脑瘫患儿运动障碍的评估与治疗

Assessment and treatment of movement disorders in children with cerebral palsy.

作者信息

Deon Laura L, Gaebler-Spira Deborah

机构信息

Pediatric Physical Medicine and Rehabilitation, Rehabilitation Institute of Chicago at Northwestern University, Chicago, IL 60611, USA.

出版信息

Orthop Clin North Am. 2010 Oct;41(4):507-17. doi: 10.1016/j.ocl.2010.06.001.

DOI:10.1016/j.ocl.2010.06.001

PMID:20868881

Abstract

Cerebral palsy is the most common motor disability in childhood. Orthopedic care depends on the appreciation and the identification of muscle tone abnormalities and how they affect growth and development of the child. Abnormal muscle tone is a common diagnostic feature of cerebral palsy and can include hypotonia or hypertonia. Hypertonia is the most frequent tone abnormality in children with cerebral palsy. This article reviews hypertonia and provides information on discriminating between spasticity, dystonia, and rigidity. Medication and neurosurgical options for the management of hypertonia are presented and compared.

摘要

脑瘫是儿童期最常见的运动障碍。骨科护理取决于对肌张力异常的认识和识别，以及它们如何影响儿童的生长发育。异常肌张力是脑瘫的常见诊断特征，可包括肌张力减退或肌张力亢进。肌张力亢进是脑瘫患儿最常见的肌张力异常。本文综述了肌张力亢进，并提供了区分痉挛、肌张力障碍和强直的信息。还介绍并比较了治疗肌张力亢进的药物和神经外科治疗方案。