目的探讨引导式教育结合悬吊运动对痉挛型脑瘫儿童运动功能、日常生活能力及综合功能的干预效果。方法将年龄4至8岁痉挛型脑瘫儿童80例按照随机数字表法随机分成对照组与试验组各40例,对照组采用常规康复训练(物理疗法、作业疗法和水疗)...目的探讨引导式教育结合悬吊运动对痉挛型脑瘫儿童运动功能、日常生活能力及综合功能的干预效果。方法将年龄4至8岁痉挛型脑瘫儿童80例按照随机数字表法随机分成对照组与试验组各40例,对照组采用常规康复训练(物理疗法、作业疗法和水疗),试验组采用引导式教育结合悬吊运动,每天150min,每周5天,分别于干预前与干预12周后采用粗大运动功能量表(gross motor function measure,GMFM-88)、日常生活能力量表(activity of daily life,ADL)、Berg平衡量表及脑瘫综合功能评定表进行评定并统计分析。结果干预后试验组GMFM-88评分、ADL评分、Berg评分、脑瘫综合功能评分均显著增高,差异有统计学意义(P<0.05),对照组GMFM-88评分、ADL评分、Berg评分、脑瘫综合功能中的三项(言语功能、运动功能、自理功能)评分较治疗前明显提高,差异有统计学意义(P<0.05);与对照组相比,试验组在ADL评分、berg评分及脑瘫综合功能评定量表中的四项(认知功能、言语功能、自理能力、社会适应)评分提高更显著,差异有统计学意义(P<0.05)。结论引导式教育结合悬吊运动可显著提高痉挛型脑瘫患儿粗大运功能力、生活自理能力、平衡能力以及脑瘫综合功能,在提高生活自理能力、平衡能力以及部分脑瘫综合功能方面较常规康复训练疗效好。展开更多
Diabetes is a leading chronic disease of childhood and adolescence. In addition to the well-known auto-immune, insulin-dependent diabetes mellitus （type 1 diabetes （T 1D））, the past two decades have witnessed the ...Diabetes is a leading chronic disease of childhood and adolescence. In addition to the well-known auto-immune, insulin-dependent diabetes mellitus （type 1 diabetes （T 1D））, the past two decades have witnessed the emergence of type 2 diabetes （T2D） in children and adolescents, which previously was only seen in middle-aged or older adults. One of the key components of diabetes management is physical activity （PA）. The beneficial effects of increased PA and decreased sedentary behavior are extremely important in youth with diabetes because of the markedly increased long-term risk of cardiovascular disease in this population compared to persons without diabetes. This review aims to comprehensively summarize the epidemiologic, observational research published and listed in PubMed between 1970 and 2012 on PA and sedentary behaviors, as well as physical fitness in children and adolescents with T1D and T2D. Additionally, we describe briefly the state of knowledge on perceived barriers of PA in persons with diabetes, with a focus on hypoglycemia. Finally, we provide an overview of the epidemiological literature pertaining to health benefits of increased PA in youth with TID and T2D and briefly discuss the topic of exercise-related hypoglycemia, Copyright ~ 2012, Shanghai University of Sport. Production and hosting by Elsevier B.V. All rights reserved.展开更多
文摘目的探讨引导式教育结合悬吊运动对痉挛型脑瘫儿童运动功能、日常生活能力及综合功能的干预效果。方法将年龄4至8岁痉挛型脑瘫儿童80例按照随机数字表法随机分成对照组与试验组各40例,对照组采用常规康复训练(物理疗法、作业疗法和水疗),试验组采用引导式教育结合悬吊运动,每天150min,每周5天,分别于干预前与干预12周后采用粗大运动功能量表(gross motor function measure,GMFM-88)、日常生活能力量表(activity of daily life,ADL)、Berg平衡量表及脑瘫综合功能评定表进行评定并统计分析。结果干预后试验组GMFM-88评分、ADL评分、Berg评分、脑瘫综合功能评分均显著增高,差异有统计学意义(P<0.05),对照组GMFM-88评分、ADL评分、Berg评分、脑瘫综合功能中的三项(言语功能、运动功能、自理功能)评分较治疗前明显提高,差异有统计学意义(P<0.05);与对照组相比,试验组在ADL评分、berg评分及脑瘫综合功能评定量表中的四项(认知功能、言语功能、自理能力、社会适应)评分提高更显著,差异有统计学意义(P<0.05)。结论引导式教育结合悬吊运动可显著提高痉挛型脑瘫患儿粗大运功能力、生活自理能力、平衡能力以及脑瘫综合功能,在提高生活自理能力、平衡能力以及部分脑瘫综合功能方面较常规康复训练疗效好。
文摘Diabetes is a leading chronic disease of childhood and adolescence. In addition to the well-known auto-immune, insulin-dependent diabetes mellitus （type 1 diabetes （T 1D））, the past two decades have witnessed the emergence of type 2 diabetes （T2D） in children and adolescents, which previously was only seen in middle-aged or older adults. One of the key components of diabetes management is physical activity （PA）. The beneficial effects of increased PA and decreased sedentary behavior are extremely important in youth with diabetes because of the markedly increased long-term risk of cardiovascular disease in this population compared to persons without diabetes. This review aims to comprehensively summarize the epidemiologic, observational research published and listed in PubMed between 1970 and 2012 on PA and sedentary behaviors, as well as physical fitness in children and adolescents with T1D and T2D. Additionally, we describe briefly the state of knowledge on perceived barriers of PA in persons with diabetes, with a focus on hypoglycemia. Finally, we provide an overview of the epidemiological literature pertaining to health benefits of increased PA in youth with TID and T2D and briefly discuss the topic of exercise-related hypoglycemia, Copyright ~ 2012, Shanghai University of Sport. Production and hosting by Elsevier B.V. All rights reserved.
