[[alternative]]The Efficacy of Foot Reflexology in Gross Motor Development in Children with Cerebral Palsy

[[abstract]]本研究目的主要是探討足部按摩對腦性麻痺兒童粗動作發展及疾病臨床表徵的改善成效。採單組實驗前測和後測(one-group pretest-posttest design)之時序設計，研究對象採立意取樣，取自北部某社區醫師診斷為腦性麻痺之患者共30位。研究介入措施為由照顧者每日施予個案一次足部按摩，參與者之主要照顧者先經由研究者教授足部按摩法，並逐一檢核主要照顧者執行足部按摩之每一步驟，以確保每位照顧者按摩方式之正確及一致性。研究評量工具包括粗動作發展量表(GMFM)及疾病臨床表徵評量表。資料採SPSS for window 14.0版及SAS 9.1.3版套裝軟體進行資料建檔及統計分析，並以百分比、平均值、標準差及Kruskal-Wallis test、Mann-Whitney U及GEE(Generalized Estimating Equation)等分析法進行統計分析。 研究結果顯示：一、腦性麻痺兒童粗動作發展發展與診斷分類、殘障程度及癲癇型態與有顯著相關。二、腦性麻痺兒童臨床表徵與診斷分類、殘障程度及癲癇型態部分顯著相關。三、足部按摩對改善腦性麻痺兒童粗動作發展有顯著成效。四、足部按摩對改善腦性麻痺兒童臨床表徵有顯著成效。 本研究結果希望可以提供腦性麻痺兒童另一種居家自我復健方式參考，並建議未來能將足部按摩法列為護理必修或選修課程，進而以不同的研究設計，來探討足部按摩於相關疾病之適用範疇與照護成效。[[abstract]]The aim of this research is to study the effect of foot reflexology toward the gross motor development of children with cerebral palsy, and improvement of clinical symptoms. Experiment was carried out according to one-group pretest-post test design. 30 cerebral palsy childrens diagnosed by a physician in northern Taiwan were purposively sampled.The intervention of this study is: every subject was given foot reflexology once a day by caregiver who had been instructed by the researcher of this study. Each step performed by caregivers was examined to make sure childrens received correct and consistent treatment.Results of the study were evaluated by Gross Motor Function Measure(GMFM)and clinical symptom measure. SPSS for Window 14.0 and SAS 9.1.3 were used to establish data profile and statistic analysis. Percentage, mean, standard deviation, Kruskal-Wallis test, Mann-Whitney U and GEE(Generalized Estimating Equation) were employed for analysis. Result of this study showed:(1)The gross motor development of cerebral palsy children was obviously associated with diagnostic classification, levels of disability and types of epilepsy.(2)Clinical symptoms of cerebral palsy children were partially associated with diagnostic classification, levels of disability and types of epilepsy.(3)Foot reflexology obviously improved the gross motor development of cerebral palsy children.(4)Foot reflexology obviously improved the clinical symptoms of cerebral palsy children. Results of this study provided another domestic self rehabilitation option for cerebral palsy children. We suggested to include foot reflexology in the required or elective course for nursing in the future; also different experimental designs will be engaged to explore the applications and effects of foot reflexology in related diseases