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两名脑瘫儿童在接受强化套装疗法后的变化:病例报告。

Changes in two children with cerebral palsy after intensive suit therapy: a case report.

作者信息

Bailes Amy F, Greve Kelly, Schmitt Laura C

机构信息

Division of Occupational Therapy and Physical Therapy, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229, USA.

出版信息

Pediatr Phys Ther. 2010 Spring;22(1):76-85. doi: 10.1097/PEP.0b013e3181cbf224.

Abstract

PURPOSE

The purpose of this case report was to investigate effects of intensive suit therapy on gait, functional skills, caregiver assistance, and gross motor ability in children with cerebral palsy.

CASE DESCRIPTION

Two children with spastic diplegia classified at level III on the Gross Motor Function Classification System participated. Outcomes were assessed using dimensions D and E of the Gross Motor Function Measure, the Pediatric Evaluation of Disability Inventory, and instrumented gait analysis.

INTERVENTION

Each child participated in the Therasuit Method, 4 hours a day, 5 days a week for 3 weeks.

OUTCOMES

Very small improvements in function were noted in dimension D of the Gross Motor Function Measure and Pediatric Evaluation of Disability Inventory Self-care Domain with decreased function in other areas. Improved walking speed, cadence, symmetry, joint motion, and posture were found with gait analysis.

CONCLUSION

Further investigation is needed of the suit itself, and intensive therapy programs in children with cerebral palsy.

摘要

目的

本病例报告旨在研究强化套装疗法对脑瘫患儿步态、功能技能、照顾者协助以及粗大运动能力的影响。

病例描述

两名在粗大运动功能分类系统中被归类为三级的痉挛型双瘫患儿参与其中。使用粗大运动功能测量的维度D和E、儿童残疾评估量表以及仪器化步态分析对结果进行评估。

干预措施

每个孩子每周5天、每天4小时参与Therasuit方法,为期3周。

结果

在粗大运动功能测量的维度D和儿童残疾评估量表自我照顾领域中,功能有非常小的改善,而其他领域功能下降。通过步态分析发现步行速度、步频、对称性、关节活动和姿势有所改善。

结论

需要对套装本身以及脑瘫患儿的强化治疗方案进行进一步研究。

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