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Conductive education is an education system aiming at helping the handicapped people improve the impaired and abnormal function through education. This article started from the current status of conductive education in clinical rehabilitation and analyzed the causes for imbalance between supply and demand of conductive education professionals. Meanwhile strengthening and ex-panding the coverage and strength of general conductive education was proposed and bringing con-ductive education into the compulsory course of rehabilitation therapy major was recommended. Finally, training conductive educational professionals with high-quality was regarded as the most fundamental measure to solve these problems.
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Objective To observe the effects of conductive education on gross motor function and Gesell development test results in children with cerebral palsy.Methods One hundred and thirty-eight children with cerebral palsy were stratified randomly according to the gross motor function classification system (GMFCS) and sexes into two groups:the conductive education group received conductive education combined with general comprehensive rehabilitation,the control group received general comprehensive rehabilitation only.After 4 months of training,the results of both groups in terms of gross motor function and Gesell development test results were compared.Results The GMFCS evaluation results of the 2 groups were compared through covariance analysis (F =4.479,P =0.036 ＜0.05),the result of conductive education group was better than that of control group; in both groups the result after training was superior to that before training.For Gesell development test results comparison,the differences between conductive education group and control group were statistically significant (P ＜ 0.05) ; the result of conductive education group was better than before the training (t =24.93,P =0.00 ＜ 0.05) ; but in control group the difference between the results before and after training was not significant (t =13.34,P ＞ 0.05).Conclusions Conductive education could improve gross motor function and whole body development.
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@#The Comprehensive Rehabilitation on Combining Medical Treatments with Education (CRCMTE) has become hot in the field of special education and rehabilitation medicine. The research of CRCMTE is deepening, the formulation of CRCMTE was drawn on a special background, and the content of CRCMTE involves extensive range of service. The research in the future will focus on some fields, such as personnel training, establishing institution, the school-based rehabilitation, and the reform of children's hospital rehabilitation department (center).
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@#Objective To observe the effect of conductive education on gross motor function for children with cerebral palsy. Methods 98 children with cerebral palsy were divided into control group (n=48) and observation group (n=50) according to the wish of their parents.All the children received conventional rehabilitation, while the observation group accepted conductive education in addition. They were assessed with the total score of Gross Motor Function Measure (GMFM-88) before and 6 months after treatment. Results The total score of GMFM-88 was not significantly different between the groups before treatment (P>0.05), but it was different after treatment (P<0.01). Conclusion Conductive education may promote the recovery of gross motor function for children with cerebral palsy.
ABSTRACT
The Comprehensive Rehabilitation on Combining Medical Treatments with Education (CRCMTE) has become hot in the field of special education and rehabilitation medicine. The research of CRCMTE is deepening, the formulation of CRCMTE was drawn on a special background, and the content of CRCMTE involves extensive range of service. The research in the future will focus on some fields, such as personnel training, establishing institution, the school-based rehabilitation, and the reform of children's hospital rehabilitation depart-ment (center).
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@#Objective To introduce a set of rehabilitation approach called Conductive Education-Rehabilitation Rhythmic Exercise andits application. Methods Control group and rehabilitation group were set up with 75 cerebral palsy children in each. And it was used once aweek for 3 months. Results The scores and effective rate of movement, speech communication, perception and cognitive in the rehabilitationgroup were higher than the control group (P<0.01). Conclusion Conductive Education-Rehabilitation Rhythmic Exercise was effectiveto cerebral palsy.
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@#Objective To investigate the effects of conductive education with routine rehabilitation on cerebral palsy. Methods 59 caseswere divided into the conductive group (n=38) and the control group (n=21). The conductive group received conductive education with routinerehabilitation and the control group received routine rehabilitation only. They were assessed with the gross motor function, intelligentand activity of daily living (ADL) before and after treatment. Results The improvement of gross motor was not significantly different betweenthese groups (P>0.05), while the intelligence, ADL improved more in the conductive group than in the control group (P=0.001). ConclusionConductive education can promote the development of the children in ADL and intelligent.
