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頁籤選單縮合
題名 | The Relationship between Pulmonary Function and Functional Ability in Children with spastic Diplegia=痙攣型雙邊麻痺兒童肺功能與活動能力間的關係 |
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作者姓名(中文) | 胡家珍; 廖華芳; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 17:1 1992.03[民81.03] |
頁次 | 頁27-32 |
分類號 | 417.5847 |
關鍵詞 | 功能; 兒童; 肺; 活動; 能力; 麻痺; 痙攣型; 雙邊; 關係; |
語文 | 英文(English) |
中文摘要 | 據諸多研究顯示腦性麻痺兒童的肺功能較正常兒童差,因而容易發生呼 吸道的感染,間接導致死亡率的提高,究其原因主要是呼吸肌的張力過高與不協 調所造成的。此外,活動能力的減低使得體適能 (physical fitness)變差也是腦性麻 痺兒童常見的現象,但活動能力的減低與肺功能的下降,兩者間的關係究竟如 何,則少有實證性的研究,因此本篇的目的在探討痙孿型雙邊麻痺兒的活動能力 與肺功能之間的關連。本研究以同質較高的痙孿型雙邊麻痺兒為對象。由1988 年5月10日在台大醫院兒童治療室、基督教青年會的腦性麻痺兒游泳訓練班及陽 明教養院,共選取25位痙孿型雙邊麻痺兒,其中九位女孩、十六位男孩,其年齡 為5到10歲。選取標準為:1.經醫師診斷為痙孿型雙邊麻痺兒;2.能配合使用呼吸量 計 (spirometer);3.無胸腔骨骼方面的畸型,如:雞胸、漏斗胸:4.無肺部疾病,如:支 氣管炎等。依其行走能力分為三組:非行走組(nonambulatory group)7名 ;戶內行走 組(household-ambulatory group)8名;戶外行走組(community-ambulatory group)10名。 此外,依其日常活動之獨立性分為日常生活完全獨立組與部份獨立組。以呼吸量 計記錄出力肺活量(forced vital capacity)、第一秒出力呼氣量(forced expiratory volume in firstsecond)及呼氣時間(expiratory time)。並用皮尺在乳線處量取最大呼氣 與吸氣間之胸廓周經差(chest excursion)。結果顯示戶內行走組與戶外行走組的出 力肺活量、第一秒出力呼氣量及胸廓周經差都比非行走組來得高,且具有統計意 義。戶內行走組比戶外行走組在這些肺功能指標上也較差,但無顯著差異。此外, 日常生活完全獨立組的每項測試結果均較部分獨立組為高。本研究結果顯示痙孿 型雙邊麻痺兒的活動能力與肺功能有明顯的關連,但其因果關係如何,仍不清 楚。至於臨床是否可藉著加強痙孿型雙邊麻痺兒呼吸肌肉的控制能力來改善他們 的肺功能,則有待進一步的研究。中華物療誌1992;17(1):27-32) |
英文摘要 | To investigate the relationship between pulmonary function and functional activities of thechildren with spastic diplegia, 25 spastic diplegics were included in this study from May lo October in 1988. They were 9 girls and 16 boys, age ranged from 5 to ]2 years old. According tothe ambulatory function, they were divided into 3 groups: the nonambulatory group (7 subjects), the household-ambulatory group (8 subjects), and the community-ambulatory group (10subjects). And also all the subjects were classified into activities of daily living (ADL) partiallyindependent group (13 subjects) and totally independent group (12 subjects). Forced vital capacity (FVC), forced expiratory volume in first second (FEV), expiratory lime (ET) and chestexcursion (CE) were measured as the indicators of pulmonary function of these children. Toadjust by body weight and body height, the FVC and FEV were converted to relative FVC andrelative FEV respectively (rFVC & rFEV,). The results indicate that the rFVC, rFEV and chestexcursion of household-ambulatory and community-ambulatory group were significantly higherthan those of nonambulatory group. In the same way, all the parameters of pulmonary functionofADL-totally-independent group were higher than those ofADL-partially-independeni group.We conclude that pulmonary function in children with spastic diplegia with better functionalabilities is better than it in those with worse abilities. (JPTA ROC 1992; 17 (1):27-32) |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。