Novacheck Tom F, Gage James R
Gillette Children's Specialty Healthcare, 200 University Avenue E., St. Paul, MN 55101, USA.
Childs Nerv Syst. 2007 Sep;23(9):1015-31. doi: 10.1007/s00381-007-0378-6. Epub 2007 Jul 12.
This article summarizes our experience with cerebral palsy. The primary and secondary deformities that occur with cerebral palsy are described, followed by a brief overview of the nature and role of gait analysis in the treatment of gait problems in cerebral palsy. The concept of lever-arm dysfunction is introduced.
Our current treatment program is then presented and subsequently illustrated by two case examples. Finally, an outcomes analysis of a group of patients with spastic diplegia treated with selective dorsal rhizotomy is presented to illustrate our current method of evaluating treatment outcomes and the need for team management in the treatment of this complex condition.
本文总结了我们在脑瘫方面的经验。描述了脑瘫所出现的原发性和继发性畸形，随后简要概述了步态分析在脑瘫步态问题治疗中的性质和作用。引入了杠杆臂功能障碍的概念。
接着介绍了我们当前的治疗方案，随后通过两个病例进行说明。最后，给出了一组接受选择性脊神经后根切断术治疗的痉挛性双侧瘫患者的结果分析，以阐明我们目前评估治疗结果的方法以及在治疗这种复杂病症时团队管理的必要性。