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@#Objective To introduce a set of rehabilitation approach called Conductive Education-Rehabilitation Rhythmic Exercise andits application. Methods Control group and rehabilitation group were set up with 75 cerebral palsy children in each. And it was used once aweek for 3 months. Results The scores and effective rate of movement, speech communication, perception and cognitive in the rehabilitationgroup were higher than the control group (P<0.01). Conclusion Conductive Education-Rehabilitation Rhythmic Exercise was effectiveto cerebral palsy.
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@#Objective To observe the effect of conductive education(CE) combined rehabilitation therapy on stroke patients.Methods 57 stroke patients were assigned to experiment group (25 cases) and control group (32 cases). Both groups received rehabilitation therapy, meanwhile，experiment group received CE. Main outcome measure：①FMA; ②Barthel Index(BI); ③Social function action questionnaire(SFA).Results FMA, BI and SFA increased significantly(P＜0.05)in both groups after treatment. BI and SFA improved more in experiment group than those of control group between group comparisons(P＜0.05).Conclusion Conductive education combined rehabilitation therapy could improve the motor function, ability of daily living and social function action on stroke patients.
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@# The conductive education system in Hong Kong is considered to be suitable to the rehabilitation work for children with disabilities, with the philosophy of person-based, respecting the children personality and their development needs. The system integrates the international conductive education into local rehabilitation, and creates education-rehabilitation system adopting Hong Kong conditions. Through this system many children with disabilities are improving their ability of adopting society, which is a good foundation for them to their social inclusion. Their experiences are worth to learn and reference by rehabilitation institutes and workers in mainland China.
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@# Objective To observe the effects of Conductive Education (CE) on the comprehensive ability of children with cerebral palsy. Methods 100 cerebral palsy children within 3～8 years old were divided into two groups: control group with routine rehabilitation therapy, observing group were applied CE in addition. They were assessed with Gross Motor Function Assessment Scale (GMFM), activities of daily living (ADL) and practical skills for children with cerebral palsy assessment record sheet before and after treatment.Results The scores of GMFM, ADL and practical skills improved after treatment in both groups (P<0.01), but those in the observing group improved more than in the control group (P<0.01). Conclusion CE can improve the motor, self care, communication, sociality, cognize and learning ability in children with cerebral palsy.
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@#Abstract This paper is involved in the summary, principle, adaptation, assessment Methods and current research of conductive education for children with cerebral palsy.
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Este estudo considerou os aspectos envolvidos no adulto com paralisia cerebral em relação aos vários sistemas do corpo e analisou o aspecto motor e a presença de dor. Também enfocou as alternativas para o adulto jovem para a continuidade de habilitação, prevenção ou minimização dos efeitos secundários da paralisia cerebral e da idade avançada. Para tanto, foram avaliados nove jovens adultos (18 a 28 anos) e um adulto (51 anos) durante período de dois anos, utilizando-se a Medição da Função Motora Grossa (GMFM). Durante esse período os indivíduos participaram de terapias individuais baseadas no Conceito Bobath, e de terapias em grupo também baseadas no Conceito Bobath, mas associado com aspectos da Educação Condutiva (Método Petõ). Noventa por cento apresentaram ganhos no resultado final do GMFM que variaram de 1,5% a 15,1 %, com média de ganho de 6,2%. Os resultados, portanto, demonstraram que a continuidade de atividade dirigida a mobilidade, controle de postura e dos movimentos integradas a atividades funcionais permitem que o processo de deterioração seja contido ou minimizado para adultos jovens com paralisia cerebral.
This study has considered aspects of several body systems in adults with cerebral palsy emphasizing motor and pain conditions. Options for keeping on the habilitation process, preventing from deterioration, and minimizing secondary effects of cerebral palsy in young adults were also discussed. For this purpose, nine young adult (18 to 28 years of age) and one adult (51 years of age) were assessed during two years by the aplication of the Gross Motor Function Measure (GMFM). During these two years the individuals participated in individual therapies based on Bobath approach as well as in therapeutic group activities also based on Bobath approach associated with some aspects of Conductive Education (Petõ Method). Improvements in GMFM total results varying from 1.5% to 15.1 % (mean of 6.2%) were observed in 90% of the patients. The results have shown, therefore, that the continuity of directed activity aimimg at motor control integrated with functional activities can constrict or minimize the deterioration process in young adults with cerebral palsy.