Kara Ozgun Kaya, Mutlu Akmer, Gunel Mintaze Kerem, Haliloglu Goknur
Department of Physiotherapy and Rehabilitation, Hacettepe University, Samanpazari, Ankara, Turkey.
BMJ Case Rep. 2010 Dec 29;2010:bcr0620103081. doi: 10.1136/bcr.06.2010.3081.
This study aimed to investigate the benefits of physiotherapy programme in a patient with Angelman syndrome (AS) during a follow-up of 3 years. Assessments included: disability level with gross motor function classification systems, gross motor function with gross motor function measurement (GMFM), balance with Berg Balance Scale, motor performance with gross motor performance measurement (GMPM) and tonus assessment with Modified Ashworth Scale. Physiotherapy programme was performed during 36 months, 3 days per week by physical therapist according to Neurodevelopmental Treatment approach. During the 36 months, GMFM increased from 11.46% to 70.82% and GMPM increased from 1.25% to 70.25%. This case report is the first study about the effectiveness of physiotherapy with medium-term follow-up in a child with AS. Physiotherapy results make us happy in this particular patient with 'happy puppet' syndrome.
本研究旨在调查理疗方案对一名患有天使综合征(AS)的患者在3年随访期间的益处。评估内容包括:采用粗大运动功能分类系统评估残疾水平、用粗大运动功能测量(GMFM)评估粗大运动功能、用伯格平衡量表评估平衡能力、用粗大运动表现测量(GMPM)评估运动表现以及用改良Ashworth量表评估肌张力。理疗方案由物理治疗师根据神经发育治疗方法在36个月内每周进行3天。在这36个月中,GMFM从11.46%提高到70.82%,GMPM从1.25%提高到70.25%。本病例报告是第一项关于对一名AS儿童进行中期随访的理疗效果的研究。理疗结果让我们对这名患有“快乐木偶”综合征的特殊患者感到满意。