Bhatia M, Joseph B
Department of Orthopaedics, Kasturba Medical College, Karnataka State, India.
Pediatr Rehabil. 2000 Apr-Jun;4(2):83-6. doi: 10.1080/13638490110048390.
Records of 100 children with cerebral palsy from rural India attending a cerebral palsy clinic were analysed to determine the frequency of associated handicaps and to evaluate whether appropriate intervention had been instituted for these handicaps. All the children underwent speech, hearing, psychological, ophthalmologic, neurological, physical, functional and orthopaedic evaluations on their visit to the clinic. History was elicited from the parents of the patients to identify which of the disabilities were recognized either by them or their primary care physician, and whether any intervention had been instituted. The mean age of the patients was 6.9 years. Eighty-two per cent of the children had one or more disabilities apart from locomotor disabilities, visual defects being the commonest (54%). Fifty-four per cent of the children had more than one associated disability. Although 43% of the patients had been referred by a primary care physician, one or more associated disabilities had not been recognized and epilepsy was the only associated problem that had been treated prior to the evaluation. The study emphasizes the need for comprehensive evaluation of all children with cerebral palsy to enable proper rehabilitation.
对印度农村一家脑瘫诊所的100名脑瘫儿童记录进行了分析，以确定相关残疾的发生率，并评估是否针对这些残疾采取了适当干预措施。所有儿童在就诊时都接受了言语、听力、心理、眼科、神经科、身体、功能和矫形评估。从患者父母处了解病史，以确定他们或其初级保健医生识别出了哪些残疾，以及是否采取了任何干预措施。患者的平均年龄为6.9岁。82%的儿童除运动障碍外还有一种或多种残疾，视力缺陷最为常见（54%）。54%的儿童有不止一种相关残疾。虽然43%的患者是由初级保健医生转诊的，但一种或多种相关残疾未被识别，癫痫是评估前唯一得到治疗的相关问题。该研究强调对所有脑瘫儿童进行全面评估以实现适当康复的必要性。
