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脑瘫患儿的评估与治疗

Assessment and treatment of children with cerebral palsy.

作者信息

Chan Gilbert, Miller Freeman

机构信息

Children's Orthopedics of Louisville, Kosair Children's Hospital, 3999 Dutchman's Lane, Plaza 1, 6th Floor, Louisville, KY 40207, USA.

Alfred I. DuPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA.

出版信息

Orthop Clin North Am. 2014 Jul;45(3):313-25. doi: 10.1016/j.ocl.2014.03.003.

Abstract

Children with cerebral palsy are prone to development of musculoskeletal deformities. The underlying neurlogic insult may results in a loss of selective motor control, an increase in underlying muscle tone, and muscle imbalance, which can lead to abnormal deforming forces acting on the immature skeleton. The severely involved child is one who is at increased risk for developing progressive musculoskeletal deformities. Close surveillance and evaluation are key to addressing the underlying deformity and improving and maintaining overall function.

摘要

患有脑瘫的儿童容易出现肌肉骨骼畸形。潜在的神经损伤可能导致选择性运动控制丧失、基础肌张力增加和肌肉失衡,这会导致异常的变形力作用于未成熟的骨骼。严重受累的儿童发生进行性肌肉骨骼畸形的风险更高。密切监测和评估是解决潜在畸形以及改善和维持整体功能的关键。

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