Skjeldal O H, Capjon H, Dahl A, Diseth T H
Section for Treatment Abroad, Department of Rheumatology, Rikshospitalet-Radiumhospitalet Medical Centre, Oslo, Norway.
Acta Paediatr. 2009 Apr;98(4):670-4. doi: 10.1111/j.1651-2227.2008.01114.x. Epub 2008 Nov 11.
To assess a possible therapeutic effect in children and adolescents with cerebral palsy of a habilitation programme in a warm sunny climate.
Fifty-seven children and adolescents with cerebral palsy, all integrated with normal functioning children through mainstream schooling, received an individualized four-week habilitation programme at a habilitation centre in Lanzarote in the Canary Islands. They were clinically assessed before and after treatment, and again after three and six months. The clinical tests included gross motor function measure (GMFM) and the paediatric evaluation of disability inventory (PEDI). Mental health and self-esteem were assessed by using the youth self report (YSR), the child behaviour checklist (CBCL) and the Harter's self-perception profile. We also used focus-group interviews on all 57 parents by the end of the treatment period.
The study revealed some improvements in the level of physical performance. The most striking finding, however, was the lasting effect on behavioural and emotional parameters and the children's self-esteem.
Training in a warm climate may explain some of this positive effect. However, based on the focus-group interviews and its quantitative findings a more plausible explanation may be the interaction in a social setting with others in a similar situation.
评估在温暖阳光充足的气候条件下，为脑瘫儿童和青少年开展的康复训练计划可能产生的治疗效果。
57名脑瘫儿童和青少年，他们均通过主流学校教育与正常功能儿童融合在一起，在加那利群岛兰萨罗特岛的一个康复中心接受了为期四周的个性化康复训练计划。在治疗前后以及治疗后三个月和六个月时对他们进行了临床评估。临床测试包括粗大运动功能测量（GMFM）和儿童残疾评定量表（PEDI）。通过青少年自我报告（YSR）、儿童行为检查表（CBCL）和哈特自我认知量表评估心理健康和自尊。在治疗期结束时，我们还对所有57名家长进行了焦点小组访谈。
研究显示身体表现水平有一些改善。然而，最显著的发现是对行为和情绪参数以及儿童自尊产生了持久影响。
在温暖气候下进行训练可能是这种积极效果的部分原因。然而，基于焦点小组访谈及其定量结果，一个更合理的解释可能是在社交环境中与其他处于类似情况的人进行互动。
