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Rehabilitation Practice and Science

Translated Title

台灣地區腦性麻痺500例之分析

Abstract

Analysis of 500 cerebral palsies in National Taiwan University Hospital were done from July 1980 to June 1984.Among them, 292 cases were male (58.4%), 208 were female (41.6%). The age distributions that they were brought to our clinic were sequently as following: within 1/2 year old 22.0%, 1/2 to 1 year 31.8%, 1 to 2 year 38.0%, 2 to 5 year 8.8%, above 5 year group 0.4%. The proportions of causal factors were 31.0% in prenatal period, 47.0% in perinatal period, 15.0% in postnatal period, and 7.0% in untracable cases. The contributing diseases of different periods were almost the same data as the developed countries, except for the higher incidence of kernicterus (15%). In this study, 35.1% cases had low birth weight below 2500 gm. As for the classification of symptoms, the majority were of spastic type (50%), quadriplegia (58.6%) and moderate in degree (53.2%). The incidence of associated defects were as follows: strabismus 46.0%, epilepsy 31.2%, hearing impairment 6.6%, visual disturbance 3.2%, hyperactivity 3.8%, microcephaly 4.8%, hydrocephalus 1.4%. Unfortunately, only 35.4% of the patients were brought to our clinic for long term rebabilitation programs continuously. The percentage of non-treatment in severe degree cases was 32.7%, and 23.5% in multiparity (4 or above) group. The concept of long term rehabilitation in cerebral palsy still should be emphasized in this country.

Language

Traditional Chinese

First Page

5

Last Page

13

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