Mowery C A, Gelberman R H, Rhoades C E
J Pediatr Orthop. 1985 Jan-Feb;5(1):69-72. doi: 10.1097/01241398-198501000-00012.
This study was undertaken to evaluate tendon transfers in a group of children with spastic hemiplegia. Muscle grading, video recordings of function, and electromyographs were performed on 12 patients preoperatively. Postoperative electromyograms were obtained on 16 transferred tendons in eight patients as the children performed assigned tasks. Clinical evaluation demonstrated improvement in all patients at follow-up, which averaged 20 months. Four of the 16 muscles showed changes in their electrical activity postoperatively. Three muscles that fired continuously became phasic, and one muscle changed phase to match its recipient. Pre- and postoperative electromyography with video analysis provided a more complete understanding of the characteristics of tendon function with tendon transfers in cerebral palsy.
本研究旨在评估一组痉挛性偏瘫儿童的肌腱转移情况。术前对12例患者进行了肌肉分级、功能录像及肌电图检查。在8例患者的16条转移肌腱术后，当患儿执行指定任务时获取了术后肌电图。临床评估显示，随访平均20个月时所有患者均有改善。16条肌肉中有4条术后电活动发生了变化。3条持续放电的肌肉变为阶段性放电，1条肌肉改变相位以匹配其接受肌。术前和术后肌电图结合视频分析，能更全面地了解脑瘫患者肌腱转移时肌腱功能的特点。
