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多感官刺激与康复改善残疾:一则病例报告的启示。

Multisensory stimulation and rehabilitation for disability improvement: Lessons from a case report.

机构信息

IRCCS Centro Neurolesi Bonino Pulejo Messina, Italy.

出版信息

Medicine (Baltimore). 2022 Nov 18;101(46):e31404. doi: 10.1097/MD.0000000000031404.

Abstract

RATIONALE

Spastic quadriplegia is most severe form of Infantile Cerebral Palsy. Patients are unable to use their legs, arms and body and show language disorder and profound intellectual disability. The treatment of patients diagnosed with spastic quadriplegia is complex and multidisciplinary. In this case report we described the positive effect of multisensory environment (MSEs) rehabilitation, and the strategies and technologies used to provide child who have to severe spastic quadriplegia and intellectual disability, palsy with playful and fun activities designed according to his abilities.

PATIENT CONCERN

A 7-years-old boy diagnosed with spastic quadriplegia and severe intellectual disability began rehabilitation by MSEs.

DIAGNOSES

Spastic quadriplegia is most severe form of Infantile Cerebral Palsy. Patients are unable to use their legs, arms and body and show language disorder and profound intellectual disability.

INTERVENTIONS

Multisensory room is a large environment containing various elements where child can interact spontaneously and independently.

OUTCOMES

The comparison scores between T0-T1 showed a reduction in self-harm and motor stereotypies (hand flapping). Sustained attention was improved and we observed a better therapeutic compliance by means of greater involvement in gaming activities.

CONCLUSION

The stimuli within the MSEs provided the child opportunities to express himself with facilities more suited to his potential. Future research should project designed randomized controlled trials to examine the efficacy of multisensory on reduction disability.

摘要

背景

痉挛性四肢瘫痪是最严重的脑瘫形式。患者无法使用腿部、手臂和身体,表现出语言障碍和严重的智力障碍。痉挛性四肢瘫痪患者的治疗非常复杂,需要多学科参与。在本病例报告中,我们描述了多感官环境(MSEs)康复的积极效果,以及为严重痉挛性四肢瘫痪和智力障碍的患儿提供的策略和技术,使他们能够进行根据其能力设计的有趣和有趣的活动。

患者关注点

一名 7 岁男孩被诊断为痉挛性四肢瘫痪和严重智力障碍,开始接受 MSEs 康复治疗。

诊断

痉挛性四肢瘫痪是最严重的脑瘫形式。患者无法使用腿部、手臂和身体,表现出语言障碍和严重的智力障碍。

干预措施

多感官室是一个包含各种元素的大型环境,孩子可以在其中自发独立地互动。

结果

T0-T1 之间的比较评分显示,自我伤害和运动刻板行为(手拍)减少。注意力持续时间得到改善,我们观察到孩子通过更多地参与游戏活动,治疗依从性更好。

结论

MSEs 中的刺激为孩子提供了用更适合其潜力的设施表达自己的机会。未来的研究应该设计随机对照试验,以检验多感官对减少残疾的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a8d/9678634/f77d165efc70/medi-101-e31404-g001.jpg

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