Feldkamp M, Güth V, Büschken S, Klein D
Z Orthop Ihre Grenzgeb. 1985 Mar-Apr;123(2):182-8. doi: 10.1055/s-2008-1045132.
Dislocations of the hip associated with spastic paralysis are almost always found in severely disabled children. The onset is in infancy. Two methods, electrostimulation of the minor gluteal muscles and treatment with simple leg casts to correct the malposition, are described. Follow-up examinations showed that the treatment had had a positive effect on the hip condition in 33 of the 42 children treated with casts and 26 of the 32 children treated by electrotherapy. Electrotherapy is an innovation, since in the past it was considered contraindicated in these patients. However, it is based on the fact that the gluteal muscles do not normally show any spasticity. Irrespective of this, the treatment is long-term, and has to be continued for many years, a fact which makes greater demands on the cooperativeness of the family.
与痉挛性麻痹相关的髋关节脱位几乎总是出现在严重残疾的儿童中。发病于婴儿期。文中描述了两种治疗方法，即对臀小肌进行电刺激以及使用简单的腿部石膏来矫正胎位不正。随访检查表明，在接受石膏治疗的42名儿童中，有33名儿童的髋关节状况得到了积极改善；在接受电疗的32名儿童中，有26名儿童的髋关节状况得到了积极改善。电疗是一项创新疗法，因为过去认为在这些患者中使用电疗是禁忌的。然而，这是基于臀肌通常不会出现任何痉挛这一事实。尽管如此，治疗是长期的，必须持续多年，这对家庭的配合度提出了更高的要求。
