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运用行为疗法和物理疗法促进一名患有智力障碍和脑瘫的学龄前儿童独立行走。

The use of behavior therapy and physical therapy to promote independent ambulation in a preschooler with mental retardation and cerebral palsy.

作者信息

Horton S V, Taylor D C

机构信息

Child Development and Mental Retardation Center, University of Washington, Seattle 98195.

出版信息

Res Dev Disabil. 1989;10(4):363-75. doi: 10.1016/0891-4222(89)90037-1.

DOI:10.1016/0891-4222(89)90037-1
PMID:2587827
Abstract

This study investigated the effectiveness of an instructional program designed to promote independent walking in a mentally and physically handicapped pre-schooler involving a collaborative effort between a behavior therapist and a physical therapist in an interdisciplinary setting, a public school. By letting the youngster experience a treatment package culminating in listening to a dishwasher operating for a few minutes contingent on walking increasingly longer distances, he eventually ambulated 150 feet during treatment. Independent walking transferred to nonexperimental settings in the school, home, and community. Follow-up observations at two and 32-month intervals indicated long-lasting treatment effects. Results are discussed in terms of the natural consequences that maintained walking, including response efficiency and social reinforcement, as well as a treatment model that incorporated both the form and the function of the response.

摘要

本研究调查了一项教学计划的有效性,该计划旨在促进一名身心障碍学龄前儿童的独立行走能力,此计划是在一所公立学校的跨学科环境中,由行为治疗师和物理治疗师共同协作开展的。通过让这名儿童体验一个治疗方案,该方案以其行走距离越来越长为条件,最终 culminating(此处可能有误,原词有误,推测可能是“culminated”,意为“达到高潮”)为听几分钟洗碗机运转的声音,他最终在治疗期间行走了150英尺。独立行走能力转移到了学校、家庭和社区的非实验环境中。在两个月和32个月的间隔期进行的随访观察表明,治疗效果持久。结果从维持行走的自然结果方面进行了讨论,包括反应效率和社会强化,以及一个纳入了反应形式和功能的治疗模型。

相似文献

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The use of behavior therapy and physical therapy to promote independent ambulation in a preschooler with mental retardation and cerebral palsy.运用行为疗法和物理疗法促进一名患有智力障碍和脑瘫的学龄前儿童独立行走。
Res Dev Disabil. 1989;10(4):363-75. doi: 10.1016/0891-4222(89)90037-1.
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J Appl Behav Anal. 2008 Fall;41(3):423-8. doi: 10.1901/jaba.2008.41-423.
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Promoting foot-leg movements in children with multiple disabilities through the use of support devices and technology for regulating contingent stimulation.通过使用支持设备和调节偶然刺激的技术来促进多重残疾儿童的下肢运动。
Cogn Process. 2007 Dec;8(4):279-83. doi: 10.1007/s10339-007-0179-6. Epub 2007 Aug 7.