早期疗育物理治疗（婴幼儿扁平足）精品推荐课件.ppt

Contents Abstract Research motive References Case Description Examination Intervention Outcomes Discussion Summary Abstract Research motive many studies have demonstrated improvements in impairments and function when adults foot alignment is corrected. The improvements included diminished low back pain (Cibulka, 1999), improved tolerance for running, hiking, and dancing (Blake Ferguson, 1991), altered lower extremity mechanics in runners (Bates, Ostemig, Mason, James, 1979), References-1 Supports 1.Gianni, Catani, and Ceccarelli (1992), and Eng and Pierrynowski (1994) Tax (1989) Turner, and Worrell (1994) Aharonson, Arcan, and Steinback Taylor and Harris (1986) References-2 Non-supports Gould, Moreland, Alvarez, Trevino, and Fenwick(1989) observe Sullivan (1999) and Staheli (1999) References-3 These studies provide some evidence that orthoses may alter foot-ground pressure patterns while promoting improved balance and functional motor performance in children. Case Description early intervention speech and language therapy three times a week her gross motor skill level and her frequent falling. muscle tone as low w sitting、rounded back posture、excessive range of motion at her fingers ,hips, ankles and toes ;very flat footed, without any arch in the foot She had difficulty with activities that required stability Child Description Examination Her mother re-ported that she fell 5 to 6 times per half-hour When she was walking, I observed early and excessive pronation in stance, tibial internal rotation, knee recurvatum, and excessive lumbar lordosis. Intervention-1 the initial visit ：Examination、 discuss 、Approval the second physical therapy session :fabricated shoe inserts Her therapy program was 60 minutes in duration each week 、her family encouraged ring sitting and long sitting 、 promote motor planning, strength, coordination, and mid range muscular control . the third visit (one week after receiving the orthoses ):was wearing them th