脑瘫患儿肌张力异常的治疗干预措施。
Therapeutic interventions for tone abnormalities in cerebral palsy.
作者信息
Tilton Ann H
机构信息
Louisiana State University Health and Sciences Center, New Orleans, 70112, USA.
出版信息
NeuroRx. 2006 Apr;3(2):217-24. doi: 10.1016/j.nurx.2006.01.008.
Abstract
Cerebral palsy (CP) is a common cause of movement disorders in children. The upper motor neuron syndrome of CP leads to several types of muscle overactivity, including spasticity. Reduction of muscle overactivity may be an important treatment goal, to improve comfort, care, and active function and to prevent future musculoskeletal complications. After a comprehensive team evaluation, a treatment plan is generated. Treatments may include physical and occupational therapy, oral medications, botulinum toxin and/or phenol injections, intrathecal baclofen, selective dorsal rhizotomy, and orthopedic surgery. Successful and early prevention of contracture may reduce the need for later corrective surgery.
摘要
脑瘫（CP）是儿童运动障碍的常见病因。脑瘫的上运动神经元综合征会导致多种类型的肌肉过度活动，包括痉挛。减少肌肉过度活动可能是一个重要的治疗目标，以提高舒适度、护理质量和主动功能，并预防未来的肌肉骨骼并发症。经过全面的团队评估后，制定治疗计划。治疗方法可能包括物理治疗和职业治疗、口服药物、肉毒杆菌毒素和/或苯酚注射、鞘内注射巴氯芬、选择性脊神经后根切断术以及矫形外科手术。成功且早期预防挛缩可能会减少后期矫正手术的需求。
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