先天性中枢通气不足综合征合并脑瘫病例的物理治疗和康复计划效果调查:病例报告

Mustafa Burak, Sinem Erturan, Bülent Elbasan
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引用次数: 0

摘要

先天性中枢性通气不足综合症是一种罕见的遗传性疾病,从出生开始就会出现,并且无法自动控制呼吸。本研究旨在探讨对先天性中枢性换气不足综合症合并脑瘫患者实施为期 6 个月的物理治疗计划的效果。研究对象是一名 6 个月大的先天性中枢通气不足综合征患者,该患者被诊断为先天性中枢通气不足综合征,后因窒息导致脑瘫。该病例在其居住的家庭环境中接受了为期 6 个月的物理治疗,每周 2 天。在治疗前后对病例进行了评估。在我们的病例中,使用了改良阿什沃斯量表、艾伯塔婴儿运动量表、哈默史密斯婴儿神经系统检查、婴儿感官功能测试以及脸部、腿部、活动、哭泣、可安慰性量表。在我们的病例中,治疗前和治疗后的评分分别如下:阿尔伯塔婴儿运动量表得 3-8 分,哈默史密斯婴儿神经系统检查得 6-17 分,婴儿感觉功能测试得 2-9 分,脸、腿、活动、哭泣、安抚量表得 8-3 分。在我们的病例中,治疗前后的改良阿什沃斯量表评分均有明显改善。此外,在研究结束时,我们还注意到,由于患者在重症监护室的住院时间较长,其疼痛和敏感性在治疗后有所减轻。我们认为,所实施的物理治疗和康复计划为患者实现神经运动和感觉统合提供了支持,凸显了物理治疗在罕见病中的重要作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Konjenital Santral Hipoventilasyon Sendromu ve Serebral Palsili Olguda Fizyoterapi ve Rehabilitasyon Programının Etkisinin İncelenmesi: Bir Olgu Sunumu
Congenital Central Hypoventilation Syndrome is a rare genetic disorder that presents from birth and prevents automatic control of respiration. Our aim in this study was to examine the effectiveness of a 6-month physical therapy program applied to a patient with Congenital Central Hypoventilation Syndrome and cerebral palsy. A 6-month-old patient who was diagnosed with Congenital Central Hypoventilation Syndrome and subsequently developed Cerebral Palsy due to asphyxia was included in the study. The case was enrolled in a physical therapy program for 2 days a week for 6 months in the home environment where they lived. The case was evaluated before and after treatment. In our case, the Modified Ashworth Scale, the Alberta Infant Motor Scale, the Hammersmith Infant Neurological Examination, Test of Sensory Functions in Infants, and the Face, Legs, Activity, Cry, Consolability scale were used. In our case, pre-treatment and post-treatment scores were as follows, respectively: Alberta Infant Motor Scale score 3-8, Hammersmith Infant Neurological Examination score 6-17, Test of Sensory Functions in Infants score 2-9, and Face, Legs, Activity, Cry, Consolability scale score 8-3. In our case, there was a significant improvement in Modified Ashworth Scale scores before and after treatment. Additionally, at the conclusion of the study, it was noted that the heightened pain and sensitivity resulting from the patient's extended stay in the intensive care unit reduced with the treatment. We believe that the administered physiotherapy and rehabilitation program offered support to the patient in achieving neuro-motor and sensory integration, underscoring the essential role of physiotherapy in rare diseases.
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