow speed (0.25 times the normal speed)
yielded a significantly decreased walking velocity, cadence, normalized step length, base
of support, and single support cycle for both the paretic and non-paretic lower limbs.
[Conclusion] The gait parameters of children with hemiplegic cerebral palsy are altered by
modulation of the optic flow speed. Thus, we believe that gait training involving
modulation of the optic flow speed is feasible and suitable for resolving abnormal gait
patterns in children with hemiplegic cerebral palsy.Key words: Optic flow, Gait parameter, Hemiplegic cerebral palsy 相似文献
4.
Luanda A. C. Grecco Natália A. C. Duarte Nelci Zanon Manuela Galli Felipe Fregni Claudia S. Oliveira 《Revista brasileira de fisioterapia (S?o Carlos (S?o Paulo, Brazil))》2014,18(5):419-427
Background:
Transcranial direct-current stimulation (tDCS) has been widely studied with the aim of enhancing local synaptic efficacy and modulating the electrical activity of the cortex in patients with neurological disorders.Objective:
The purpose of the present study was to determine the effect of a single session of tDCS regarding immediate changes in spatiotemporal gait and oscillations of the center of pressure (30 seconds) in children with cerebral palsy (CP).Method:
A randomized controlled trial with a blinded evaluator was conducted involving 20 children with CP between six and ten years of age. Gait and balance were evaluated three times: Evaluation 1 (before the stimulation), Evaluation 2 (immediately after stimulation), and Evaluation 3 (20 minutes after the stimulation). The protocol consisted of a 20-minute session of tDCS applied to the primary motor cortex at an intensity of 1 mA. The participants were randomly allocated to two groups: experimental group - anodal stimulation of the primary motor cortex; and control group - placebo transcranial stimulation.Results:
Significant reductions were found in the experimental group regarding oscillations during standing in the anteroposterior and mediolateral directions with eyes open and eyes closed in comparison with the control group (p<0.05). In the intra-group analysis, the experimental group exhibited significant improvements in gait velocity, cadence, and oscillation in the center of pressure during standing (p<0.05). No significant differences were found in the control group among the different evaluations.Conclusion:
A single session of tDCS applied to the primary motor cortex promotes positive changes in static balance and gait velocity in children with cerebral palsy. 相似文献5.
JaeHyun Jung JiYeun Lee EunJung Chung Kyoung Kim 《Journal of Physical Therapy Science》2014,26(3):437-440
[Purpose] This study evaluated the effects of water and land-based obstacle training on
static balance of chronic stroke patients. [Subjects] The subjects were randomly allocated
to an aqua group (n=15) and a land group (n=15). [Methods] Both groups trained for 40
minutes, 3 times a week for 12 weeks. Static balance was assessed by measuring the mean
velocities of mediolateral (ML) and anteroposterior (AP), and sway area with the eyes
closed. [Results] Following the intervention, both groups showed significant changes in ML
velocity, AP velocity, and sway area. The static balance of the aqua group was
significantly better than the land group. [Conclusion] The results of this study suggest
the feasibility and suitability of obstacle training in water for stroke patients.Key words: Stroke, Aqua, Obstacle training 相似文献
6.
[Purpose] We aimed to examine the effectiveness of a community-based virtual reality
treadmill training (CVRTT) program on static balance abilities in patients with stroke.
[Subjects and Methods] Patients (n = 20) who suffered a stroke at least 6 months prior to
the study were recruited. All subjects underwent conventional physical therapy for
60 min/day, 5 days/week, for 4 weeks. Additionally, the CVRTT group underwent
community-based virtual reality scene exposure combined with treadmill training for
30 min/day, 3 days/week, for 4 weeks, whereas the control group underwent conventional
physical therapy, including muscle strengthening, balance training, and indoor and outdoor
gait training, for 30 min/day, 3 days/week, for 4 weeks. Outcome measurements included the
anteroposterior, mediolateral, and total postural sway path lengths and speed, which were
recorded using the Balancia Software on a Wii Fit™ balance board. [Results] The
postural sway speed and anteroposterior and total postural sway path lengths were
significantly decreased in the CVRTT group. Overall, the CVRTT group showed significantly
greater improvement than the control group. [Conclusions] The present study results can be
used to support the use of CVRTT for effectively improving balance in stroke patients.
Moreover, we determined that a CVRTT program for stroke patients is both feasible and
suitable.Key words: Stroke rehabilitation, Community-based virtual reality, Balance 相似文献
7.
