Cadwgan Jill, Pearse Janice, Devlin Anita, Basu Anna
Paediatric Neurosciences, Evelina London Children's Hospital, Guys and St Thomas' NHS Foundation Trust (Kings Health Partners), London, UK.
Institute of Neuroscience, Newcastle University, Newcastle upon Tyne, UK.
Arch Dis Child Educ Pract Ed. 2019 Apr;104(2):58-65. doi: 10.1136/archdischild-2017-313794. Epub 2018 Jul 3.
Children with unilateral cerebral palsy (UCP) have complex health, education and social care needs. Delayed gross motor milestones are the most common presenting feature, and much of the early management focuses on gross motor skills and lower limb management. In later childhood, adolescence and adulthood, upper limb function has significant impact on activity, participation and independence. There is clear pathophysiological rationale and emerging clinical evidence that earlier intervention to improve upper limb function is beneficial. Whereas most children with UCP are managed in secondary care, it is recommended that the assessment and delivery of specialist intervention for the upper limb occurs at a regional centre.
单侧脑瘫（UCP）患儿有复杂的健康、教育和社会护理需求。粗大运动发育里程碑延迟是最常见的表现特征，早期管理大多集中在粗大运动技能和下肢管理上。在儿童后期、青少年期及成年期，上肢功能对活动、参与和独立性有重大影响。有明确的病理生理理论依据及新出现的临床证据表明，早期干预以改善上肢功能是有益的。鉴于大多数单侧脑瘫患儿在二级医疗保健机构接受治疗，建议上肢专科干预的评估和实施在区域中心进行。
