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Question

The neurodevelopmental approach is very popular for
the treatment of CP(4). Wright and Nicholson (9)
reported that the time involved for physical therapy
interventions could sometimes be tedious and distressing
for the child and the family. They claimed in one study
that physiotherapy adds very little to the functional
development of CP patients. The evaluation of the effects
and results of therapeutic approaches in CP is very
limiting because of the differences in patient age, the
clinical form, the former surgical and therapeutical
interventions and the inability to see the patients at
regular intervals. Bobath states that the neurodevelopmental therapy is not a rigid and
standardized method of therapy and can be modified
according to the needs of each patient.

Answer 1

神經發展誘發技術在治療腦性麻痺是最常使用的方法，Wright 和 Nicholson 提出以強制物理 治療期間，會使小孩及其家屬覺得乏味及沮喪。他們宣稱在一項針對物理 治療研究發現對於腦性麻痺肢體功能幫助很少。綜合評估其效果有限，係因年齡不同、臨床症狀差異、先前手術及強制物理 治療和病人固定時間有視覺障礙等有關，Bobath 說明神經發展誘發技術並非一成不變的標準程序，而是需依據病人需求適時調整。