Kara Ozgun Kaya, Mutlu Akmer, Gunel Mintaze Kerem
Department of Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
BMJ Case Rep. 2010 Aug 5;2010:bcr0320102814. doi: 10.1136/bcr.03.2010.2814.
This study aimed to exhibit the effects of early physiotherapy and discusses post-treatment results on a patient with incontinentia pigmenti (IP) with encephalocele. Physiotherapy evaluations of the child included cognitive, fine and gross motor development assessed with the Bayley Scales of Infant and Toddler Development - Third Edition (Bayley-III), disability level with the gross motor function classification system, gross motor function with the gross motor function measurement (GMFM), and tonus evaluation with the Modified Ashworth Scale. The child was included in a physiotherapy and rehabilitation programme based on neurodevelopmental treatment three times a week. Although cognitive and motor development according to Bayley-III improved in the present case, motor and cognitive retardation became more apparent with growth. GMFM results indicated a large improvement from 5.88% to 47.73%. Presentation of this case shows the significance of early physiotherapy in this first study on physiotherapy for IP during the early rehabilitation process.
本研究旨在展示早期物理治疗的效果，并探讨对一名患有色素失禁症（IP）合并脑膨出患者的治疗后结果。对该儿童的物理治疗评估包括：使用贝利婴幼儿发展量表第三版（Bayley-III）评估认知、精细和粗大运动发育；使用粗大运动功能分类系统评估残疾水平；使用粗大运动功能测量（GMFM）评估粗大运动功能；以及使用改良Ashworth量表评估肌张力。该儿童每周接受三次基于神经发育治疗的物理治疗和康复计划。尽管在本病例中，根据Bayley-III评估的认知和运动发育有所改善，但随着生长，运动和认知迟缓变得更加明显。GMFM结果显示有大幅改善，从5.88%提高到47.73%。本病例报告显示了在IP早期康复过程中首次进行物理治疗研究时早期物理治疗的重要性。
