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| 題 名 | 抑制痙攣支架鞋對痙攣型雙邊麻痺兒童粗動作功能之效果 |
|---|---|
| 作 者 | 廖華芳; 胡家珍; 李俊傑; | 書刊名 | 中華民國物理治療學會雜誌 |
| 卷 期 | 14 1989.10[民78.10] |
| 頁 次 | 頁34-40 |
| 分類號 | 418.92 |
| 關鍵詞 | 抑制痙攣支架鞋; 痙攣型雙邊麻痺兒童; 粗動作; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 在1982年7月到1988年4月,本研究共收集59例痙攣型雙邊麻痺兒童,以 Semans計分系統評估他們在接受抑制痙攣支架鞋前、中、後3個期間的動作控制 能力。本研究分2個階段進行,在第1階段中,12例患童接受2~6星期的抑制痙攣 石膏鞋,結果顯示穿上石膏鞋配合神經發展治療,患童動作控制能力增加,但在 石膏鞋拆除後,效果逐漸消失。因此,在第2階段中,將患童分為3組,第1組接 受神經發展治療、石膏鞋與兩片式支架鞋;第2組接受神經發展治療與石膏鞋;第3 組僅接受神經發展治療。結果顯示抑制痙攣支架鞋可增加動作控制能力,兩片式 抑制痙攣支架鞋會延長石膏鞋的效果。但其長期效果及有關機轉則仍有待進一步 研究。 |
| 英文摘要 | The use of below knee Inhibitory anklefoot orthoses as an adjunctive treatment forcerebral-palsied children has been recommandedin several literatures recently, but littlequantitative reports concerning the efficacyof these orthoses have been published. From July 1982 to April 1988, 59 childrenwith spastic diplegia were Included in this study.Seman's grading of basic motor control assessment (motor score) was conducted to evaluatethe ability of postural control in 9 positions.This study was performed in 2 periods. FromJuly 1982 to July 1983, to examine the effectof inhibitory casts, 12 spastic diplegics wereincluded. Results showed that the functionalmotor control of the spastic diplegics Improvedduring casting, but the therapeutic effectdiminished after the cast-removal. To investigate whether 2 pieces inhibitory ankle-footorthoses worn after casts removal can keepthe effect longer, 47 spastic diplegics wereincluded from April 1986 to April 1988.According to the treatment programs, theywere devided into 3 groups. Group 1 receivedneurodevelopmental therapy (NDT) 10 weeks,plus 6-week inhibitory casts applied from the third week, and followed by 2 pieces Inhibitory ankle-foot orthoses after casts removal. Group2 had NDT plus 6-week inhibitory casts, andno orthoses were added after casts removal.Group 3 had NDT only. Comparison betweenthe pro-treatment score and the post-treatmentscore was analyzed by paired t-test in eachgroup. All the post-scores were significantlyhigher than the pro-scores. It indicated thatNDT had improved movement control no matterwith or without Inhibitory orthoses. However,NDT plus inhibitory orthoses would improvemovement control more than that withoutorthoses. Because the improvement scoreduring the whole treatment period was higherin Group I ( 10.7 ± 7.3 ) than Group 3 ( 2.9± 2.0 ). During pro-casting period or oncasting period, the improvement scores inGroup 1 and Group 2 were similar. Aftercasts removal, the motor score of Group 1kept Increasing; that of Group 2 wasdeteriorated. The improvement score showedsignificant difference between Group 1 andGroup 2 during post-casting period. From thisstudy, it concluded that the 2 pieces inhibitoryorthoses could keep the effect of inhibitorycasts. Inhibitory orthoses with NDT is a bettertreatment for improving motor control of spasticdiplegics than NDT only. |
本系統中英文摘要資訊取自各篇刊載內容。