Bower E, McLellan D L
Southampton General Hospital.
Dev Med Child Neurol. 1992 Jan;34(1):25-39. doi: 10.1111/j.1469-8749.1992.tb08560.x.
This pilot study reports the effects of increased exposure to standard physiotherapy on seven children with quadriplegic cerebral palsy and severe learning difficulties. The children's progress toward certain goals was accelerated during the period of intense physiotherapy, but progress toward other goals was less consistently affected. These skills were maintained, and in some cases improved upon, when therapy became less frequent, provided they were associated with daily functional activities understood by the children and not requiring increased assistance by the carer. The identification of specific, measurable goals can help establish the effectiveness of treatment for such children and may in itself have beneficial effects on compliance and outcome.
这项试点研究报告了增加标准物理治疗对7名四肢瘫痪型脑瘫且有严重学习困难儿童的影响。在强化物理治疗期间，孩子们朝着某些目标取得的进展加快了，但朝着其他目标的进展受到的影响则不太一致。当治疗频率降低时，如果这些技能与孩子们理解的日常功能活动相关且不需要护理人员增加协助，那么这些技能就能得以维持，在某些情况下还会得到改善。确定具体、可衡量的目标有助于确立对此类儿童治疗的有效性，其本身可能对依从性和治疗结果产生有益影响。
