Pontén Eva, von Walden Ferdinand, Lenke-Ekholm Catarina, Zethraeus Britt-Marie, Eliasson Ann-Christin
Department of Women's and Children's Health, Karolinska Institutet.
Departments of Pediatric Orthopaedic Surgery.
J Pediatr Orthop B. 2019 Jul;28(4):301-308. doi: 10.1097/BPB.0000000000000600.
The aim of this study was to evaluate whether short-term positive effects on bimanual function after surgery of the paretic arm in cerebral palsy are maintained long term. Assisting Hand Assessment (AHA) and active range of motion was tested before surgery and at 7 month and 9-year follow-up (n=18). AHA improved significantly from 50 to 52 U at 7 months, but was not different from before surgery at the 9-year follow-up, 49 U. Surgery of wrist and elbow flexors significantly improved active extension. Improvement in wrist and elbow extension was maintained at the 9-year follow-up, but usefulness of the hand measured with AHA had returned to the same level as before surgery.
本研究的目的是评估脑瘫患者患侧手臂手术后双手功能的短期积极效果是否能长期维持。在手术前、术后7个月和9年随访时（n = 18）测试辅助手评估（AHA）和主动活动范围。AHA在术后7个月时从50 U显著提高到52 U，但在9年随访时为49 U，与手术前无差异。手腕和肘部屈肌手术显著改善了主动伸展。手腕和肘部伸展的改善在9年随访时得以维持，但用AHA测量的手的实用性已恢复到手术前的相同水平。
