返回Google圖書搜尋

In Young Children with Down Syndrome, is Partial Body-weight Support Treadmill Training Beneficial to Improve Functional Mobility?

Meghan MontemagniBeth PaulhusLauren Peltier

出版	Springfield College, 2011
URL	http://books.google.com.hk/books?id=rheOAQAACAAJ&hl=&source=gbs_api

註釋Abstract: Background: The purpose of this evidence in practice literature review is to assess the impact of partial body-weight support treadmill training on the acquisition of independent gait in a child with Down syndrome (DS). Methods: A comprehensive, systematic review was performed through PubMed, Medline, CINAHL, Cochrane Central Register of Controlled Trials, and Cochrane Database of Systematic Reviews. The final search terms used were "Down syndrome" and "exercise". Inclusion criteria consisted of: subjects less than or equal to two years of age, a diagnosis of DS, intervention of partial body-weight support treadmill training, and only clinical trials. Exclusion criteria consisted of: a medical condition limiting the intervention and articles not presented in the English language. Results: Seven articles were established as best evidence for answering our clinical question, six of which met our inclusion and exclusion criteria. Discussion/Limitations: There is limited evidence regarding the DS population and gait training. All articles included for our clinical decision are produced by the same cohort of authors. Conclusion/Clinical Decision: High-intensity, individualized body-weight supported treadmill training should be used in conjunction with early intervention services for young children with DS when trying to acquire independent gait. Training recommendation includes starting at a speed of 0.2 meters/second, increasing in 1-minute intervals with 1 minute of rest in between, for 8 minutes/day, 5 days/week. Gradually increase the speed and length of training until the child can walk for 8 consecutive minutes, terminated when the child can take 3 steps independently. A small ankle weight, proportional to the child's calf mass, should be utilized to increase training effects.