儿童上运动神经元损伤的原始方法与经典方法的对比

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引用次数: 0

摘要

对0-4岁上运动神经元病变患者的各种治疗方法进行了研究,但关于这些方法的有效性以及在开始物理治疗之前获得疾病进展的清晰图像的难度,尚未获得结论性结果。一方面,只要脑瘫后肌肉僵硬的缓解方法尚不明确,功能性运动能力的恢复就非常困难。另一方面,由于传统的康复方法使用被动或半主动的关节活动,因此在改善肌肉控制方面存在问题。因此,很难预测病人的病情演变。本研究是基于在物理治疗过程中收集的代表性样本的数据,并在统计表中进行处理。参与研究的51名患者被分为两组,31名儿童被分为实验组,20名儿童被分为对照组。他们在4个月的物理治疗前后使用DinaCord大肌肉运动发展量表进行评估。每一组的康复都是不同的,实验组使用原始的“DinaCord”物理治疗方法,对照组使用经典方法。本研究的结论突出了上述原始物理治疗方法的应用对患者运动发展的有效性和前景。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
REHABILITATION OF UPPER MOTOR NEURON LESION IN CHILDREN THROUGH ORIGINAL METHODS VERSUS CLASSICAL METHODS
Various methods of approaching patients aged 0-4 years after upper motor neuron lesion have been investigated, but no conclusive results have been obtained regarding the effectiveness of these methods and the difficulty of getting a clear picture of the disease progression before starting physical therapy. On the one hand, it is very hard to rehabilitate functional motor ability as long as it is still unclear how to relieve muscle stiffness after cerebral palsy. On the other hand, there is a problem with improving muscle control because classical rehabilitation methods use passive or semi-active joint mobilisation. Consequently, it is very difficult to predict the patient’s evolution. The present study is based on the data collected from a representative sample during physical therapy sessions and their processing in statistical tables. The 51 patients participating in the research are divided into two groups, with 31 children assigned to the experimental group and 20 children included in the control group. They were assessed before and after 4 months of physical therapy using the proposed ‘DinaCord’ Gross Motor Development Scale. Rehabilitation is different for each group, in the sense that the original ‘DinaCord’ physical therapy method is used for the experimental group, and classical methods are used for the control group. The conclusion of the study highlights the effectiveness and perspective on the patient’s motor development due to the application of the above-mentioned original physical therapy method.
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