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两年期间脑瘫患儿的康复效果

Rehabilitation outcomes in children with cerebral palsy during a 2 year period.

作者信息

İçağasıoğlu Afitap, Mesci Erkan, Yumusakhuylu Yasemin, Turgut Selin Turan, Murat Sadiye

机构信息

Department of Physical Therapy and Rehabilitation, Medeniyet University Göztepe Education and Research Hospital:, Turkey.

Department of Physical Therapy and Rehabilitation, Karaman State Hospital, Turkey.

出版信息

J Phys Ther Sci. 2015 Oct;27(10):3211-4. doi: 10.1589/jpts.27.3211. Epub 2015 Oct 30.

Abstract

[Purpose] To observe motor and functional progress of children with cerebral palsy during 2 years. [Subjects and Methods] Pediatric cerebral palsy patients aged 3-15 years (n = 35/69) with 24-month follow-up at our outpatient cerebral palsy clinic were evaluated retrospectively. The distribution of cerebral palsy types was as follows: diplegia (n = 19), hemiplegia (n = 4), and quadriplegia (n = 12). Participants were divided into 3 groups according to their Gross Motor Functional Classification System scores (i.e., mild, moderate, and severe). All participants were evaluated initially and at the final assessment 2 years later. During this time, patients were treated 3 times/week. Changes in motor and functional abilities were assessed based on Gross Motor Function Measure-88 and Wee Functional Independence Measure. [Results] Significant improvements were observed in Gross Motor Function Measure-88 and Wee Functional Independence Measure results in all 35 patients at the end of 2 years. The Gross Motor Function Measure-88 scores correlated with Wee Functional Independence Measure Scores. Marked increases in motor and functional capabilities in mild and moderate cerebral palsy patients were observed in the subgroup assessments, but not in those with severe cerebral palsy. [Conclusion] Rehabilitation may greatly help mild and moderate cerebral palsy patients achieve their full potential.

摘要

[目的]观察脑瘫患儿2年期间的运动和功能进展情况。[对象与方法]对在我院脑瘫门诊接受了24个月随访的3至15岁小儿脑瘫患者(n = 35/69)进行回顾性评估。脑瘫类型分布如下:双瘫(n = 19)、偏瘫(n = 4)和四肢瘫(n = 12)。参与者根据其粗大运动功能分类系统评分分为3组(即轻度、中度和重度)。所有参与者在最初和2年后的最终评估时均接受评估。在此期间,患者每周接受3次治疗。基于粗大运动功能测量量表 - 88和小儿功能独立性测量量表评估运动和功能能力的变化。[结果]在2年结束时,35例患者的粗大运动功能测量量表 - 88和小儿功能独立性测量量表结果均有显著改善。粗大运动功能测量量表 - 88评分与小儿功能独立性测量量表评分相关。在亚组评估中,观察到轻度和中度脑瘫患者的运动和功能能力有明显提高,但重度脑瘫患者则未观察到。[结论]康复治疗可能极大地帮助轻度和中度脑瘫患者充分发挥其潜力。

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