不同類型腦性麻痺兒童之粗動作功能

The Gross Motor Function in Different Types of Cerebral-Palsied Children

10.29617/JPT.198711.0007

廖華芳(Hua-Fang Liao)

Cerebral palsy ； Gross motor function

物理治療學會雜誌

12卷（1987 / 11 / 29）

40 - 45

繁體中文

腦性麻痺兒童根據神經肌肉損傷的型式與部位可分爲痙攣型半身麻痺、痙孿型雙邊麻痺、痙攣型四肢麻痺、徐動型、協調不良型、低張型、無張力型、僵直型與混合型等。以將來能達獨立行走的功能的百分比來看，痙攣型半身麻痺兒童與協調不良型兒童最好（100%會獨立行走），其次爲徐動型兒童(15~100%)，痙攣型雙邊麻痺兒童(60~100%)與痙攣型四肢麻痺兒童(49~68%)，而以僵直型與無張力型最差(6%)。若以粗動作發展商數而言，仍以痙攣型半身麻痺兒童最好（粗動作發展商數57±19），徐動型兒童(36±13)。痙攣型雙邊麻痺(35±14)與低張型兒童次之(38±17)，最差爲痙攣型四肢麻痺兒童(26±8)。通常早期可用來預測病童將來行走功能的幾項考慮因素如下：卽原始反射分數、達坐與爬的年齡、病童的類別。

The neuromotor classification of cerebral palsy included the following types: spasticity, athetosis, rigidity, ataxia, tremor, atonia hypotonia and mixed type. According to the distribution of the disability, the cerebral plasy children classified into diplegia, quadriplegia, hemiplegia, paraplegia and monoplegia. The common forms of cerebral palsy are spastic hemiplegia, spastic diplegia, spastic quadriplegia, rigid quadriplegia, athetoid quadriplegia, transient hypotonic quadriplegia and mixed quadriplegia. The percentages of independent walking in each type are 100% in spastic hemiplegic children and ataxic children, 60-100% in spastic diplegic children, 15-100% in athetoid children, 49-68% in spastic quadriplegic children, and none in rigid or atonic children. The gross motor quotients of Chinese child Development Inventory in each type are as follows: spastic hemiplegics (57±19), athetosis (36±13), hypotonics (38±17), spastic diplegics (35±14), spastic quadriplegics (26±8). Among the signs and symptoms of motor dysfunction 3 specific considerations are helpful: the clinical type of cerebral palsy, the pace of motor development, the evolution of infantile reflexes.