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脑性瘫痪患者上肢手术的动态肌电图与决策制定

Dynamic electromyography and decision-making for surgery in the upper extremity of patients with cerebral palsy.

作者信息

Hoffer M M, Perry J, Melkonian G J

出版信息

J Hand Surg Am. 1979 Sep;4(5):424-31. doi: 10.1016/s0363-5023(79)80036-2.

DOI:10.1016/s0363-5023(79)80036-2
PMID:501053
Abstract

Seventeen children with cerebral palsy were selected for improvement in upper extremity function. Each had normal or nearly normal intelligence; each hand had good or mildly impaired sensibility; each arm had relatively good placement. Electromyograms with wire electrodes were utilized to study the patterns of activity of the planned tendon transfers. Only muscles with isolated activity in grasp were utilized to transfer in hands with weak grasp. Only muscles with isolated activity in release were utilized to transfer in hands with poor release.

摘要

选取了17名患有脑瘫的儿童以改善上肢功能。每名儿童的智力正常或接近正常;每只手的感觉良好或轻度受损;每条手臂的位置相对良好。使用线电极肌电图来研究计划进行的肌腱转移的活动模式。对于抓握无力的手,仅利用在抓握时具有孤立活动的肌肉进行转移。对于松开能力差的手,仅利用在松开时具有孤立活动的肌肉进行转移。

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Dynamic electromyography and decision-making for surgery in the upper extremity of patients with cerebral palsy.脑性瘫痪患者上肢手术的动态肌电图与决策制定
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引用本文的文献

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Hand (N Y). 2014 Dec;9(4):471-7. doi: 10.1007/s11552-014-9636-8.
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Upper limb motion analysis in children with hemiplegic cerebral palsy: proximal kinematic changes after distal botulinum toxin or surgical treatments.偏瘫型脑瘫患儿上肢运动分析:肉毒杆菌毒素远端注射或手术治疗后的近端运动学变化
J Child Orthop. 2011 Oct;5(5):363-70. doi: 10.1007/s11832-011-0365-z. Epub 2011 Sep 3.
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[Neuro-orthopaedic approach to the upper extremity: state-of-the-art surgical procedure].
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