Catanese A A, Coleman G J, King J A, Reddihough D S
Department of Child Development and Rehabilitation, Royal Children's Hospital, Parkville, Victoria, Australia.
J Paediatr Child Health. 1995 Oct;31(5):418-22. doi: 10.1111/j.1440-1754.1995.tb00850.x.
To perform an objective evaluation of a programme based on conductive education (CE) for preschool and early school-aged children with cerebral palsy.
The progress of 17 children participating in a CE-based programme (the Yooralla programme) was compared with 17 children enrolled in traditional early childhood services. Videotapes of the children performing items from the Vulpe Assessment Battery (VAB) were scored by assessors blind to the treatment group; three standardized tests of cognitive ability were administered; and the questionnaire on resources and stress (QRS-F) was given to the primary caregiver at the beginning and conclusion of 6 months.
The Yooralla group improved in motor performance and parental coping variables. Both groups showed improvement on the cognitive measures, with the control group demonstrating slightly greater gains.
Conductive education may benefit the motor development of children with cerebral palsy and provide greater parental support. A randomized control study with adequate subject numbers is necessary to confirm this tentative conclusion.
对一项针对学龄前和学龄早期脑瘫儿童的基于引导式教育（CE）的项目进行客观评估。
将17名参与基于引导式教育项目（尤拉拉项目）的儿童的进展情况与17名参加传统幼儿服务的儿童进行比较。由对治疗组情况不知情的评估人员对儿童执行“瓦尔佩评估量表”（VAB）项目的录像进行评分；进行三项认知能力标准化测试；在6个月开始和结束时，向主要照料者发放资源与压力问卷（QRS-F）。
尤拉拉组在运动表现和家长应对变量方面有所改善。两组在认知测量方面均有进步，对照组的进步略大。
引导式教育可能有益于脑瘫儿童的运动发育，并为家长提供更多支持。需要开展一项有足够样本量的随机对照研究来证实这一初步结论。
