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一项关于抑制性石膏固定作为脑瘫儿童物理治疗辅助手段的前瞻性研究。

A prospective study of inhibitive casting as an adjunct to physiotherapy for cerebral-palsied children.

作者信息

Watt J, Sims D, Harckham F, Schmidt L, McMillan A, Hamilton J

出版信息

Dev Med Child Neurol. 1986 Aug;28(4):480-8. doi: 10.1111/j.1469-8749.1986.tb14286.x.

DOI:10.1111/j.1469-8749.1986.tb14286.x
PMID:3758501
Abstract

The effect of a three-week course of inhibitive casting and neurodevelopmental therapy on the static muscle tonus, developmental skills, passive range of ankle dorsiflexion and gait pattern was determined in 32 cerebral-palsied children. Two weeks after treatment, passive range of ankle dorsiflexion and foot-floor contact in walking had improved significantly but there was no significant change in the static muscle tone or developmental skills. After five months the improvements in ankle dorsiflexion and walking pattern were no longer evident. Further objective studies to determine the effect of 'inhibitive casting' are necessary before the modality is used indiscriminately.

摘要

在32名脑瘫儿童中,确定了为期三周的抑制性石膏固定和神经发育疗法对静态肌肉张力、发育技能、踝关节背屈被动活动范围和步态模式的影响。治疗两周后,踝关节背屈被动活动范围和步行时足与地面接触情况有显著改善,但静态肌肉张力或发育技能无显著变化。五个月后,踝关节背屈和步行模式的改善不再明显。在不加区分地使用这种方法之前,有必要进行进一步的客观研究以确定“抑制性石膏固定”的效果。

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Effect of serial casting in spastic cerebral palsy.系列石膏固定在痉挛型脑瘫中的作用。
Indian J Pediatr. 2008 Oct;75(10):997-1002. doi: 10.1007/s12098-008-0100-z. Epub 2008 Jun 23.
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