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小儿上肢周围神经损伤的评估

Evaluation of pediatric upper extremity peripheral nerve injuries.

作者信息

Ho Emily S

机构信息

Department of Plastic and Reconstructive Surgery, The Hospital for Sick Children, Toronto, Canada; Department of Rehabilitation Services, The Hospital for Sick Children, Toronto, Canada; Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Canada.

出版信息

J Hand Ther. 2015 Apr-Jun;28(2):135-42; quiz 143. doi: 10.1016/j.jht.2014.09.003. Epub 2014 Sep 28.

DOI:10.1016/j.jht.2014.09.003
PMID:25449719
Abstract

INTRODUCTION

The evaluation of motor and sensory function of the upper extremity after a peripheral nerve injury is critical to diagnose the location and extent of nerve injury as well as document functional recovery in children.

PURPOSE

The purpose of this paper is to describe an approach to the evaluation of the pediatric upper extremity peripheral nerve injuries through a critical review of currently used tests of sensory and motor function.

METHODS

Outcome studies on pediatric upper extremity peripheral nerve injuries in the Medline database were reviewed.

RESULTS

The evaluation of the outcome in children less than 10 years of age with an upper extremity peripheral nerve injury includes careful observation of preferred prehension patterns, examination of muscle atrophy and sudomotor function, provocative tests, manual muscle testing and tests of sensory threshold and tactile gnosis.

CONCLUSION

The evaluation of outcome in children with upper extremity peripheral nerve injuries warrants a unique approach.

摘要

引言

评估儿童周围神经损伤后上肢的运动和感觉功能对于诊断神经损伤的位置和程度以及记录功能恢复情况至关重要。

目的

本文旨在通过对当前使用的感觉和运动功能测试进行批判性回顾,描述一种评估小儿上肢周围神经损伤的方法。

方法

回顾了Medline数据库中关于小儿上肢周围神经损伤的结果研究。

结果

对10岁以下上肢周围神经损伤儿童的结果评估包括仔细观察偏好的抓握模式、检查肌肉萎缩和汗腺运动功能、激发试验、徒手肌力测试以及感觉阈值和触觉识别测试。

结论

评估上肢周围神经损伤儿童的结果需要一种独特的方法。

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