脑性瘫痪康复理念和技术的最新进展  

The latest developments of rehabilitation idea and technological of cerebral palsy

作　　者：唐久来[1] TANG J iu-lai(The Pediatric Neurological Rehabilitation Center of the First Affiliated Hospital of Anhui Medical University, He f ei,Anhui 230022 ,Chin)

机构地区：[1]安徽医科大学第一附属医院小儿神经康复中心,安徽合肥230022

出　　处：《中国儿童保健杂志》2017年第5期433-436,共4页Chinese Journal of Child Health Care

基　　金：国家自然科学基金项目(81270665)

摘　　要：脑性瘫痪(简称:脑瘫)的康复应在ICF-CY框架下进行精准的评估,以融入社会为目标,选择有循证医学依据的康复治疗方法。提倡人权康复,在游戏中主动康复,多学科协助的大康复理念,医教结合、功能康复、全面康复,集中康复与社区家庭康复相结合,个体化规范化治疗,通过网络康复平台全面提升儿童康复水平。目前康复新技术有运动想象疗法、镜像疗法、活动观察训练、任务导向性训练、全身振动训练、限制性诱导疗法、马疗、水疗、悬吊运动疗法、密集运动训练治疗计划、虚拟现实技术和Astym疗法等。康复机器人、深部脑刺激术和神经干细胞移植值得进一步研究。Rehabilitation of cerebral palsy should achieve a precision assessment of under the ICF-CY framework, whose target is get into society. Evidence-based medicine is playing an key role on choosing rehabilitation therapy method. New rehabilitation therapy concept should be wildly used, including advocate human rights rehabilitation, initiative rehabili- tation in game,great rehabilitation idea in multidisciplinary synergic, combining medicine and education, functional rehabilita- tion, comprehensive rehabilitation, concentrating rehabilitation with community and family care, individualization standardized treatment, comprehensively promote children＇s rehabilitation level through the website rehabilitation platform. At present, there are lots of new rehabilitation method applying into clinic,motor imagery therapy,action observation training, task-ori- ented training and whole body vibration training, constraint-induced movement therapy,intensive therapy program, sling ex- ercise therapy, horse therapy, hydrotherapy, virtual reality and astym therapy, et al. Beside, rehabilitation robot, deep brain stimulation and neural stem cells transplantation is on research.

关 键 词：脑性瘫痪 康复 进展 

分 类 号：R179[医药卫生—妇幼卫生保健]