[Purpose] The purpose of the current study was to investigate the influence of footwear
type on postural sway of hemiparetic stroke patients. [Subjects] Thirty-two stroke
patients who were undergoing a rehabilitation program were recruited on a voluntary basis
from local rehabilitation unit. [Methods] This study had a single-group repeated-measures
design. The Good Balance system was used to measure the postural sway velocity
(anteroposterior and mediolateral) and velocity moment of the subjects under the eyes open
and eyes closed conditions in the standing posture. Postural sway of the subjects in four
types of footwear was measured, including barefoot, high heel-collar shoes, flat shoes, or
slippers. [Results] The postural sway when wearing the flat shoes or slippers was
significantly higher than that when barefoot or wearing high heel-collar shoes. In
addition, postural sway velocity and velocity moment of all the footwear types were
significantly higher under the eyes closed condition than under the eyes open condition.
[Conclusion] Our results reveal that when the subjects wore flat shoes or slippers they
had more difficulty than when they wore the high heel-collar shoes in postural control
when maintaining standing balance. We believe that this result provides basic information
for improvements in postural control and may be useful in balance training to prevent
falls after stroke.Key words: Footwear, Postural sway, Stroke 相似文献
8.
Tadashi Matsuda Yoshiteru Akezaki Yoko Tsuji Kazunori Hamada Mitsuhiro Ookura 《Journal of Physical Therapy Science》2021,33(2):175
[Purpose] The purpose of this study was to report that a physical therapist qualified for swimming instruction can provide swimming instruction to children with spastic paraplegia due to cerebral palsy. We examined the role of the physical therapist in the support. [Participants and Methods] Two elementary school children with cerebral palsy participated in this study. The swimming program consisting of 6 sessions was performed over 6 months in an indoor swimming pool. Each session lasted for 30 minutes and was instructed by a trained physical therapist. The 5 categories for evaluation were motor function, muscle tone, activities of daily living, swimming skill, and satisfaction level. [Results] Case A showed improvement in streamline floating distance and 15-m time. Case B could not swim 15 m in the first session but completed 15 m within 102 s in the last session. The 3 other categories besides swimming skills did not improve. [Conclusion] With a skilled physical therapist’s instruction, children with cerebral palsy may improve their swimming skills over a limited number of sessions without any adverse events.Key words: Children with a cerebral palsy, Swimming instruction, Physical therapist 相似文献
9.
Luanda André Collange Grecco Mariana E Mendon?a Natália A. C. Duarte Nelci Zanon Felipe Fregni Claudia Santos Oliveira 《Journal of Physical Therapy Science》2014,26(6):945-950
[Purpose] The aim of the present study was to describe the results of transcranial
direct current stimulation combined with treadmill training in a child with delayed
neuro-psychomotor development. [Subject and Methods] Transcranial direct current
stimulation (intensity: 1 mA) was applied over the primary motor cortex for 20 minutes
during simultaneous treadmill training (2.5 km/h) in ten sessions. [Results] Clinically
significant improvement was found in motor development (fine motor subscale, 23 to 25;
gross motor subscale, 32 to 41). Reductions in mean oscillation of the center of pressure
were found in the anteroposterior (239.2 to 146.5 mm) and mediolateral (177.4 to 149.2 mm)
directions. Increases occurred in cadence (106 to 123 steps/minute), step length (0.16 to
0.23 m), step width (0.09 to 0.14 m) and gait velocity with support (0.3 to 0.7 m/s).
[Conclusion] After treatment, the child was able to initiate the standing position for the
first time and walk without support.Key words: Child, Gait, Motor cortex, Electrical stimulation 相似文献
10.
Kihun Cho Kyoungsuk Lee Byungjoon Lee Hwangjae Lee Wanhee Lee 《Journal of Physical Therapy Science》2014,26(12):1989-1992
[Purpose] The purpose of the current study was to investigate the relationship between
postural sway and dynamic balance in post stroke patients. [Subjects] Thirty-one stroke
patients (20 men and 11 women; age 64.25 years; stroke duration 12.70 months; MMSE-K score
26.35) participated in this study. [Methods] This study applied a cross-sectional design.
