Barry M J
Department of Neurosurgery, Children's Hospital of Pittsburgh, PA 15213-2583, USA.
J Child Neurol. 1996 Nov;11 Suppl 1:S51-60. doi: 10.1177/0883073896011001S08.
The purpose of this paper is to present evidence of the efficacy of physical therapy interventions for patients with cerebral palsy and identify goals for these patients. Studies suggest that neurodevelopmental treatment and Vojta techniques improve postural control. Little evidence supports the efficacy of early intervention, but researchers have not yet studied effects on the family. Strengthening, electrical stimulation, the use of orthoses, and seating show positive effects in studies of small numbers of subjects. For severely involved children, ease of care and comfort are important goals, as well as prevention of deformity, which is important for all children. To the extent possible, therapy should prepare a child for independent adult life. In early intervention through school age, therapy focuses on promoting communication, self-care, and mobility. Independence is a key issue for adolescents transitioning into adulthood. The rehabilitation and health needs of adults with cerebral palsy need to be addressed. Research needs to determine the effects of physical therapy not only on impairment but also on function and disability.
本文旨在提供物理治疗干预对脑瘫患者疗效的证据，并确定这些患者的治疗目标。研究表明，神经发育疗法和沃伊塔疗法可改善姿势控制。几乎没有证据支持早期干预的疗效，但研究人员尚未研究其对家庭的影响。在少数受试者的研究中，强化训练、电刺激、使用矫形器和坐姿调整显示出积极效果。对于严重受累的儿童，护理的便利性和舒适度是重要目标，预防畸形对所有儿童都很重要。在可能的情况下，治疗应为儿童独立的成年生活做好准备。从早期干预到学龄期，治疗重点在于促进沟通、自我护理和移动能力。独立性是青少年向成年人过渡的关键问题。需要关注成年脑瘫患者的康复和健康需求。研究需要确定物理治疗不仅对损伤，而且对功能和残疾的影响。
