- 期刊
遠距物理治療：一位腦性麻痺兒童長期服務個案報告
A Longitudinal Telerehabilitaion in Physical Therapy for a Young Child with Cerebral Palsy : A Case Report
摘要
腦性麻痺是動作發展和姿勢控制異常為主的症候群，亦是物理治療師最常服務的個案之一。本文為一份長達五年的遠距物理治療個案服務報告，透過物理治療師、特教老師和教保員合作，機構內以個案為中心、主要服務提供者模式，服務一位腦性麻痺幼兒的回溯性報告。服務以促進發展和就學準備為目標。資料收集與分析以2014至2019年「嬰幼兒早期療育課程綱要」、三份醫院的聯合評估報各書、教保員軼事紀錄和粗大動作功能性分類（GMFCS-E&R）為主。研究發現：（1）遠距物理治療最常提供的服務是治療性運動清單、姿勢擺位與轉移位技巧和輔具運用。（2）五年多的縱貫性服務結果顯示，服務個案在粗大動作等八個發展面向都有顯著進步。（3）跨專業團隊成功的原因在於角色釋放、以兒童為本位、幼兒參與動機強以及嵌入在作息中練習。研究建議：（1）遠距物理治療是有效的服務模式。（2）遠距物理治療對於偏遠、交通不便、就醫困難或專業團隊人力不足的城鄉，是輸送服務和延續服務的模式。
並列摘要
In pediatric rehabilitation, Cerebral Palsy (CP) is the most common neurological disorder which impact a child's motor development and postural control difficulty. This article represents a case report of a facility-based transdisciplinary teamwork (physical therapist, special education teacher, and primary caregiver) that using telerehabilitation consultative model to deliver physical therapy service to a young child with CP. Data collection and analysis from 2014 to 2019. Tools used for developmental assessment include Infant and child early intervention curriculum, Hospital annual developmental assessment reports, primary caregiver's notes, and gross motor functional classification Traditional Chinese translation edition (GMFCS-E&R). Our findings include (1) Telerehabilitaion in physical therapy provide consultation mostly on therapeutic exercise, positioning and transfer skills and assistive device adjustment. (2) Telerehabilitation in physical therapy is an effective model in promoting overall development. (3) Factors that contribute to effective teamwork include mutual trust, role release, imbedded routine practice and child's motivation for participation. Finally, this research suggest (1) Telerehabilitaion in physical therapy is an effective service model. (2) Telerehabilitation in physical therapy could be an alternative model for people who resident in rural, remote areas, are lack of assess for transportation, distant distance and with insufficient professionals that are needed.