Hayashi M
Division of Pediatric Neurology, Yokohama Rehabilitation Center.
No To Hattatsu. 1995 Nov;27(6):480-6.
The Yokohama Rehabilitation Center has been treating children with cerebral palsy mainly by Vojta's method. We divided 90 cases with cerebral-palsied patients into two groups according to the month when the treatment started. The first group consisted of 27 cases started treatment before six months old; the second group consisted of 63 cases, after seven months old. Of these, all eleven children with hemiparetic type learned walking. Forty-one children with tetraparesis, spastic or mixed type could not learn walking. In the other types of cerebral palsy, 84.6% of the first group, and 40.0% of the second group could walk eventually. Though all cases in the first group had perinatal disturbances, 11 cases (17.5%) in the second group had none. The results of the treatment for the children with cerebral palsy of the first and second groups show that early treatment is effective and necessary. Developmental screening for four-month-old is performed at the city health welfare offices. This has a great role in finding risky babies of cerebral palsy. Risky babies checked at four months of age could have therapy at six months of age at the latest. So it is important to diagnose them as early as possible in cooperation with the city health welfare offices.
横滨康复中心主要采用伏伊特法治疗脑瘫患儿。我们根据治疗开始的月份将90例脑瘫患儿分为两组。第一组由27例在6个月大之前开始治疗的患儿组成；第二组由63例在7个月大之后开始治疗的患儿组成。其中，所有11例偏瘫型患儿学会了走路。41例痉挛型或混合型四肢瘫患儿未能学会走路。在其他类型的脑瘫中，第一组最终能走路的患儿占84.6%，第二组为40.0%。虽然第一组所有病例都有围产期障碍，但第二组中有11例（17.5%）没有。第一组和第二组脑瘫患儿的治疗结果表明，早期治疗是有效且必要的。在市健康福利办公室对4个月大的婴儿进行发育筛查。这对于发现脑瘫高危婴儿具有重要作用。在4个月大时检查出的高危婴儿最迟可在6个月大时接受治疗。因此，与市健康福利办公室合作尽早诊断他们非常重要。
