Asano Daiki, Kikuchi Naoko, Yamakawa Toru, Morioka Shu
Department of Rehabilitation, Japan Baptist Hospital, Kyoto 606-8273, Japan.
Department of Pediatrics, Japan Baptist Hospital, Kyoto 606-8273, Japan.
Children (Basel). 2021 Jun 17;8(6):511. doi: 10.3390/children8060511.
Children with cerebral palsy (CP) experience various restrictions owing to their underdeveloped mobility. Home confinement due to the coronavirus disease 2019 pandemic may further increase these restrictions. We report the case of a 7-year-old boy with CP (Gross Motor Function Classification System level IV) whose motor function declined during the period when physical therapy was discontinued due to lockdown, approximately four months. At the end of the home confinement, the patient's ability to maintain a sitting posture and weight-bearing capacity of the lower extremities decreased. His Gross Motor Function Measure total score also decreased from 34.5% to 31.9%. After resuming physical therapy, the patient recovered the function status seen before the discontinuation of physical therapy, but this took almost twice as long as the confinement period. We reaffirm that frequent physical therapy is crucial for maintaining motor function in non-ambulatory children with CP. As a countermeasure for the future, urgent efforts are needed for the development of telerehabilitation.
由于运动能力发育不全，脑瘫（CP）患儿面临各种限制。2019年冠状病毒病大流行导致的居家隔离可能会进一步加剧这些限制。我们报告了一例7岁脑瘫男孩（粗大运动功能分类系统IV级）的病例，在因封锁而中断物理治疗的大约四个月期间，其运动功能下降。居家隔离结束时，患者维持坐姿的能力和下肢负重能力下降。他的粗大运动功能测量总分也从34.5%降至31.9%。恢复物理治疗后，患者恢复到了物理治疗中断前的功能状态，但所需时间几乎是隔离期的两倍。我们重申，对于非行走型脑瘫患儿，频繁进行物理治疗对于维持运动功能至关重要。作为未来的应对措施，迫切需要努力发展远程康复。
