Kinghorn J
Neuromotor Clinic, Alberta Children's Hospital, Calgary, Canada.
Am J Occup Ther. 1992 Jun;46(6):502-7. doi: 10.5014/ajot.46.6.502.
Spasticity in children with cerebral palsy may inhibit function and reduce progress in therapy. Selective posterior rhizotomy, a neurosurgical procedure, has been found to effectively reduce spasticity in selected cases. The literature suggests that positive changes in upper extremity function results from this surgery. At the Alberta Children's Hospital in Calgary, Alberta, Canada, all candidates for this surgery are screened by the neuromotor clinic team, which includes an occupational therapist, a speech therapist, and a physical therapist. This paper outlines the specific changes seen in the upper extremity functions of 7 children over a 12-month period following their surgeries. The data collected suggest the children had improved function in activities of daily living, play skills, balance, and endurance. This paper focuses on the changes in activities of daily living and recommends future direction for research in this area.
脑瘫患儿的痉挛可能会抑制功能并减缓治疗进展。选择性后根切断术是一种神经外科手术，已发现在特定病例中能有效减轻痉挛。文献表明，该手术可使上肢功能产生积极变化。在加拿大艾伯塔省卡尔加里市的艾伯塔儿童医院，所有该手术的候选者都由神经运动诊所团队进行筛查，该团队包括一名职业治疗师、一名言语治疗师和一名物理治疗师。本文概述了7名儿童在手术后12个月内上肢功能出现的具体变化。收集的数据表明，这些儿童在日常生活活动、玩耍技能、平衡和耐力方面的功能有所改善。本文重点关注日常生活活动中的变化，并推荐该领域未来的研究方向。
