Matsuo T, Lai T, Tayama N
Department of Orthopedic Surgery, Shinkoen Hospital for Handicapped Children, Fukuoka, Japan.
Clin Orthop Relat Res. 1990 Jan(250):185-93.
Twenty deformed hands of 19 Japanese patients with cerebral palsy were treated with release of the flexor digitorum profundus, the flexor digitorum sublimis, and the extensor digitorum communis. The results were satisfactory and included enhanced daily activities, voluntary grasp, and release of the fingers. Simultaneous cocontraction of the multiarticular muscles inhibits voluntary movement of the fingers and causes rigidity and involuntary movements. Use of the intrinsic muscles is facilitated by reducing hypertonicity of the multiarticular muscles and by activation of voluntary movements of the fingers. Many such patients can then become functionally independent.
对19例日本脑瘫患者的20只畸形手进行了指深屈肌、指浅屈肌和指总伸肌的松解治疗。结果令人满意，包括日常活动能力增强、手指自主抓握和松开能力提高。多关节肌肉的同时协同收缩会抑制手指的自主运动，并导致僵硬和不自主运动。通过降低多关节肌肉的张力过高以及激活手指的自主运动，有助于使用手部固有肌。许多这类患者随后能够实现功能独立。
