Impact of clinical types and involved sites on the recovery of gross motor function after interventions in children with cerebral palsy

作     者：Hongying Li Huafeng Yu Yan Huang Lin Sang Haixia Ma 

作者机构：Rehabilitation Center of Qilu Children＇s Hospital Shandong University Jinan 250022 Shandong Province China 

出 版 物：《Neural Regeneration Research》 (中国神经再生研究（英文版）)

年 卷 期：2006年第1卷第6期

页      面：563-565页

核心收录：

学科分类：1002[医学-临床医学] 100204[医学-神经病学] 10[医学] 

主　　题：cerebral palsy rehabilitative treatment motor function rehabilitation treatment analysis of variance acupuncture therapy function recovery Chinese medicine complete data Bobath method 

摘      要：BACKGROUND： The recovery of gross motor function is the basis for the improvement of other abilities. It is helpful for judging the rehabilitative effect and prognosis of children with cerebral palsy to analyze the effect of different clinical types on the gross motor ability. OBJECTIVE ： To investigate the influence of different clinical types and different involved sites of limbs of cere- bral palsy on the effect of rehabilitative interventions on gross motor function. DESIGN ： A controlled observation before and after treatment SETTING： Rehabilitation Center of Qilu Children＇s Hospital, Shandong University PARTICIPANTS： Totally 138 children with cerebral palsy having complete data, who were hospitalized for 12 months in the Rehabilitation Center of Qilu Children＇s Hospital, Shandong University, were selected from Apnl 2004 to September 2006, including 97 males and 41 females; 55 cases were younger than 2 years old, 47 cases younger than 4 years and 36 cases younger than 6 years; 76 cases of spasm type, 30 cases of involuntary movement and 32 cases of mixed type （mixture of spasm and involuntary movement）; 64 cases of diplegia, 46 cases of tetraplegia and 28 cases of hemiplegia. All the children and their relatives were informed and agreed to cooperate with the expenments. METHODS： All the 138 children with cerebral palsy were given comprehensive rehabilitative treatment： The assessment of comprehensive ability was conducted to all the children with cerebral palsy by the rehabilitative group before rehabilitation treatment, the rehabilitative objective was established according to the results of the assessment, then feasible rehabilitative training plan was made up. The comprehensive rehabilitative treatment was conducted as planned afterwards：（1） Physical therapy： The Bobath method was used, and motor development was promoted by proprioceptive hand technique. （2） Traditional Chinese medicine therapy： Massage： The children were massaged by using the maneu