Aebi U
Helv Paediatr Acta. 1976 Dec;31(4-5):319-33.
It is difficult to assess objectively the effectiveness of treating children with cerebral palsy during the first year of life. 50 pupils with cerebral palsy were selected for handicap and intelligence and carefully examined. All children were treated with the neurodevelopmental technique of BOBATH, 22 of them within the first year of life, 28 thereafter. The examination in school age showed differences between the two groups. When treatment is commenced before nine months of age, children with spastic diplegia resulting from premature birth are unlikely to require special schooling for reasons of their physical handicap. After early treatment, patients with severe neuromuscular dysfunction in early life frequently display disturbances of a predominantly ataxic nature when reaching school age. Spasticity appears to respond well and athetosis less favorably to early treatment. More severe brain damage in the early treated children is possibly indicated by the higher incidence of epilepsy. Pupils who were treated early show significantly fewer behavioural disturbances, with the exception of cases where symbiotic neurosis in the mother is present. This is important for the development of the personality and the individual capacity of integration.
客观评估一岁以内脑瘫患儿的治疗效果很困难。选取了50名脑瘫学生进行残疾和智力方面的仔细检查。所有儿童均采用BOBATH神经发育技术进行治疗，其中22名在一岁以内接受治疗，28名在一岁以后接受治疗。学龄期检查显示两组之间存在差异。如果在9个月龄之前开始治疗，因早产导致痉挛性双侧瘫的儿童不太可能因身体残疾而需要特殊教育。早期治疗后，生命早期有严重神经肌肉功能障碍的患者在达到学龄期时经常表现出以共济失调为主的障碍。痉挛似乎对早期治疗反应良好，而手足徐动症对早期治疗的反应较差。早期治疗的儿童癫痫发病率较高，这可能表明脑损伤更严重。除了母亲存在共生神经症的情况外，早期接受治疗的学生行为障碍明显较少。这对个性发展和个体融入能力很重要。
