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Rehabilitation Practice and Science

Translated Title

非腦性麻痺之智能不足患者脊柱側彎之盛行率:台北市一教養院院生分析研究

Abstract

This study aimed to assess the prevalence, severity, and correlation between non-cerebral palsy mental retardation and scoliosis in a special education institute in Taipei. Adam's forward bending test was used to clinically screen 237 mental retardation non-cerebral palsy patients for scoliosis. Those patients with positive forward bending tests were referred for standing spinal radiographs, so that the Cobb angle could be quantified to allow evaluation of the severity of the scoliosis. Of the 237 students, 41 (17.3%) had positive signs in the screening test (female:16.19%, male:18.18%). All 41 patients then underwent standing spinal radiographs and the results revealed a scoliosis prevalence of 16.9%. The accuracy of the screening test was 97.6%. The Cobb angle averaged 18.2 (female:23.3, male:14.9). There was no significant correlation between severity of mental retardation and the Cobb angle found with one-way ANOYA analysis. In conclusion, there is a higher prevalence of scoliosis in mentally retarded subjects with the highest prevalence in subjects with severity unspecified mental retardation. There is no significant relationship between mental retardation and scoliosis. Regular follow up for mentally retarded patients may reduce functional impairment resulting from exacerbations of scoliosis.

Language

Traditional Chinese

First Page

93

Last Page

98

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