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上肢痉挛手术治疗后的康复策略

Rehabilitation Strategies Following Surgical Treatment of Upper Extremity Spasticity.

作者信息

Petuchowksi Janese, Kieras Kaitlin, Stein Kristina

机构信息

Occupational Therapy, Solace Health Care, 4500 Cherry Creek South Drive Suite 710, Denver, CO 80246, USA.

Occupational Therapy, Ann & Robert H. Lurie Children's Hospital of Chicago, 225 East Chicago Avenue, Box 142, Chicago, IL 60611-2605, USA.

出版信息

Hand Clin. 2018 Nov;34(4):567-582. doi: 10.1016/j.hcl.2018.06.013. Epub 2018 Aug 20.

Abstract

Upper motor neuron injuries that occur in cases such as cerebral palsy, cerebrovascular accidents, and traumatic brain injury often have resulting upper extremity deformity and dysfunction. Multiple surgical options are available to improve upper extremity positioning, and, in some cases, motor control. Postoperative therapeutic management is imperative to assist the patient/caregiver in maximizing potential functional gains. This article provides an overview of postoperative guidelines for commonly performed surgeries to manage upper extremity dysfunction caused by spasticity and discusses acute management as well as therapeutic techniques for functional training and improved motor control.

摘要

发生在脑瘫、脑血管意外和创伤性脑损伤等病例中的上运动神经元损伤,常常会导致上肢畸形和功能障碍。有多种手术选择可用于改善上肢姿势,在某些情况下还可改善运动控制。术后治疗管理对于帮助患者/护理人员最大限度地实现潜在功能恢复至关重要。本文概述了针对因痉挛导致的上肢功能障碍而常见实施的手术的术后指南,并讨论了急性处理以及功能训练和改善运动控制的治疗技术。

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