Harryman S E
Kennedy Institute for Handicapped Children, Baltimore, MD 21205.
Phys Ther. 1992 Jan;72(1):16-24. doi: 10.1093/ptj/72.1.16.
The purpose of this article is to discuss physical therapy for children with cerebral palsy who undergo orthopedic surgery. Children with spasticity (increased tone) often undergo surgical procedures to increase the length of the hip, knee, and ankle musculature in an attempt to improve musculoskeletal alignment and functional abilities. Presurgical assessment of posture and movement to determine potential for change in function and postsurgical management are discussed. Intervention immediately following soft tissue surgery at the hips and knees and intervention at the time of cast removal for those children immobilized in a hip spica cast are reviewed. Specific postsurgical management protocols related to immobilization in splints/casts, positioning, and treatment activities are presented.
本文旨在探讨接受矫形手术的脑瘫患儿的物理治疗。患有痉挛（肌张力增加）的儿童常接受外科手术，以延长髋部、膝部和踝部肌肉组织的长度，试图改善肌肉骨骼排列和功能能力。文中讨论了术前对姿势和运动进行评估，以确定功能改变的可能性以及术后管理。回顾了髋部和膝部软组织手术后立即进行的干预，以及对那些被固定在髋人字石膏中的儿童在去除石膏时的干预。还介绍了与使用夹板/石膏固定、体位摆放和治疗活动相关的具体术后管理方案。
