Strömbeck Christina, Remahl Sten, Krumlinde-Sundholm Lena, Sejersen Thomas
Department of Woman and Child Health, Neuropaediatric Unit, Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
Dev Med Child Neurol. 2007 Mar;49(3):204-9. doi: 10.1111/j.1469-8749.2007.00204.x.
The aim of this study was to examine long-term neurophysiological outcomes and sensory function in patients with obstetric brachial plexus palsy (OBPP). The same 70 children/adolescents examined in part I: functional aspects (35 males, 35 females; age range 7-20y, mean 13y 6mo [SD 4y 3mo], median 13y) were examined with neurophysiological methods at 3 to 7 months and at 7 to 20 years of age. Thirteen of the 70 participants underwent nerve reconstruction before 1 year of age. Electromyography (EMG) was performed on deltoid and first interossei muscles; Quantitative Sensory Test was used for C6 and C8 dermatomes. Tests for functional sensibility and 2-point discrimination for C6 and C8 were performed. This study shows that considerable EMG changes can be observed in OBBP, even in those fully recovered. EMG changes in the deltoid were shown to deteriorate over time, and sensibility is considerably less affected than motor function.
本研究的目的是检查产瘫（OBPP）患者的长期神经生理结果和感觉功能。在第一部分中接受检查的70名儿童/青少年（35名男性，35名女性；年龄范围7 - 20岁，平均13岁6个月[标准差4岁3个月]，中位数13岁）在3至7个月以及7至20岁时接受了神经生理学检查。70名参与者中有13人在1岁之前接受了神经重建。对三角肌和第一骨间肌进行了肌电图（EMG）检查；使用定量感觉测试评估C6和C8皮节。对C6和C8进行了功能感觉测试和两点辨别测试。本研究表明，即使在那些已完全康复的产瘫患者中，也可观察到明显的肌电图变化。三角肌的肌电图变化显示会随时间恶化，并且感觉功能受影响程度远小于运动功能。
