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Rehabilitation Practice and Science

Translated Title

臺灣北部地區腦性麻痺兒童之一般醫療與復健醫療情形

Abstract

The condition of medical and rehabilitation services for children with cerebal palsy（CP）in Taiwan has rarely been investigated. Such information is crucial for the health services planning. To understand the current status of medical and rehabilitation cares of CP children and related influencing factors, we sent 2435 copies of questionnaires to the main caregivers of possible CP children in the northern Taiwan. Six hundred and eighty-nine copies (28%) were returned. Four hundred and twenty-six copies were of CP children younger than 18 years of age（17.5%）. Their data were analyzed for this report. In 6-month period prior to this investigation, three hundred and eighty-nine CP children (95%) consulted at clinics of western medicine, averaging 11.7±10.4 visits. Pediatric service was the most (77%) and rehabilitation service (50%) the secondary. Ninty-one CP children (24%) also consulted at clinics of Chinese medicine and seventy-six CP children (20%) also received acupuncture treatment. For rehabilitation therapy, two hundred and forty-one CP children (58%) were receiving rehabilitation therapy during the three-month investigation period. The distributions of physical therapy, occupational therapy, speech therapy, orthotic therapy, and psychological therapy were 51%, 23%, 12%, 12%, and 4% respectively. The average frequency of physical therapy was 6.2±3.8 sessions per month; of occupational therapy, 5.4±3.2 sessions per month; of speech therapy, 4±2.7 sessions per month; of orthotics, 3.7±5.3 sessions per 3 months; and of psychology therapy, 10±22.3 sessions per 3 months. In conclusion, among the specialists of rehabilitation therapy physical therapy was the most that children with cerebral palsy had received. Factors influencing the amount of rehabilitation services were age and the level of functional ability of the CP child, education level of the parents, family income, first suggest that received while CP was diagnosed and parents' expectation of the CP child. The availability of medical information was mostly requested by the parents of CP children.

Language

Traditional Chinese

First Page

105

Last Page

117

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