脳性麻痺 (Cerebral palsy) とは,脳性麻痺を患っている人
L Andrew Koman1, Beth Paterson Smith, Jeffrey S Shilt
1Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Winston-Salem, NC 27157-1070, USA. lakoman@wfubmc.edu
Lancet (London, England)
|May 18, 2004
まとめ
脳性麻痺の管理は,理学療法,矯正療法,外科手術を用いて,筋骨格の問題に焦点を当てています. 代替療法が用いられている一方で,伝統的な医療アプローチは,この一般的な子供時代の障害に対する主要な治療法であり続けています.
科学分野:
- 神経学 神経学とは
- 小児科は小児科です.
- リハビリテーション医学は,
背景:
- 脳性麻痺は,運動障害を引き起こす一般的な子供の障害です.
- それは,発達中の神経系に対する様々な侮辱から生じ,様々な臨床的なプレゼンテーションにつながります.
- 管理は,治療,矯正,外科的介入を含む,多面的なものです.
研究 の 目的:
- 脳性麻痺における筋骨格の問題の見直しをするために.
- スパスティシティおよび運動障害の現在のおよび進化する管理戦略について議論する.
- 脳性麻痺のケアにおける伝統的な医療技術の役割を強調する.
主な方法:
- 脳性麻痺の筋骨格的側面に焦点を当てた文献レビュー.
- 薬理学的,外科的,治療的介入を含む管理オプションの分析.
- 脳性麻痺の治療における歴史的傾向と現在の実践についての議論.
主要な成果:
- スパスティシティの管理は1980年以来,薬理学的および外科的選択肢とともに進化してきました.
- 理学療法や整形外科手術のような伝統的な医療技術は,治療の根幹である.
- 補足療法や代替療法がますます採用されているが,その普及率と費用は不明である.
結論:
- 運動器系問題は,脳性麻痺の管理に中心的なものです.
- 伝統的な治療法と進化する治療法の組み合わせにより,包括的なケアが提供されます.
- 代替療法の効果と費用に関するさらなる研究が必要である.
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