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论舞蹈作为脑瘫儿童康复方法的应用:一项单病例研究

On the Use of Dance as a Rehabilitation Approach for Children with Cerebral Palsy: A Single Case Study.

作者信息

Morán Pascual Patricia, Mortes Roselló Esther, Domingo Jacinto Amparo, Belda Lois Juan Manuel, Bermejo Ignacio, Medina Enric, Barberà Guillem Ricard

机构信息

Escuela de Danza Esther Mortes. Valencia (Spain).

Instituto de Biomecánica de Valencia, Universitat Politècnica de València, Camino de Vera s/n ed. 9C, E46022 Valencia, Spain.

出版信息

Stud Health Technol Inform. 2015;217:923-8.

Abstract

Cerebral Palsy (CP) is the most common motor disability in childhood. It is a group of permanent disorders that affect child development causing disorders of movement and posture and activity limitations. The impairment of psychomotor skills of children with Cerebral Palsy is attributed to a permanent alteration occurred in non-progressive brain development of the fetus or nursing infant. Some motor related symptoms can be treated using proper physical therapy. However, one of the biggest problems of the usual physical therapy is adherence to therapy. Ballet can be an alternative or a complement to physiotherapy, with the added attraction of not being part of a to therapy, but a fun activity with the extra reward associated with the realization of an artistic activity. For some years the ballet is used as therapeutically valuable for both children with cerebral palsy: Intensive ballet training can generate changes in the sensorimotor cortex. Ballet is characterized by a complex process of movements that have to be in a musical rhythm (hence have to be precise), in which there is an overall coordination of the muscles. It is also a highly motivating and rewarding activity that allows many children with CP sharing the activities of their peers without special needs. Objective measurements of the Full Port de Bras movement has been chosen as an index of improvement. The results shows progressive improvements of the execution in a single case.

摘要

脑性瘫痪(CP)是儿童期最常见的运动障碍。它是一组永久性疾病,会影响儿童发育,导致运动和姿势障碍以及活动受限。脑性瘫痪儿童的心理运动技能受损归因于胎儿或哺乳期婴儿非进行性脑发育中发生的永久性改变。一些与运动相关的症状可以通过适当的物理治疗来治疗。然而,常规物理治疗最大的问题之一是对治疗的依从性。芭蕾舞可以作为物理治疗的替代或补充,其额外的吸引力在于它不是治疗的一部分,而是一项有趣的活动,还有参与艺术活动带来的额外收获。多年来,芭蕾舞对脑性瘫痪儿童都具有治疗价值:强化芭蕾舞训练可引起感觉运动皮层的变化。芭蕾舞的特点是动作过程复杂,必须符合音乐节奏(因此必须精确),且肌肉有整体协调性。它也是一项极具激励性和回报性的活动,能让许多脑性瘫痪儿童无需特殊需求就能参与同伴活动。已选择全臂舞姿运动的客观测量作为改善指标。结果显示在单个病例中执行情况有逐步改善。

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