Vol. 30-31/2021-2022 Nr 60
okładka czasopisma Child Neurology
powiększenie okładki
Journal Info

CHILD NEUROLOGY

Journal of the Polish Society of Child Neurologists

PL ISSN 1230-3690
e-ISSN 2451-1897
DOI 10.20966
Semiannual


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Trening siłowy w rehabilitacji dzieci i młodzieży z mózgowym porażeniem dziecięcym: przegląd piśmiennictwa


Strength training as a form of rehabilitation in children and adolescents with cerebral palsy: a review




1Oddział Rehabilitacji Narządu Ruchu, Mazowieckie Centrum Neuropsychiatrii, Zagórze k. Warszawy
2 Klinika Kardiologii Oddziału Fizjoterapii, II Wydział Lekarski, Warszawski Uniwersytet Medyczny
3 Wydział Rehabilitacji, Akademia Wychowania Fizycznego Józefa Piłsudskiego w Warszawie
4 Zakład Biofizyki i Fizjologii Człowieka, Warszawski Uniwersytet Medyczny
5 Instytut Biologii Doświadczalnej im. Marcelego Nenckiego, Polska Akademia Nauk, Warszawa

Neurol Dziec 2013; 22, 45: 33-50
Full text PDF Trening siłowy w rehabilitacji dzieci i młodzieży z mózgowym porażeniem
dziecięcym: przeg



STRESZCZENIE
W artykule przedstawiono krytyczny przegląd piśmiennictwa dotyczącego zastosowania treningu siłowego kończyn dolnych w usprawnianiu ruchowym dzieci i młodzieży z mózgowym porażeniem dziecięcym (MPD). Analizowano również skuteczność i bezpieczeństwo tego treningu. W tym celu przeszukano medyczne bazy danych używając słów kluczowych: mózgowe porażenie dziecięce, trening siłowy, progresywny trening siłowy lub trening oporowy. Zidentyfikowano ogółem 41 publikacji; do analizy wybrano 19 badań spełniających kryteria włączenia. Zaakceptowane badania podzielono na prace randomizowane i nierandomizowane oraz oceniono ich poziom dowodu naukowego. W podsumowaniu przedstawiono wyniki zgodnie z Międzynarodową Klasyfikacją Funkcjonowania, Niepełnosprawności i Zdrowia na trzech poziomach: struktury, aktywności i partycypacji. Trening siłowy kończyn dolnych u dzieci i nastolatków z MPD powoduje wzrost siły mięśniowej oraz wpływa na poprawę aktywności i partycypacji. Nie wpływa natomiast na poziom spastyczności i zakres biernego zakresu ruchu. Z powodu szeregu indywidualnych ograniczeń i różnic metodologicznych w analizowanych pracach, nadal konieczne pozostaje ustalenie charakterystyki młodych pacjentów z MPD i protokołu treningowego, które pozwalałyby na osiągnięcie maksymalnych korzyści płynących z tego rodzaju treningu.

Słowa kluczowe: mózgowe porażenie dziecięce, trening siłowy, rehabilitacja, fizjoterapia


ABSTRACT
This article presents a critical review of the literature concerning the use of the lower limb strength training in improving the mobility of children and adolescents with cerebral palsy (CP). We also focus on the effectiveness and safety of the training. Medical databases were searched using keywords sequence: cerebral palsy, strength training, progressive strength training or resistance training. The 41 identified publications had been selected for the analysis; 19 of the studies met our inclusion criteria. Accepted studies were divided on randomized and non-randomized controlled trials. Level of evidence was rated. The results were presented according to the International Classification of Functioning, Disability and Health at three levels: structure, activity and participation. The strength training in children and adolescents with CP results in an increased muscle strength in the the lower limbs and improves patient’s activity and participation without adverse effects such as the increase of spasticity or of a passive range of motion decline. Due to many limitations and differences in the analyzed studies itstill remains necessary to determine the characteristics of young patients with CP and a training protocol which enables to achieve the maximum benefits of the strength training.

Key words: cerebral palsy, strength training, progressive strength training, resistance training, rehabilitation, physiotherapy


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