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小儿脑瘫的康复治疗 总被引:2,自引:0,他引:2
谢闽达 《临床和实验医学杂志》2006,5(10):1526-1526
小儿脑瘫为儿童时期的主要伤残病,其治疗问题长期困扰着千万个家庭。本文介绍了有关小儿脑瘫的概念和分型.病因及症状以及病理,并阐述了国内和国外常用的小儿脑瘫的康复治疗技术。 相似文献
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脑瘫儿童康复的新方法-引导式教育 总被引:3,自引:0,他引:3
引导式教育是匈牙利Peto教授融汇他个人对神经学、心理学、教育及康复等广泛知识,加上他对艺术的浓厚兴趣,为中枢神经系统受损的成人及儿童在1945年创立的一种综合治疗法。1960年引导式教育由治疗师Cctten夫人介绍到英国。 相似文献
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小儿脑瘫是指从胚胎时期至婴儿期各种原因引起脑损伤所致的非进行性的、永久性的运动障碍及姿势异常,常伴发认知、感觉、行为障碍,癫痫及神经肌肉性疾病[1]. 相似文献
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脑瘫儿童肌性足畸形无创伤性康复治疗 总被引:1,自引:1,他引:1
脑瘫患儿 14例 ,均智力发育正常 ,男 6例 ,女 8例 ;年龄3~ 6岁 8例 ,7~ 9岁 6例 ;均伴有癫痫或言语不清 ,不能站立行走 ,足跖屈、内翻内收及外翻等畸形 ;痉挛型 9例 ,松弛型 5例 ,其中 3例伴有剪刀步态。 14例患儿均采用综合康复治疗。①电针 :松弛型针刺松弛肌肉群远近两端相关穴位 ,2个穴位为 1组 ,如 :足踝跖屈在胫腓骨前、足背部踝横纹中央和股四头肌处选穴 ;内收内翻选外展肌群中解溪、绝骨、风市等穴 ;外翻可在内收肌群两端选穴进行针刺 ,深度至肌肉中部 ,功能开关置于疏密状态 ,电流强度适当放大到患肢有动感为宜。痉挛型功能开关… 相似文献
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李晓捷 《中国康复医学杂志》2011,26(4):301-302
不同年龄段脑瘫儿童处于生长发育的不同生理、心理、社会功能阶段,运动功能与障碍程度及环境状况亦不尽相同[1]。根据上述特点和规律,应关注和重视不同年龄段脑瘫儿童康复治疗目标的制定以及康复策 相似文献
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小儿脑瘫的康复治疗 总被引:1,自引:0,他引:1
孙凤菊 《中华临床医学研究杂志》2003,(82):61-62
小儿脑瘫是指由于出生前、出生时、婴儿早期的某些原因使控制运动的部分脑组织受到损害所造成的非进行性脑损伤所致的综合症,导致肌肉控制失调引起的身体运动困难和体位困难。主要表现为中枢性运动障碍和姿势异常,可伴有智能落后及惊厥发作、行为异常、感觉障碍及其他异常。尽管临床症状可随年龄的增长和脑的发育成熟而变化,但是其中枢神经系统的病变却固定不变。 相似文献
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Spastic diplegia has been recognized as the type of cerebral palsy most frequently associated with prematurity. Due to constantly improving neonatal care in developed countries, more and smaller premature infants are surviving, and the number of spastic diplegic children can be expected to increase. This paper reviews the incidence, pathophysiology, and associated handicaps of patients with this type of cerebral palsy. The role of the physiatrist and aspects of traditional management are discussed. Recent advances in treatment of spasticity and lower extremity bracing are stressed as they seem to be particularly suitable to spastic diplegic patients. 相似文献
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小儿脑性瘫痪的康复 总被引:24,自引:5,他引:24
胡莹媛 《中国康复理论与实践》2003,9(4):193-196
小儿脑性瘫痪 (cerebralpalsy ,CP)简称脑瘫 ,是一种严重危害小儿健康的疾患。我国“九五”攻关课题的一项研究数据显示 ,0— 6岁儿童的脑性瘫痪患病率为1.86‰。目前 ,全国有 31万例脑瘫患儿 ,并且每年新增 4 .6万例。脑瘫的主要危险因素先后以胎儿发育迟缓、早产、低出生体重、出生窒息等为主[1] 。由于小儿的大脑在不断地成熟和分化 ,具有较大的可塑性 ,因此 ,如能对脑性瘫痪的儿童进行早期康复 ,即争取在出生后 6— 9个月的阶段内采取康复治疗措施 ,不仅能促进中枢神经系统的正常发育 ,改善异常姿势和运动 ,抑制异常反射… 相似文献
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Afitap ??a?as?o?lu Erkan Mesci Yasemin Yumusakhuylu Selin Turan Turgut Sadiye Murat 《Journal of Physical Therapy Science》2015,27(10):3211-3214
[Purpose] To observe motor and functional progress of children with cerebral palsy during
2 years. [Subjects and Methods] Pediatric cerebral palsy patients aged 3–15 years (n =
35/69) with 24-month follow-up at our outpatient cerebral palsy clinic were evaluated
retrospectively. The distribution of cerebral palsy types was as follows: diplegia (n =
