Savić K, Katanić D, Nedeljković M
Institut za zdravstvenu zastitu dece i omladine, Medicinski fakultet, Novi Sad.
Med Pregl. 1998 Mar-Apr;51(3-4):124-6.
Members of the Rehabilitation team and families of children with cerebral palsy are daily engaged in various activities with these children. Weather changes (the atmospheric pressure especially) on particular days, cause difficult performance of anticipated therapeutic exercises, occupational therapy, speech therapy, education, daily living etc. The aim of this study was to underline the possible connection between performing daily activities of children with cerebral palsy and weather changes.
There were 16 children with cerebral palsy, 2 to 14 years of age, 8 females and 8 males. Parents of these children got a questionnaire where they had to write down, on daily bases, one of the following: A--correct and easy to perform exercises, B--difficult to perform exercises, C--impossible to perform exercises--the child indisposed, for a period of three months. For the same period of time the atmospheric pressure changes and the temperature were recorded by a professional.
Our findings are related to the relationship between the efficiency of physical treatment in children with cerebral palsy and meteorological phenomena. The weather changes did not influence about 75% of the patients. In the other group of patients the unsuccessful exercise was associated with periods of extensive cyclonic activity: 15 to 17 of March 1991 (the decrease of atmosperic pressure from 1010 to 999 mbara), 15 to 17 of April 1991 (the decrease of atmospheric pressure from 1000 to 987 mbara), 5 to 7 of May 1991 (the decrease of atmospheric pressure from 1000 to 987 mbara).
Before and during cyclonic activity increases the concentration of the positive air iones which interferes with neuromuscular excitation and causes serotonin hyperproduction in the central nervous system, thus causing irritation and the lack of motivation for imposed demanods.
About 23% of children with cerebral palsy show meteorotropism in terms of weather changes influencing the efficiency of exercises. The cyclonic activity has unfavourable influence on exercises, while the stable atmospheric pressure or anticyclonic activity has a favourable one in children with cerebral palsy who show meteorotropism. So, favourable and unfavourable days for therapeutic exercises can be clearly differed.
康复团队成员与脑瘫患儿的家庭每天都要和这些孩子一起参与各种活动。特定日子里的天气变化（尤其是大气压力）会导致预期的治疗性锻炼、职业治疗、言语治疗、教育、日常生活等活动难以开展。本研究的目的是强调脑瘫患儿日常活动表现与天气变化之间可能存在的联系。
共有16名脑瘫患儿，年龄在2至14岁之间，8名女性，8名男性。这些孩子的家长收到一份问卷，要求他们在三个月的时间里每天记录以下情况之一：A——正确且易于进行的锻炼，B——难以进行的锻炼，C——无法进行的锻炼（孩子身体不适）。在同一时间段内，由专业人员记录大气压力变化和温度。
我们的研究结果涉及脑瘫患儿物理治疗效果与气象现象之间的关系。约75%的患者不受天气变化影响。在另一组患者中，锻炼效果不佳与气旋活动频繁的时期有关：1991年3月15日至17日（大气压力从1010毫巴降至999毫巴），1991年4月15日至17日（大气压力从1000毫巴降至987毫巴），1991年5月5日至7日（大气压力从1000毫巴降至987毫巴）。
在气旋活动之前及期间，正离子在空气中的浓度会增加，这会干扰神经肌肉兴奋，并导致中枢神经系统中血清素过度产生，从而引起刺激以及对既定要求缺乏动力。
约23%的脑瘫患儿在天气变化影响锻炼效果方面表现出气象敏感性。气旋活动对锻炼有不利影响，而稳定的大气压力或反气旋活动对表现出气象敏感性的脑瘫患儿有有利影响。因此，可以明确区分治疗性锻炼的有利和不利日子。
