探索脑瘫儿童全面康复的经济实用新模式：附“六位一体”疗法康复脑瘫儿童50例情况报告

Investigation of A New Economic and Practical Modality:Six-in-One Rehabilitation Approach for All-round Rehabilitation of Children with Cerebral Palsy:50 Cases Report

目的探讨脑瘫儿童全面康复的经济实用新模式。方法根据现代康复训练和"引导式教育"原理,设计以运动疗法、作业疗法、言语训练与感觉运动统合训练为主、辅以个别化教学和自行创立的引导式教育"脑瘫运动康复操"的"六位一体"康复疗法,以一日课程形式应用于本科室的50例脑瘫儿童。结果经过"六位一体"康复疗法1个疗程,患儿的运动功能得到明显改善,言语和认知功能得到有效提高,日常生活和社会适应能力也有较大进步,康复总有效率90%～96%。结论"六位一体"疗法对脑瘫患儿的运动、言语、行为和认知、社会交往与社会适应等方面有较好的治疗效果,且家长付费较少,机构投入成本也较低,可试用于无医疗药物作辅助康复治疗的中小型康复机构和社区康复,尤其适用于3岁以上家庭经济困难的脑瘫儿童。

Objective To investigate an economic and practical modality for the all-round rehabilitation of children with cerebral palsy（CP）.Methods The six-in-one rehabilitation approach was designed according to the principal of modern rehabilitation and conductive education.It was mainly conducted through physical therapy,occupational therapy,speech therapy,sensory integration,supplemented with individual education and a self-originated ＂movement rehabilitation exercise＂.50 CP children were treated with this approach.Results After one period of treatment by six-in-one approach,the movement function,language ability and cognitive ability of those CP children improved tremendously.The children also got much progress in sociality and activities of daily living（ADL）.The effective rate of rehabilitation reached 90%～96%.Conclusion The CP children have benefited variously in areas of language,movement,cognition,behavior,sociality and ADL from six-in-one approach,which requires small financial contribution from family and is cost-effective to the rehabilitation center.It is a new approach for all-round CP children rehabilitation,which can be adopted by small and middle sized rehabilitating institution and community rehabilitation,especially for those poor families CP children more than 3 years old.