A Good Balance system was used for measurement of the postural sway velocity
(anteroposterior and mediolateral) and velocity moment of subjects under the eyes open and
eyes closed conditions in a standing posture. The postural sway of subjects was measured
under two surface conditions (stable and unstable surfaces). [Results] On the unstable
surface (foam), no significant correlation was observed between postural sway and dynamic
balance except for the berg balance scale (BBS) score and anteroposterior postural sway
velocity under the eyes open condition, anteroposterior postural sway velocity under the
eyes closed condition, and postural sway velocity moment. In addition, in the stable
condition, no significant correlation was observed between postural sway and dynamic
balance. [Conclusion] Our results indicate that a decrease in postural sway does not
necessarily reflect improvement of dynamic balance ability. We believe that this finding
may be useful in balance rehabilitation for prevention of falls after a stroke.Key words: Dynamic balance, Postural sway, Stroke 相似文献
11.
目的观察超低频经颅磁刺激对脑瘫痉挛型双瘫患儿脑血流动力学的影响。方法将36 例脑瘫痉挛型双瘫患儿分为对照组(n=21)和观察组(n=15),另19 名正常儿童为正常组。在基础康复治疗的同时,观察组患儿进行超低频经颅磁刺激治疗,于治疗前后应用经颅彩色多普勒超声(TCD)对所有患儿以及正常儿童的脑血流动力学参数进行检测。结果治疗前,观察组数条动脉的流速低于正常组,搏动指数及阻力指数高于正常组(P<0.05);治疗后,观察组较对照组的数条动脉流速有不同程度的提高,搏动指数及阻力指数有不同程度的降低(P<0.05)。结论脑瘫痉挛型双瘫儿童的脑内血流呈低流速高阻力的状况,而超低频经颅磁刺激可以改善其血流状况。 相似文献
12.
Tamotsu Yabumoto Sohee Shin Tsuneo Watanabe Yusuke Watanabe Toru Naka Kazuo Oguri Toshio Matsuoka 《Journal of Physical Therapy Science》2015,27(9):3023-3025
[Purpose] Strength training is recommended for children with cerebral palsy. However, it
is difficult for moderately impaired children with cerebral palsy, who require crutches
for ambulation, to participate in this type of training. The purpose of this study was to
investigate whether whole-body vibration training is an effective method of strengthening
in a moderately impaired child with cerebral palsy. [Subject and Methods] This report
describes an 8-year-old Japanese boy with cerebral palsy, who was ambulatory with
crutches. The subject participated in physical therapy twice a week for 5 weeks.
Whole-body vibration training was selected to complement the standing practice. The
patient’s crutch-walking ability, gross motor function, and spasticity were evaluated.
[Results] The number of steps and walking duration were reduced in a 5-m walk test with
crutches and gross motor function was improved. Further, the spasticity was reduced.
[Conclusion] Whole-body vibration training is an effective physical therapy intervention
in moderately impaired children with cerebral palsy, who are unable to walk without
crutches.Key words: Cerebral palsy, Whole-body vibration, Walking ability 相似文献
13.
[Purpose] We with respect to their effects on the compared hippotherapy with a horseback
riding simulator (JOBA, Panasonic Inc. JP) static and dynamic balance of children with
cerebral palsy (CP). [Subjects and Methods] Twenty-six children were randomly divided into
two groups: a hippotherapy group that included 13 children, and a horseback riding
simulator (JOBA, Panasonic Inc., Japan) group, which was also composed of 13 children. The
two groups participated in 1 hour of exercise per day, 3 times a week, for 12 weeks. The
subjects’ static balance ability was measured using BPM (software 5.3, SMS Healthcare
Inc., UK) as the center of pressure sway length while standing for 30 seconds with their
eyes open and looking to the front. Dynamic balance ability was measured using the PBS
(Pediatric Balance Scale). [Results] Both groups showed significant improvements in static
and dynamic balance but significant differences between the two groups were not found.
[Conclusion] The horseback riding simulator could be a useful alternative to hippotherapy
for the improvement of static and dynamic balance of children with CP.Key words: Cerebral palsy, Balance, Hippotherapy 相似文献
14.
Natália de A. C. Duarte Luanda André Collange Grecco Renata Calhes Franco Nelci Zanon Cláudia Santos Oliveira 《Journal of Physical Therapy Science》2014,26(6):849-853
[Purpose] To investigate the correlation of functional balance with the functional
performance of children with cerebral palsy. [Subjects and Methods] This was a
cross-sectional study of children with cerebral palsy with mild to moderate impairment.
