CAJ | 학술논문

目的：初步探讨采用“医教结合”的家庭康复模式对重度脑瘫患儿运动功能促进的有效性。方法重度脑瘫患儿3名（男2例，女1例），由专业康复机构医师和治疗师定期进行康复评估和治疗方案制订，并对家长（照料者）和特殊教育学校教师进行指导与培训，开展家庭康复治疗。治疗前、后6个月采用粗大运动功能测试量表（ gross motor function measure ， GMFM）、精细运动功能测试量表（ fine motor function measure scale ，FMFM）对患儿的粗大和精细运动功能进行评估。结果治疗6个月后，GMFM66项总分、GMFM88项坐位、爬与跪两项和FMFM能力分均高于治疗前，差异具有统计学意义（均P＜0.05）。结论“医教结合”的家庭康复模式可以发挥医学康复和特殊教育的共同促进作用，充分利用家庭康复资源，从而有效改善脑瘫患儿运动功能。
목적：초보탐토채용“의교결합”적가정강복모식대중도뇌탄환인운동공능촉진적유효성。방법중도뇌탄환인3명（남2례，녀1례），유전업강복궤구의사화치료사정기진행강복평고화치료방안제정，병대가장（조료자）화특수교육학교교사진행지도여배훈，개전가정강복치료。치료전、후6개월채용조대운동공능측시량표（ gross motor function measure ， GMFM）、정세운동공능측시량표（ fine motor function measure scale ，FMFM）대환인적조대화정세운동공능진행평고。결과치료6개월후，GMFM66항총분、GMFM88항좌위、파여궤량항화FMFM능력분균고우치료전，차이구유통계학의의（균P＜0.05）。결론“의교결합”적가정강복모식가이발휘의학강복화특수교육적공동촉진작용，충분이용가정강복자원，종이유효개선뇌탄환인운동공능。
Objective To preliminarily investigate the effectiveness of a family rehabilitation treatment model of combining medicine with education in promotion of motor function in children with severe cerebral palsy .Methods A treatment plan for 3 chil-dren (2 males and one female ) with severe cerebral palsy was made by physiatrician ,physical therapist and special education teacher after periodic assessment .Their parents and special education teachers received guidance and training to perform a family education .All of the children were assessed with Gross Motor Function Measure ( GMFM) and Fine Motor Function Measure ( FMFM) before and af-ter 6 months treatment.Results The total scores of GMFM-66,FMFM and each dimension score of GMFM-88 were improved in all children after 6 months treatment when compared to treatment before .Conclusion The combining medicine with education model can effectively improve the recovery of gross and fine motor function in children with cerebral palsy .