19), hemiplegia (n = 4), and quadriplegia (n = 12). Participants were divided into 3
groups according to their Gross Motor Functional Classification System scores (i.e., mild,
moderate, and severe). All participants were evaluated initially and at the final
assessment 2 years later. During this time, patients were treated 3 times/week. Changes in
motor and functional abilities were assessed based on Gross Motor Function Measure-88 and
Wee Functional Independence Measure. [Results] Significant improvements were observed in
Gross Motor Function Measure-88 and Wee Functional Independence Measure results in all 35
patients at the end of 2 years. The Gross Motor Function Measure-88 scores correlated with
Wee Functional Independence Measure Scores. Marked increases in motor and functional
capabilities in mild and moderate cerebral palsy patients were observed in the subgroup
assessments, but not in those with severe cerebral palsy. [Conclusion] Rehabilitation may
greatly help mild and moderate cerebral palsy patients achieve their full potential.Key words: Cerebral palsy, Outcome, Physical therapy 相似文献
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QUESTION: What is the role of intramuscular botulinum toxin injections in the management of spasticity and related morbidity in children with cerebral palsy? ANSWER: When botulinum toxin A is injected into the limbs of children with spastic paresis, it induces temporary reduction in muscle tone. It also promotes better motor function when used in combination with conservative treatments such as physiotherapy. Although there is a growing body of evidence for its effective and safe treatment, there is still a lack of consensus on dose, treatment regimens, and the best integration with other clinical modalities. 相似文献
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S E Harryman 《Physical therapy》1992,72(1):16-24
The purpose of this article is to discuss physical therapy for children with cerebral palsy who undergo orthopedic surgery. Children with spasticity (increased tone) often undergo surgical procedures to increase the length of the hip, knee, and ankle musculature in an attempt to improve musculoskeletal alignment and functional abilities. Presurgical assessment of posture and movement to determine potential for change in function and postsurgical management are discussed. Intervention immediately following soft tissue surgery at the hips and knees and intervention at the time of cast removal for those children immobilized in a hip spica cast are reviewed. Specific postsurgical management protocols related to immobilization in splints/casts, positioning, and treatment activities are presented. 相似文献
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脑瘫患儿的平衡功能训练 总被引:5,自引:2,他引:5
杨明 《中国康复理论与实践》2003,9(4):196-197
平衡功能训练是脑瘫患儿康复训练的一项内容 ,对提高患儿的康复效果有重要作用。1维持平衡的决定因素维持人体平衡的因素主要有 :①支持面 (supportsurface) ;②稳定极限 (limitofstability ,LOS) ;③平衡感觉组织 (sensoryorganization) :a.前庭系 :提供有关身体在一个不动的参照系统中的定位以及身体运动时的加速情况 ;b .视觉 :提供周围环境的信息以及身体运动和方向信息 ;c .本体觉 :由肌肉、关节、肌腱等处的感受器产生 ,传递各有关效应器发出的状态信息。2平衡功能评定2 .1平… 相似文献