Ustad Tordis, Sorsdahl Anne B, Ljunggren Anne E
Trondheim University Hospital, Trondheim, Norway.
Pediatr Phys Ther. 2009 Summer;21(2):140-8; discussion 149. doi: 10.1097/PEP.0b013e3181a3429e.
This study was designed to examine effects of blocks of daily physiotherapy in 5 infants with cerebral palsy.
A single-subject design was used. Intervention consisted of two 4-week periods of daily physiotherapy, interrupted by 8 weeks of physiotherapy as usual. The children were assessed every 4th week using the Gross Motor Function Measure. Results were visually analyzed, and statistical significance of Gross Motor Function Measure-66 scores was established with the 2 SD band method.
Compliance was high. All infants showed gross motor progress compared with baseline, but separating effect of daily physiotherapy from physiotherapy as usual was inconclusive. Parents preferred the intensive treatment alternative.
Blocks of intensive therapy can be an alternative to regular dosage of physiotherapy, but until further studies are conducted, the physiotherapy intervention, intensity, and frequency should be tailored to meet the needs of each individual infant and family.
本研究旨在探讨对5名脑瘫婴儿进行每日物理治疗分组的效果。
采用单受试者设计。干预包括两个为期4周的每日物理治疗阶段，中间穿插8周的常规物理治疗。每4周使用粗大运动功能测量量表对儿童进行评估。对结果进行视觉分析，并采用2标准差带法确定粗大运动功能测量量表-66得分的统计学意义。
依从性较高。与基线相比，所有婴儿的粗大运动均有进步，但每日物理治疗与常规物理治疗的区分效果尚无定论。家长更倾向于强化治疗方案。
强化治疗分组可作为常规物理治疗剂量的替代方案，但在进行进一步研究之前，物理治疗的干预、强度和频率应根据每个婴儿及其家庭的需求进行调整。