The children were divided into 3 groups based on motor impairment. The evaluation
consisted of the administration of the Pediatric Balance Scale (PBS) and the Pediatric
Evaluation Disability Inventory. Correlations between the instruments were determined by
calculating Pearson’s correlation coefficients. [Results] In Group 1, a strong positive
correlation was found between the PBS and the mobility dimension of the Pediatric
Evaluation Disability Inventory (r=0.82), and a moderate correlation was found between the
PBS and self-care dimension of the Pediatric Evaluation Disability Inventory (r=0.51). In
Group 2, moderate correlations were found between the PBS and both the self-care dimension
(r=0.57) and mobility dimension (r=0.41) of the Pediatric Evaluation Disability Inventory.
In Group 3, the PBS was weakly correlated with the self-care dimension (r=0.11) and
moderately correlated with the mobility dimension (r=0.55). [Conclusion] The PBS proved to
be a good auxiliary tool for the evaluation of functional performance with regard to
mobility, but cannot be considered a predictor of function in children with cerebral
palsy.Key words: Cerebral palsy, Children, Postural balance 相似文献
15.
目的:观察经颅直流电刺激(tDCS)联合虚拟情景互动训练对脑梗死偏瘫上肢功能及日常生活活动能力(ADL)的影响。方法:将脑梗死偏瘫上肢功能障碍的患者125例,随机分为对照组42例、观察组A 41例和观察组B 42例(最终脱失5例)。3组患者均接受常规药物及康复治疗;对照组加用tDCS假刺激治疗;观察组A加用tDCS假刺激治疗及虚拟情景互动训练;观察组B加用tDCS治疗及虚拟情景互动训练。在治疗前、治疗4周后采用改良Ashworth量表(MAS)、Fugl-Meyer运动评分量表上肢部分(FMA-UE)、上肢动作研究量表(ARAT)及改良Barthel指数评定量表(MBI)对患者患侧上肢的功能和日常生活能力进行评定。结果:治疗4周后,3组患者屈肘肌肌张力分级、FMA-UE评分、ARAT及MBI评分与治疗前比较差异有统计学意义(P<0.05,0.01);观察组A、观察组B患者与对照组组间屈肘肌肌张力分级、上述各项评分比较差异均有统计学意义(P<0.05,0.01)。观察组B与观察组A患者间屈肘肌肌张力分级,上述各项评分比较差异有统计学意义(P<0.05)。结论:常规康复治疗、虚拟情景互动训练及经颅直流电刺激治疗均可改善脑梗死偏瘫患者上肢运动功能,提高日常生活能力;tDCS联合虚拟情景互动训练较常规康复治疗有着更为明显效果;与虚拟情景互动训练比较,疗效的提高具有统计学意义。 相似文献
16.
[Purpose] The purpose of this study was to find the effects of a visual perceptual
intervention on visual-motor integration and activities of daily living performance of
children with cerebral palsy as subjects. [Methods] This study was conducted with 56
children who were diagnosed as having cerebral palsy. The visual perceptual intervention
was implemented for 8 weeks, 3 times a week, for 30 minutes per session, for a total of 24
sessions. All children were assessed using the VMI and WeeFIM to evaluate visual motor
integration and activities of daily living skills, immediately before and after the 8-week
intervention. [Results] The VMI and WeeFIM scores of all of the 56 children with CP who
participated in the study improved, and the improvements were statistically significant.
[Conclusion] Visual perceptual intervention had a positive influence on the visual-motor
integration and activities of daily living performance of children with cerebral
palsy.Key words: Visual perceptual intervention, Visual-motor integration, Activities of daily living 相似文献
17.
