Purpose: To investigate the acute exercise effects of dynamic standing exercise on blood glucose and blood lactate among children and adolescents with cerebral palsy who are nonambulant. Methods: Twenty-four participants with cerebral palsy who are nonambulant performed 30 minutes of dynamic standing exercise using a motorized device enabling assisted passive movements in an upright weight-bearing position. Capillary blood samples were taken from the fingertip for measurement of blood glucose and blood lactate at rest and at the end of exercise. Results: At rest, the participants had hyperlactatemia that was unaffected after exercise, presented as median and interquartile range at rest 1.8 (1.3:2.7) mmol/L, and after exercise 2.0 (1.1:2.5) mmol/L. Children and adolescents with Gross Motor Function Classification System, level V, had higher lactate levels at rest (2.5 [1.8:2.9] vs 1.4 [1.0:2.0]; P = .030) and after exercise (2.3 [2.0:2.6] vs 1.2 [0.9:2.2]; P = .032) compared with children and adolescents with Gross Motor Function Classification System, level IV, respectively. A statistically significant larger decrease in blood lactate levels after exercise was observed in children and adolescents with higher resting blood lactate levels (ρ = .56; P = .004). There were no statistically significant changes in blood glucose. Conclusions: Forty percentage of the participants had mild hyperlactatemia at rest and participants with the highest blood lactate levels at rest had the greatest decrease in blood lactate levels after one bout of exercise. Children and adolescents who were classified with the highest level of the Gross Motor Function Classification Scale had higher blood lactate levels. More studies are needed on how to prevent chronically high resting levels of lactate with exercise in children with cerebral palsy who are nonambulant.

目的：探讨动态站立运动对不能走动的脑瘫儿童青少年血糖和血乳酸的影响。方法： 24 名不能走动的脑瘫参与者使用电动装置进行了 30 分钟的动态站立运动，该装置能够在直立负重位置进行辅助被动运动。从指尖采集毛细血管血样，用于测量静息和运动结束时的血糖和血乳酸。结果：在休息时，参与者有运动后不受影响的高乳酸血症，表现为休息时的中位数和四分位数范围为 1.8 (1.3:2.7) mmol/L，运动后为 2.0 (1.1:2.5) mmol/L。具有粗大运动功能分类系统 V 级的儿童和青少年在休息时（2.5 [1.8:2.9] vs 1.4 [1.0:2.0]；P  = .030）和运动后（2.3 [2.0:2.6] vs 1.2 [0.9:2.2]；P  = .032）分别与具有粗大运动功能分类系统 IV 级的儿童和青少年进行比较。在静息血乳酸水平较高的儿童和青少年中观察到运动后血乳酸水平显着降低（ρ  = .56；P = .004)。血糖没有统计学上的显着变化。结论： 40% 的参与者在休息时有轻度高乳酸血症，而在休息时血乳酸水平最高的参与者在一次运动后血乳酸水平下降幅度最大。被分类为粗大运动功能分类量表最高水平的儿童和青少年的血乳酸水平较高。需要更多的研究来研究如何通过运动来预防不能走动的脑瘫儿童的长期高静息乳酸水平。