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痉挛性双侧瘫治疗中的早期物理治疗

Early physiotherapy in the treatment of spastic diplegia.

作者信息

Kanda T, Yuge M, Yamori Y, Suzuki J, Fukase H

出版信息

Dev Med Child Neurol. 1984 Aug;26(4):438-44. doi: 10.1111/j.1469-8749.1984.tb04468.x.

DOI:10.1111/j.1469-8749.1984.tb04468.x
PMID:6479463
Abstract

This study reports the effect of early physiotherapy, using Vojta's method, on children with spastic diplegia. Eight children with spastic diplegia (in spite of early treatment which was started before nine months of age) were compared with 21 children with spastic diplegia in which treatment was started between nine months and three years of age. The average age of starting to walk was eight months earlier in the group treated early, although they had more severe complications. They tended to walk steadily with a gait pattern which was quite different from the classical pattern. All of the early treated patients had confirmed organic brain damage with abnormal CT scan or microcephaly. In conclusion, Vojta's method of treatment is one system which improves the prognosis for walking if performed early.

摘要

本研究报告了采用沃伊塔方法进行早期物理治疗对痉挛性双瘫患儿的影响。将8名痉挛性双瘫患儿(尽管在9个月龄之前就开始了早期治疗)与21名在9个月至3岁之间开始治疗的痉挛性双瘫患儿进行了比较。早期治疗组开始走路的平均年龄早8个月,尽管他们有更严重的并发症。他们倾向于以一种与经典模式截然不同的步态稳定行走。所有早期治疗的患者经CT扫描异常或小头畸形确诊存在器质性脑损伤。总之,沃伊塔治疗方法是一种如果早期进行就能改善行走预后的体系。

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1
Early physiotherapy in the treatment of spastic diplegia.痉挛性双侧瘫治疗中的早期物理治疗
Dev Med Child Neurol. 1984 Aug;26(4):438-44. doi: 10.1111/j.1469-8749.1984.tb04468.x.
2
[A case of spastic diplegia treated by the Vojta procedure in early infancy with a remarkable effect. A comparison with 66 spastic diplegia children].1例婴儿早期采用Vojta疗法治疗的痉挛性双瘫,效果显著。与66例痉挛性双瘫儿童的对比研究
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[Four years' physiotherapy of cerebral movement disorders in infants using Vojta's method].[采用沃伊塔法对婴儿脑性运动障碍进行四年物理治疗]
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引用本文的文献

1
Effects of Vojta Therapy on the Motor Function of Children with Neuromotor Disorders: Study Protocol for a Randomized Controlled Trial.vojta疗法对神经运动障碍儿童运动功能的影响:一项随机对照试验的研究方案
J Clin Med. 2023 Nov 28;12(23):7373. doi: 10.3390/jcm12237373.
2
Early intervention evidence for infants with or at risk for cerebral palsy: an overview of systematic reviews.脑性瘫痪患儿或有患病风险患儿的早期干预证据:系统评价概述。
Dev Med Child Neurol. 2021 Jul;63(7):771-784. doi: 10.1111/dmcn.14855. Epub 2021 Apr 6.
3
Diagnosis and management of cerebral palsy.
脑瘫的诊断与管理
Arch Dis Child. 1995 Apr;72(4):350-4. doi: 10.1136/adc.72.4.350.
4
VOJTA neurophysiologic therapy.沃伊塔神经生理疗法
Indian J Pediatr. 1992 Jan-Feb;59(1):37-51. doi: 10.1007/BF02760897.