Gage J R, Novacheck T F
Department of Orthopaedics, University of Minnesota, USA.
J Pediatr Orthop B. 2001 Oct;10(4):265-74.
This article summarizes our experience with cerebral palsy over the past 20 years. The primary and secondary deformities that occur with cerebral palsy are described. Following this, there is a brief overview of the nature and role of gait analysis in the treatment of gait problems in cerebral palsy. The concept of lever-arm dysfunction is introduced. Our current treatment algorithm is then presented along with a brief discussion of our current treatment program, which is illustrated by a case example. Finally, a brief study of a group of patients with spastic diplegia or quadriplegia is presented to illustrate our current method of evaluating treatment outcomes and the need for team management in the treatment of this complex condition.
本文总结了我们在过去20年中治疗脑瘫的经验。文中描述了脑瘫所出现的原发性和继发性畸形。在此之后，简要概述了步态分析在治疗脑瘫步态问题中的性质和作用。引入了杠杆臂功能障碍的概念。接着介绍了我们目前的治疗算法，并简要讨论了我们目前的治疗方案，通过一个病例进行说明。最后，介绍了一组痉挛性双瘫或四肢瘫患者的简要研究，以说明我们目前评估治疗效果的方法以及在治疗这种复杂病症时团队管理的必要性。
