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題名 | 痙攣型雙邊麻痺兒童的粗動作功能及其影響因素= |
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作者 | 孫立芸; |
期刊 | 物理治療學會雜誌 |
出版日期 | 19871100 |
卷期 | 12 1987.11[民76.11] |
頁次 | 頁32-39 |
分類號 | 418.92 |
語文 | chi |
關鍵詞 | 痙攣型雙邊麻痺兒童; 粗動作功能; |
中文摘要 | 自民國68年1月到75年11月間,作者收集43例曾在台大醫院復健科兒童 治療室接受治療一個月以上,且能確定其行走功能的先天性痙攣型雙邊麻痺兒 童,分析他們粗動作發展的情形,並探討影響行走功能的一些因素。 本研究的痙攣型雙邊麻痺兒童的粗動作里程碑發展如下:50的病童在11個月前會 翻身,15個月前會獨坐,2歲半前會爬行,而5歲前會獨走。有75.7的病童達獨立 行走的功能,其中68的病全其行走能力不受任何限制。 在影響行走功能的因素中,1歲、2歲與4歲時坐的能力,2歲與4歲時腹部離地爬 行的能力,反射分數及已有關節變形的情況下是否接受手術,皆與行走功能具統 計上有意義的關係(P<0.01或P<0.05)。至於智力、可能病因、癲癇、有無接受教育、 關節變形、曾否接受手術與行走功能並無關係(P>0.05)。 |
英文摘要 | From January 1979 to November 1986, therewere 43 spastic di'plegic patients, who had receivedneurodevelopmental therapy in the Pediatric Unitof the Department of Physical Medicine and Rehabilitation, National Taiwan University Hospital,and whose locomotor status could be confirmed. In respect of the milestones of gross motorfunction in the spastic diplegic patients included inthis study, 50 of them could roll by 11 months old,sit without support by 15 months old, creep by 2 1/2years old and walk alone by 5 years old. Seventy-six percent attained the ability to walk independently,and 68 of those who could walk independentlycould ambulate outdoors without any limitation. Among the factors which would influence theoutcome of the locomotor status in patients withspastic diplegia, sitting by one, two and four years,creeping by two and four years, reflex scores andwhether receiving surgical interventions when deformity existed, were all significantly related to thelocomotor outcome (p < 0.01 or p < 0.05). |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。