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基于电影分析的社会对脑瘫的态度及在医学教育中的潜在用途

Social Attitudes toward Cerebral Palsy and Potential Uses in Medical Education Based on the Analysis of Motion Pictures.

作者信息

Jóźwiak Marek, Chen Brian Po-Jung, Musielak Bartosz, Fabiszak Jacek, Grzegorzewski Andrzej

机构信息

Department of Pediatric Orthopedics and Traumatology, Poznań University of Medical Sciences, 61-545 Poznań, Poland.

Faculty of English, Adam Mickiewicz University in Poznań, 61-874 Poznań, Poland.

出版信息

Behav Neurol. 2015;2015:341023. doi: 10.1155/2015/341023. Epub 2015 Jul 14.

Abstract

This study presents how motion pictures illustrate a person with cerebral palsy (CP), the social impact from the media, and the possibility of cerebral palsy education by using motion pictures. 937 motion pictures were reviewed in this study. With the criteria of nondocumentary movies, possibility of disability classification, and availability, the total number of motion pictures about CP was reduced to 34. The geographical distribution of movie number ever produced is as follows: North America 12, Europe 11, India 2, East Asia 6, and Australia 3. The CP incidences of different motor types in real world and in movies, respectively, are 78-86%, 65% (Spastic); 1.5-6%, 9% (Dyskinetic); 6.5-9%, 26% (Mixed); 3%, 0% (Ataxic); 3-4%, 0% (Hypotonic). The CP incidences of different Gross Motor Function Classification System (GMFCS) levels in real world and in movies, respectively, are 40-51%, 47% (Level I + II); 14-19%, 12% (Level III); 34-41%, 41% (Level IV + V). Comparisons of incidence between the real world and the movies are surprisingly matching. Motion pictures honestly reflect the general public's point of view to CP patients in our real world. With precise selection and medical professional explanations, motion pictures can play the suitable role making CP understood more clearly.

摘要

本研究展示了电影如何描绘脑瘫患者、媒体带来的社会影响以及利用电影进行脑瘫教育的可能性。本研究共审查了937部电影。根据非纪录片标准、残疾分类可能性和可得性,有关脑瘫的电影总数减少至34部。以往制作的电影数量的地理分布如下:北美12部、欧洲11部、印度2部、东亚6部、澳大利亚3部。现实世界和电影中不同运动类型的脑瘫发病率分别为:痉挛型78 - 86%、65%;运动障碍型1.5 - 6%、9%;混合型6.5 - 9%、26%;共济失调型3%、0%;肌张力低下型3 - 4%、0%。现实世界和电影中不同粗大运动功能分类系统(GMFCS)水平的脑瘫发病率分别为:I + II级40 - 51%、47%;III级14 - 19%、12%;IV + V级34 - 41%、41%。现实世界和电影中发病率的比较惊人地吻合。电影真实地反映了现实世界中公众对脑瘫患者的看法。通过精确筛选和医学专业解释,电影可以发挥适当作用,使人们更清楚地了解脑瘫。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf1c/4516815/2ce13c727fd5/BN2015-341023.001.jpg

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