Analysis of the influence of underwater gait training on walking and balance ability of children with cerebral palsy
Objective:To evaluate the effects of hydrotherapy on walking and balance in children with cerebral palsy.Methods:Fifty-eight children with cerebral palsy admitted to our hospital from 2021 to 2023 were selected as research objects and randomly divided into control group and observation group,with 29 cases in each group.The control group received walking rehabilitation training,and the observation group received underwater gait training.The 20 meter walking experiment was used to compare the gait parameters of the two groups after 8 weeks.Joint Angle scale was used to measure the lower limb joint motion.Three-dimensional force measuring platform to detect static balance ability.Results:After 8 weeks of training,the step distance and step speed of both groups were significantly increased,and the step width was significantly decreased(P<0.05).Compared with the control group,the step distance and step speed of the observation group were significantly increased,and the step width was significantly decreased(P<0.05).After training,the foot dorsiflexion Angle of popliteal fossa in both groups was significantly higher than before training,and the foot dorsiflexion Angle was significantly lower than before training(P<0.05).The Angle of foot dorsiflexion in the observation group was significantly higher than that in the control group,and the Angle of foot dorsiflexion was significantly lower than that in the control group(P<0.05).After training,the length of pressure center moving path(Lng),the ellipse Area(Area)of 90%of the pressure center moving path,the maximum moving distance in the X axis direction(DeltaX),the maximum moving distance in the Y axis direction(DeltaY),and the track length per unit area(Lng/A)of the two groups were significantly reduced compared with those before training(P<0.05).The levels of Lng,Area,DeltaX,DeltaY and Lng/A in the observation group were significantly lower than those in the control group(P<0.05).Conclusion:Hydrotherapy can improve the rehabilitation of walking and balance ability of children with cerebral palsy,which is better than ordinary walking training.
HydrotherapyChildren with cerebral palsyGaitBalance detectionStatic pressure center measurement
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