舒埃关于脑瘫上肢评估的研究
SHUEE on the evaluation of upper limb in cerebral palsy.
作者信息
Tedesco Ana Paula, Nicolini-Panisson Renata D'Agostini, de Jesus Aline
机构信息
Instituto de Neuro-Ortopedia de Caxias do Sul, Caxias do Sul, RS, Brazil.
出版信息
Acta Ortop Bras. 2015 Jul-Aug;23(4):219-22. doi: 10.1590/1413-78522015230400967.
OBJECTIVE
To demonstrate the use of the tool for evaluation of spastic upper limb SHUEE (Shriners Hospital Upper Extremity Evaluation) in the evaluation of upper limb in cerebral palsy (CP) and its ability to detect changes after surgical treatment of identified deformities.
METHODS
19 patients with spastic hemiplegic CP had their upper limb evaluated by SHUEE. Five patients underwent surgical treatment of deformities detected and performed the test at one year postoperatively.
RESULTS
The mean age was 9.02 years old; 18 patients were classified as level I GMFCS and one patient as level II. At baseline, the mean spontaneous functional analysis was 59.01; dynamic positional analysis was 58.05 and grasp-and-release function, was 91.21. In the postoperative period the scores were, respectively, 65.73, 69.62 and 100, showing an improvement of 3.5% in the spontaneous functional analysis and of 44.8% in dynamic positional analysis.
CONCLUSIONS
SHUEE is a tool for evaluation of spastic upper limb in cerebral palsy that helps in the specific diagnosis of deformities, indication of treatment and objective detection of results after surgical treatment. Level of Evidence IV, Case Series.
目的
论证使用痉挛性上肢SHUEE（施莱宁儿童医院上肢评估）工具评估脑瘫（CP）患者的上肢情况及其检测已识别畸形手术治疗后变化的能力。
方法
19例痉挛性偏瘫型脑瘫患者的上肢接受了SHUEE评估。5例患者对检测出的畸形进行了手术治疗，并在术后一年进行了该测试。
结果
平均年龄为9.02岁；18例患者被归类为GMFCS I级，1例患者为II级。基线时，平均自发功能分析为59.01；动态位置分析为58.05，抓握与松开功能为91.21。术后，这些分数分别为65.73、69.62和100，自发功能分析提高了3.5%，动态位置分析提高了44.8%。
结论
SHUEE是一种评估脑瘫患者痉挛性上肢的工具，有助于畸形的明确诊断、治疗指征以及手术治疗后结果的客观检测。证据等级IV，病例系列。
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