关键词: developmental delay hippotherapy neurodevelopmental techniques non-communicating hydrocephalus physiotherapy intervention

来  源:   DOI:10.7759/cureus.61588   PDF(Pubmed)

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:
此病例报告介绍了一名被诊断为原发性发育迟缓的非交通性脑积水的一岁男童的物理治疗干预。脑积水以脑脊液的积聚为特征,通常会导致受影响婴儿的严重发育迟缓和神经系统损害。物理治疗干预旨在实现头部和躯干控制,提高感官意识,增强身体整体协调和平衡。各种技术,包括神经发育技术,感官刺激,海马疗法,和感觉统合疗法,用于针对特定的发展里程碑和功能能力。成果措施,包括粗大运动功能测量,婴儿神经学国际电池,Hammersmith婴儿神经检查,和新巴拉德得分,用于评估患者干预前后的进展。在物理治疗康复四个月后,所有结果指标均有显着改善。患者表现出粗大运动功能的实质性增强,神经学检查成绩,和整体发展里程碑。这些发现强调了理疗康复在解决与非沟通性脑积水相关的发育迟缓方面的有效性。这个案例强调了早期理疗干预的重要性,这在提高成果和改善受影响儿童的生活质量方面发挥着至关重要的作用。
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