Kerem Günel Mintaze
Hacettepe Universitesi Sağlik Bilimleri Fakültesi Fizik Tedavi ve Rehabilitasyon Bölümü, 06100 Sihhiye, Ankara, Turkey.
Acta Orthop Traumatol Turc. 2009 Mar-Apr;43(2):173-80. doi: 10.3944/AOTT.2009.173.
Pediatric rehabilitation requires a multidisciplinary team approach to disabilities or handicaps caused by physical, mental, sensory-perceptional, or cognitive disorders due to prenatal, natal, or postnatal causes. Cerebral palsy (CP) is defined as persistent but not progressive disorder of posture and movement system, associated with functional activity limitations and sensorial, cognitive, communication problems, epilepsy, and musculoskeletal system problems. Physiotherapy approaches in rehabilitation applications aim to normalize sensorial and motor functions, provide normal posture and independent functional activity, regulate muscle tone, improve visual and auditory reactions, support normal motor development and motor control, improve ambulation and endurance, increase the quality of the existing movements, prevent soft tissue, joint and postural disorders, support orthopedic and surgical procedures, and finally to prepare the child for the adolescent and adult periods. Setting realistic goals, determination of the priorities, informing the family and enhancing family participation in physiotherapy programs will increase the success of physiotherapy. This article reviews current rehabilitation approaches and physiotherapy applications for children with CP.
小儿康复需要多学科团队协作，以应对由产前、产时或产后因素导致的身体、心理、感觉知觉或认知障碍所引起的残疾或残障情况。脑性瘫痪（CP）被定义为姿势和运动系统的持续性但非进行性障碍，伴有功能活动受限以及感觉、认知、沟通问题、癫痫和肌肉骨骼系统问题。康复应用中的物理治疗方法旨在使感觉和运动功能正常化，提供正常姿势和独立功能活动，调节肌张力，改善视觉和听觉反应，支持正常运动发育和运动控制，改善步行能力和耐力，提高现有动作的质量，预防软组织、关节和姿势障碍，支持矫形和外科手术，最终使儿童为青少年期和成年期做好准备。设定现实的目标、确定优先事项、告知家庭并增强家庭对物理治疗计划的参与度，将提高物理治疗的成功率。本文综述了目前针对脑性瘫痪儿童的康复方法和物理治疗应用。
