Goldkamp O
Arch Phys Med Rehabil. 1984 May;65(5):232-4.
To determine the effectiveness of treatment, 53 cerebral palsy patients were divided into two groups of 31 dependent patients (D) and 22 independent patients (I), according to their activities of daily living (ADL) status at first entry into treatment. For 44 patients, the quantity and type of treatment was monitored at various intervals and correlated with any changes in ADL status. Evaluation of nine patients was made at entry and termination only. Although improvement was observed in various areas of function, independent ADL status was achieved by only 13% (4/31) of group D over a follow-up period of six to 25 years (average 18.8 years). Neither surgery, therapy, nor time appeared to have a significant effect in reducing physical or social dependence of the patients studied. Although various factors potentially affecting outcome were investigated, only intelligence appeared to influence outcome directly. The implications of social and medical data are discussed.
为确定治疗效果，根据53例脑瘫患者首次接受治疗时的日常生活活动（ADL）状态，将他们分为两组，31例依赖患者（D组）和22例独立患者（I组）。对44例患者，在不同时间间隔监测治疗的数量和类型，并与ADL状态的任何变化相关联。仅在入组和结束时对9例患者进行评估。尽管在各个功能领域都观察到了改善，但在6至25年（平均18.8年）的随访期内，D组中只有13%（4/31）的患者实现了独立的ADL状态。手术、治疗或时间似乎都对所研究患者的身体或社会依赖程度没有显著影响。尽管研究了各种可能影响结果的因素，但只有智力似乎直接影响结果。讨论了社会和医学数据的意义。
