Minnes P M, Stack D M
Department of Psychology, Queen's University, Kingston, Ontario, Canada.
Int J Rehabil Res. 1990;13(2):151-60.
This paper highlights the need for methodologically sound research on the motor, cognitive and psychosocial development of children with congenital limb deficiencies and the integration of findings in these three areas. Such topics have received little attention in the literature and systematic attempts to apply developmental theory to the assessment, fitting, training and evaluation of these children seldom have been made. A number of important current issues in research and practice are critically reviewed including optimal age for fitting, training procedures, prosthesis usage, cognitive deficits and vulnerability to psychosocial problems. Recommendations for the adoption of a more holistic approach to research and practice with amputee children are presented and the need to develop strategies for systematic evaluation and follow up is emphasized.
本文强调了对先天性肢体缺损儿童的运动、认知和心理社会发展进行方法合理的研究以及整合这三个领域研究结果的必要性。这些主题在文献中很少受到关注，而且很少有人系统地尝试将发展理论应用于对这些儿童的评估、适配、训练和评价。对研究和实践中一些重要的当前问题进行了批判性回顾，包括适配的最佳年龄、训练程序、假肢使用、认知缺陷以及易患心理社会问题。提出了对截肢儿童采用更全面的研究和实践方法的建议，并强调了制定系统评估和随访策略的必要性。
