基于国际功能、残疾和健康分类(ICF)模型的儿童多重先天性关节挛缩的物理康复

Faruq Ahmed, Z. Mawa, Mohammad Nazmul Hasan, Suria Akter, Md Shujayt Gani, Chowdhury Muhsinin Mosharofy Aroshi
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摘要

背景:多发性先天性关节挛缩症(AMC)是一种用于描述至少两个不同肢体的先天性挛缩的疾病,在活产婴儿中占1 / 3000的普遍优势。本研究的目的是利用ICF模型为患有AMC的儿童提供合适的物理康复方案。病例描述:本研究报告的病例是一名13岁的女孩,出生时患有AMC。怀孕期间,母亲有营养不良史,分娩疼痛延长,孩子有不同关节畸形。由于畸形,孩子不能正确地坐着,只能改变坐姿,站立或行走。患者无手术史,并曾做过多次石膏治疗。她是寄宿学生,就读于包容性学校,在那里他参加了一个常规的特殊教育项目。他接受了常规的个体物理治疗、职业治疗和海马疗法干预。该儿童及其母亲同意并同意参加这项为期12个月的观察性病例报告研究。考虑纳入标准和排除标准,采用目的抽样技术。该研究于2021年7月至2022年6月进行。测量工具采用ICF模型、俯卧位时间、被动ROM和肌力。本文对AMC患儿的康复治疗策略进行了启示。结论:AMC患儿的物理治疗应多重点、持续性、整体性。早期处理物理治疗师的方法限制了AMC后的复杂性。早期的物理治疗可以帮助延缓早期需要手术治疗的形成年龄。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Physical Rehabilitation Based on International Classification of Functioning, Disability and Health (ICF) Model of a Child with Arthrogryposis Multiplex Congenita
Background: Arthrogryposis Multiplex Congenita (AMC) is a condition used to portray inborn contractures with at least two different body limbs behind a general predominance of 1 out of 3000 at live births. The aim of the study was to provide information about appropriate physical rehabilitation protocol using ICF model for the child with AMC. Case Description: The reported case for the study was 13 years old girl born with suffering from AMC. During pregnancy period mother had history of malnutrition and prolong labour pain was present and child had deformity at different joints. Child was not able to sit properly except modified cross sitting, stand or walk due to deformities. Patient had no history of operation and serial plaster casts for this deformed condition. She was residential students and attended the inclusive school where he participated in a regular special education program. He took routine based individual physiotherapy, occupational therapy and hippotherapy intervention. The Child and her mother gave consent and agreed to participate in this observational case report study for 12 months. Purposive sampling technique was applied considering the inclusion and exclusion criteria. The research was carried out between July 2021 and June 2022. Measurement tools were used ICF model, prone positioning time, passive ROM and muscle strength. This article enlightens rehabilitation treatment strategies for child with AMC. Conclusion: Physical therapy of AMC children ought to be multi-focused, continual and holistic. Early way to deal with physiotherapist limits the complexity following AMC. Early physiotherapy treatments can help in delaying the early requirement of surgical management during formative age.
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