首页 | 本学科首页   官方微博 | 高级检索  
文章检索
  按 检索   检索词:      
出版年份:   被引次数:   他引次数: 提示:输入*表示无穷大
  收费全文   3篇
  完全免费   1篇
  临床医学   4篇
  2017年   1篇
  2007年   2篇
  2006年   1篇
排序方式: 共有4条查询结果,搜索用时 0 毫秒
1
1.

Objectives

Children and young adults with moderate or severe motor impairment are at risk of developing contractures and deformities. In North Devon, an integrated care pathway (ICP) was written by a multidisciplinary group from within the paediatric and adult learning disability services to improve the provision of 24-hour postural management for this client group. Staff and carers’ views were sought to investigate the effects of being involved in developing an ICP, and to explore perceptions of the difference that the ICP has made to practice.

Design

A qualitative methodology using focus groups.

Results

There has been significant learning, closer team working and an increase in clinical reasoning skills and staff confidence. The rich data collected revealed the extent of the feelings of ownership, sense of achievement and pride in the project. Producing a written ICP has been more helpful than simply meeting to discuss how to improve service delivery. The changes in practice are thought to be beneficial and may improve outcomes.

Conclusions

The process of developing an ICP has had a positive effect on staff in terms of their clinical practice and team working. The perception of staff and carers is that the service to this client group has been improved.  相似文献
2.
Purpose. To investigate the effects of a special seating device: Thoracic-lumbar-sacral orthosis with non-rigid SIDO® frame (TLSO-SIDO®) in non-ambulant children with cerebral palsy.

Method. A prospective study with matched pairs (the same subject pre- and post-intervention) was carried out. A comparison of the lateral view of thoracic-lumbar spine X-ray before and after TLSO-SIDO® application was made. The assessment of changes in daily activities, posture was recorded by questionnaires. A total of 47 children with cerebral palsy at a mean age of 53.2 months ± 30.1 SD were involved in the study; 15 (35.71%) of the 42 children showed significant problems in feeding at the beginning of the study period, they were identified as a special subgroup with feeding difficulties.

Results. The mean pre-TLSO-SIDO® thoracic kyphosis was 53.7 ± 16.2 in Cobb angle, while the post-TLSO-SIDO® thoracic kyphosis was 47.2 ± 12.1. The lumbar lordosis was 21.3 ± 13 and in the TLSO-SIDO® 17.8 ± 11.9. The majority of the children have shown improvement in the feeding items and in posture (trunk, head and extremities). The overall satisfaction of the parents with the TLSO-SIDO® was very good, namely 3.972 ± 0.796 on the 5-point analogue scale. We did not find a direct correlation with the improvement in the separate items and the overall satisfaction.

Conclusion. It is extremely difficult to measure the effect of the postural management on the development of children with cerebral palsy. According to the results of the study, regular application of the TLSO-SIDO® in children with spastic cerebral palsy had a beneficial effect on feeding problems and on posture.  相似文献
3.
Purpose. Adaptive seating systems using sacral pads and kneeblocks are commonly used throughout the UK with children with complex motor disorders to improve their posture and stability in sitting. We sought to evaluate how effective these systems are for a group of children with cerebral palsy.

Method. A six-visit trial was performed to examine whether this combination controls pelvic and hip positioning. Twenty-three children with cerebral palsy aged 7 - 14 years participated (11 females and 12 males). The kneeblocks (active intervention) were removed for a period in the middle of the trial. Force exerted through the kneeblock, pressure exerted on the sacral pad and postural alignment was measured for change.

Results. Statistically significant differences before and after kneeblock removal were found for force at the kneeblock, but no difference was found in pressure at the sacral pad. No statistically significant correlations between force and pressure or posture were found.

Conclusion. The results indicate that seating systems using a sacral pad and kneeblock may not improve overall posture but may improve hip position in children with cerebral palsy.  相似文献
4.
摘要 目的:观察家庭髋关节姿势管理对痉挛型双瘫脑瘫儿童髋关节发育的影响。 方法:选取2013年12月—2014年10月在我院治疗的2—4岁痉挛型双瘫儿童32例,粗大运动功能分级(gross motor function classification scale, GMFCS)Ⅲ-Ⅳ级,采用随机数字表法将上述患者分为试验组及对照组,对照组在我院行常规康复治疗,每年≥6个疗程,每个疗程10—14天,试验组在常规康复治疗基础上指导患儿监护人使用矫形器行家庭髋关节姿势管理,包括夜间髋关节外展位睡眠,白天髋关节外展位站立,每日髋外展站立时间≥1h。分别于治疗前、治疗后18—24个月拍摄骨盆平片,测量并比较两组患儿的双髋关节股骨头偏移百分比(migration percentage,MP)和髋臼指数(acetabular index,AI)。 结果:治疗前,试验组MP值和AI值与对照组比较,差异无显著性意义。治疗后,试验组MP值为:20.96 ±6.35,对照组MP值为:29.78±9.38,试验组AI值为:18.53±2.54,对照组AI值为:21.17±2.73,治疗组均优于对照组,差异均有显著性意义。 结论:家庭髋关节姿势管理可有效减轻较小年龄痉挛型脑瘫儿童髋关节的进行性移位,有助于患儿髋关节正常发育。  相似文献
1
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号