ICF-CY框架下先天性肌性斜颈的评估与综合治疗  

Physical therapy examination and intervention of congenital muscular torticollis in the ICF-CY framework

作　　者：单玲[1] 李洪华[1] 王冰[1] 贾飞勇[1] 杜琳[1] Shan Ling;Li Honghua;Wang Bing;Jia Feiyong;Du Lin(Department of Developmental and Behavioral Pediatrics,First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院发育行为儿科

出　　处：《中华临床医师杂志（电子版）》2019年第1期69-73,共5页Chinese Journal of Clinicians(Electronic Edition)

摘　　要：先天性肌性斜颈(CMT)是因一侧胸锁乳突肌短缩引起头向患侧歪,面部向对侧旋转的疾病。对于1岁以下患儿往往通过手法牵伸、包块按摩等物理治疗手段进行干预,常通过目测或角度测量进行评估,尚无统一的评估及物理治疗标准。《国际功能、残疾和健康分类(儿童和青少年版)》(ICF-CY)为目前国际通用的记录和描述儿童和青少年功能、残疾和健康状况的工具,强调疾病或健康的状态是由身体结构与功能、活动、参与以及环境因素综合作用所决定,对于疾病需要整体分析、综合干预。为更好理解CMT,本文按照ICF-CY的框架对CMT评估及物理治疗做一综述。Congenital muscular torticollis (CMT) is typically characterized by lateral flexion of the head to one side and cervical rotation to the opposite side due to unilateral shortening of the sternocleidomastoid muscle.Infants with CMT under the age of 1 year old are frequently treated with physical therapy,such as manual stretching and mass massage,and are evaluated by visual or angular measurement. However,there are no consensus on the techniques to perform the physical therapy examination and intervention.The International Classification of Functioning,Disability and Health-Children and Youth Version (ICF-CY) is an international tool for recording and describing the functions,disability,and health status of children and adolescents,emphasizing that the condition of the disease or health is determined by the combination of body structure and function,activity,participation,and environmental factors,and the treatment of diseases requires overall analysis and integrated intervention.This article applies the ICF-CY framework to review the physical therapy examination and intervention of CMT.

关 键 词：先天性肌性斜颈 国际功能、残疾和健康分类(儿童和青少年版) 评估 治疗 

分 类 号：R726.8[医药卫生—儿科]