《Journal of bodywork and movement therapies》2020,24(4):479-483
BackgroundChildhood neurological diseases result in neuromotor impairment, which affects selective motor control, compromising the acquisition of motor skills and functional independence. The positive results achieved with virtual reality are believed to be related to training in an interactive environment that provides a broad range of activities and scenarios with multiple sensory channels, enabling the creation of exercises at an intensity based on individual need. Therefore, a review was conducted to answer the following question: What are the possible effects of virtual reality for the pediatric population, specifically children with cerebral palsy and Down syndrome?ObjectiveThe objective of the present study was to conduct a systematic review of the literature to determine the possible effects of virtual reality therapy in children with cerebral palsy and Down's syndrome.MethodsThe PubMed, Bireme, Scielo and PEDro electronic databases were searched in the period from January to March 2016 using the following keywords: Down syndrome and virtual reality, virtual reality and cerebral palsy, virtual reality and neuropediatrics, and Down's syndrome and virtual reality. Only randomized controlled trials published in English in the previous 10 years (2007–2016) that addressed the specific purpose of this review and achieved a score of at least 4 points on the PEDro methodological quality scale were eligible for inclusion.ResultsThe initial research led to the retrieval of 214 articles, which were analyzed considering the inclusion criteria. Eighteen articles were submitted to an appraisal of methodological quality using the PEDro scale, only five of which received a score of four or more points and were described in the present review. Three of the studies selected analyzed children with cerebral palsy and two analyzed children with Down syndrome. Despite the different physiopathological characteristics of the two conditions, the authors employed similar therapeutic methods and evaluations. The results of the studies demonstrated that virtual reality training either alone or combined with motor training leads to improvements in sensory-motor functions and can be used as a complement to other successful rehabilitation interventions in the two populations.ConclusionBased on the results of the studies included in the present systematic review, despite differences in the characteristics of each population, the objectives and methods proposed by the authors were similar and virtual reality demonstrated promising effects for individuals with cerebral palsy and Down syndrome. 相似文献
18.
[Purpose] The aim of this study was to examine the effects of ball exercise as a general
exercise on the balance abilities of elderly individuals by comparing ball exercise with
virtual reality exercise. [Subjects and Methods] Thirty elderly individuals residing in
communities were randomly divided into a virtual reality game group and a ball exercise
group and conducted exercise for 30 min 3 times a week for 8 weeks. [Results] Step length
increased significantly, and the average sway speed and Timed Up and Go time significantly
decreased in both groups. A comparison of sway length after the intervention between the
two groups revealed that the virtual reality game exercise resulted in a reduction than
the ball exercise. [Conclusion] The results of this study indicated that the virtual
reality game exercise may improve balance and gait of elderly individuals in
communities.Key words: Elderly, Balance, Virtual reality exercise 相似文献
19.
[Purpose] The purpose of this study was to investigate the effect of ankle plantarflexor
strength training on selective voluntary motor control, gait parameters, and gross motor
function of children with cerebral palsy (CP), focusing on changes in the strength and
muscle activity of the ankle plantarflexors. [Methods] Six children aged between 4 and
10 years with CP participated in a 6 week strengthening program. The subjects were
evaluated before and after the intervention in terms of ankle plantarflexor strength,
muscle activity, gait velocity, cadence, step length, and D (standing) and E (walking,
running, and jumping) dimensions of the Gross Motor Function Measure (GMFM). The data were
analyzed using the non-parametric Wilcoxon signed-rank test. [Results] The strength of the
plantarflexors increased in the majority of subjects. Significant and clinically
meaningful post-intervention improvements in subject''s gait velocity, cadence, and step
length were found. [Conclusion] The controlled ankle plantarflexor strengthening program
may lead to improvements in strength and spatiotemporal gait parameters of children with
CP.Key words: Ankle plantarflexor, Strengthening exercise, Gait parameter 相似文献
20.
[Purpose] Motor control and muscle strength impairments are the prime reasons for motor
behavior disorders in children with spastic cerebral palsy. These impairments lead to
histological changes in muscle growth and the learning of motor skills. Therefore, such
children experience reduced muscle force generation and decreased muscle flexibility. We
investigated the effect of training with Nintendo Wii Fit games on motor performance in
children with spastic cerebral palsy. [Subjects and Methods] Forty children with cerebral
palsy spastic diplegia aged 6–10 years diagnosed with level-3 functional capabilities
according to the Gross Motor Classification System (GMFCS) were enrolled. Participants
were divided randomly into equal groups: group (A) that practiced with the Nintendo Wii
Fit game for at least 20 minutes/day for 12 weeks and group (B) that underwent no training
(control group). The Movement Assessment Battery for Children-2 (mABC-2) was used to
assess motor performance, because it mainly involves motor tasks very similar to those
involved in playing Nintendo Wii Fit games, e.g., goal-directed arm movements, balancing,
and jumping. [Results] There were significant improvements in the subscales of the motor
performance test of those who practiced with the Nintendo Wii, while the control group
showed no significant changes. [Conclusion] Using motion interactive games in home
rehabilitation is feasible for children with cerebral palsy.Key words: Games, Motor, Pediatrics 相似文献