Matsuo T, Matsuo A, Hajime T, Fukumoto S, Chen W, Iwamoto Y
Department of Orthopaedic Surgery, Shinkoen Handicapped Children's Hospital, Fukuoka, Japan.
Clin Orthop Relat Res. 2001 Mar(384):162-8. doi: 10.1097/00003086-200103000-00019.
Between April 1987 and March 1996, 32 deformed hands of 31 patients with cerebral palsy were treated with combined release of the flexor digitorum profundus, flexor digitorum superficialis, and intrinsic muscles. Of these 31 patients, 26 patients (27 hands) were followed up after treatment. Improvements were evaluated by the modified classification of Zancolli et al, the classification of House et al, the object handling score, and the activity of daily living score. Improvements of more than one level on an average were observed in the modified classification of Zancolli et al and the classification of House et al. The ability to grasp, pinch, and release increased with improvement of 2.5 points in the object handling score, and activities of daily living were enhanced with improvement of 2.4 points. The fine motor skills could be facilitated, and dexterity was restored in most patients.
1987年4月至1996年3月期间，对31例脑瘫患者的32只畸形手进行了指深屈肌、指浅屈肌和固有肌联合松解术治疗。这31例患者中，26例患者（27只手）在治疗后进行了随访。通过赞科利等人的改良分类法、豪斯等人的分类法、物体操作评分和日常生活活动评分来评估改善情况。在赞科利等人的改良分类法和豪斯等人的分类法中，平均观察到改善超过一个等级。随着物体操作评分提高2.5分，抓握、捏取和松开能力增强，日常生活活动随着提高2.4分而得到改善。大多数患者的精细运动技能得到促进，灵活性得以恢复。
