最严重形式的痉挛型脑瘫(CP),影响胳膊和腿,经常影响脸,被称为痉挛性四肢瘫痪。除了其他发育障碍,如智力障碍和癫痫发作,它会导致行走困难。患有CP的儿童经常因脑损伤而癫痫发作,痉挛型四肢瘫痪CP通常与整体发育迟缓有关。为了解决与痉挛性四肢瘫痪相关的独特运动和功能挑战,神经理疗是必不可少的。这种治疗包括神经发育技术,姿势和平衡训练,以及旨在改善步态的活动。本案例研究的目的是证明早期和连续的物理治疗干预如何最大限度地提高儿童的功能能力并防止进一步的并发症。在这种情况下,一个五岁的男孩有痉挛的四肢瘫痪史,癫痫症,全球发育迟缓报告说,坐着面临挑战,走路,和演讲。他发烧了三次,导致他入院.孩子的病史包括急性出血性脑炎,左侧轻度输尿管肾积水,和只影响身体一侧的持续性抽搐。在脑MRI中观察到双侧丘脑改变的信号强度,在脑室周围皮质发现了多个钙化,丘脑,大脑CT扫描的基底神经节.为了增强独立性,力量,以及CP患者自愿运动的协调,除了物理治疗之外,还使用了各种技术,比如职业治疗,言语治疗,水生疗法,约束诱导运动疗法,功能性电刺激,矫形装置,注射肉毒杆菌毒素,和海马疗法。
The most severe form of spastic cerebral palsy (CP), which affects the arms and legs and often the face, is known as spastic quadriplegia. In addition to other developmental disabilities such as intellectual disability and seizures, it can cause difficulty in walking. Children with CP often have seizures as a result of brain injury, and spastic quadriplegic CP is typically associated with global developmental delay. For the purpose of addressing the unique motor and functional challenges associated with spastic quadriplegia, neurophysiotherapy is essential. This treatment includes neurodevelopmental techniques, posture and balance training, and activities aimed at improving gait. The purpose of this
case study is to demonstrate how early and continuous physical therapy interventions can maximize a child\'s functional abilities and prevent further complications. In this instance, a five-year-old boy with a documented history of spastic quadriplegia, seizure disorder, and global developmental delay reported experiencing challenges with sitting, walking, and speech. He had three episodes of fever, which led to his hospital admission. The child\'s medical history included acute hemorrhagic encephalitis, mild hydroureteronephrosis on the left side, and persistent convulsions that affected only one side of the body. Bilateral thalamic altered signal intensities were observed in the brain\'s MRI, and multiple calcifications were detected in the periventricular cortex, thalamus, and basal ganglia on the brain\'s CT scan. To enhance the independence, strength, and coordination of voluntary movement in individuals with CP, a variety of techniques are used in addition to physical therapy, such as occupational therapy, speech therapy, aquatic therapy, constraint-induced movement therapy, functional electrical stimulation, orthotic devices, injections of botulinum toxin, and hippotherapy.