Barus Diane, Kozin Scott H
Shriners Hospital for Children, Philadelphia, Pennsylvania 19140, USA.
J Hand Ther. 2006 Apr-Jun;19(2):192-205. doi: 10.1197/j.jht.2006.02.012.
An integrated pharmaceutical, surgical, and therapeutic approach is described for the management of patients with spasticity and paralysis of the elbow due to central nervous system injury. The patient populations considered in this article include those with cerebral palsy, traumatic brain injury, and spinal cord injuries. Therapy evaluations and techniques and pharmacologic interventions to prevent loss of elbow motion are presented. Surgical techniques such as tendon lengthening, joint releases, and/or tendon transfer and postoperative therapy guidelines to restore loss of elbow motion are reviewed. Outcomes of this team approach in one clinical setting are presented.
本文描述了一种综合药物、手术和治疗的方法，用于管理因中枢神经系统损伤导致肘部痉挛和瘫痪的患者。本文所考虑的患者群体包括脑瘫、创伤性脑损伤和脊髓损伤患者。介绍了预防肘部活动丧失的治疗评估、技术和药物干预措施。回顾了诸如肌腱延长、关节松解和/或肌腱转移等手术技术以及恢复肘部活动丧失的术后治疗指南。展示了在一种临床环境中采用该团队方法的结果。
