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脑瘫步态,临床重要性。

Cerebral palsy gait, clinical importance.

作者信息

Tugui Raluca Dana, Antonescu Dinu

机构信息

"Prof. Agrippa Ionescu" Emergency Hospital, Bucharest, Romania.

Hospital of Traumatology and Orthopaedics Foisor, Bucharest, Romania.

出版信息

Maedica (Bucur). 2013 Sep;8(4):388-93.

Abstract

Cerebral palsy refers to a lesion on an immature brain, that determines permanent neurological disorders. Knowing the exact cause of the disease does not alter the treatment management. The etiology is 2-2.5/1000 births and the rate is constant in the last 40-50 years because advances in medical technologies have permitted the survival of smaller and premature new born children. Gait analysis has four directions: kinematics (represents body movements analysis without calculating the forces), kinetics (represents body moments and forces), energy consumption (measured by oximetry), and neuromuscular activity (measured by EMG). Gait analysis can observe specific deviations in a patient, allowing us to be more accurate in motor diagnoses and treatment solutions: surgery intervention, botulinum toxin injection, use of orthosis, physical kinetic therapy, oral medications, baclofen pump.

摘要

脑瘫是指未成熟大脑上的病变,它会导致永久性神经障碍。了解该疾病的确切病因并不会改变治疗管理。其发病率为每1000例出生中有2 - 2.5例,在过去40 - 50年中这一比率保持不变,因为医疗技术的进步使更小、早产的新生儿得以存活。步态分析有四个方向:运动学(表示不计算力的身体运动分析)、动力学(表示身体力矩和力)、能量消耗(通过血氧测定法测量)以及神经肌肉活动(通过肌电图测量)。步态分析可以观察患者的特定偏差,使我们在运动诊断和治疗方案上更加准确:手术干预、肉毒杆菌毒素注射、使用矫形器、物理运动疗法、口服药物、巴氯芬泵。

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