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个性化物理治疗康复对非交通性脑积水所致发育迟缓的影响:一项病例研究

Effect of a Tailored Physiotherapy Rehabilitation on Developmental Delay Primary to Non-communicating Hydrocephalus: A Case Study.

作者信息

Vikhe Chaitali S, Sharath H V, Raghuveer Raghumahanti, Ramteke Swapnil U

机构信息

Department of Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.

Department of Paediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (Deemed to be University), Wardha, IND.

出版信息

Cureus. 2024 Jun 3;16(6):e61588. doi: 10.7759/cureus.61588. eCollection 2024 Jun.

Abstract

This case report presents the physiotherapy intervention of a one-year-old male child diagnosed with non-communicating hydrocephalus primary to developmental delay. Hydrocephalus is marked by an accumulation of cerebrospinal fluid and often leads to significant developmental delays and neurological impairments in affected infants. The physiotherapy intervention aimed to achieve head and trunk control, improve sensory awareness, and enhance overall body coordination and balance. Various techniques, including neurodevelopmental techniques, sensory stimulation, hippotherapy, and sensory integration therapy, were utilized to target specific developmental milestones and functional abilities. Outcome measures, including the Gross Motor Function Measure, Infant Neurological International Battery, Hammersmith Infant Neurological Examination, and New Ballard Score, were used to assess the patient's progress pre- and post-intervention. Significant improvements were observed across all outcome measures following four months of physiotherapy rehabilitation. The patient demonstrated substantial gains in gross motor function, neurological examination scores, and overall developmental milestones. These findings underscore the effectiveness of physiotherapy rehabilitation in addressing developmental delays associated with non-communicating hydrocephalus. This case underscores the significance of early physiotherapy intervention, which plays a vital role in enhancing outcomes and improving the quality of life for affected children.

摘要

本病例报告介绍了一名一岁男童的物理治疗干预情况,该男童被诊断为原发性发育迟缓导致的非交通性脑积水。脑积水的特征是脑脊液积聚,常导致受影响婴儿出现明显的发育迟缓及神经功能障碍。物理治疗干预旨在实现头部和躯干控制,提高感觉意识,并增强全身协调性和平衡能力。采用了多种技术,包括神经发育技术、感觉刺激、马术疗法和感觉统合疗法,以针对特定的发育里程碑和功能能力。使用包括粗大运动功能测量、国际婴儿神经学测试组合、哈默史密斯婴儿神经学检查和新巴拉德评分在内的结果指标,来评估患者干预前后的进展情况。经过四个月的物理治疗康复,所有结果指标均观察到显著改善。患者在粗大运动功能、神经学检查评分和整体发育里程碑方面均取得了显著进展。这些发现强调了物理治疗康复在解决与非交通性脑积水相关的发育迟缓方面的有效性。本病例强调了早期物理治疗干预的重要性,其在改善受影响儿童的治疗效果和生活质量方面发挥着至关重要的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7307/11221501/022df2a03a3a/cureus-0016-00000061588-i01.jpg

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