Lord J
Arch Phys Med Rehabil. 1984 Sep;65(9):542-8.
Spastic cerebral palsy remains a therapeutic challenge. Diagnosis, usually possible within the first year of life, is straightforward. However, its uncertain etiology frustrates attempts at prevention and its poorly defined prognosis defies attempts to evaluate therapeutic effectiveness. Treatment must be directed toward both medical and habilitation issues. The syndrome of spastic cerebral palsy includes an increased risk of multiple medical problems. These must be followed and treated as needed. Habilitation needs are more difficult to define, thus demanding open communication between families and physicians for goal setting. Once goals are defined a comprehensive management program must be devised, choosing from several available approaches. No "right" answers exist; the only overriding concern remains to promote optimal independence through the developmental years and on into adulthood.
痉挛型脑瘫仍然是一个治疗难题。诊断通常在生命的第一年即可完成，且较为简单直接。然而，其病因不明，这使得预防工作受挫，而预后定义不明确也使得评估治疗效果的尝试变得困难。治疗必须兼顾医学和康复问题。痉挛型脑瘫综合征包括多种医疗问题风险增加。必须对这些问题进行跟踪并根据需要进行治疗。康复需求更难界定，因此需要家庭与医生之间进行开放的沟通以设定目标。一旦目标确定，就必须设计一个全面的管理方案，从几种可用方法中进行选择。不存在“正确”答案；唯一首要关注的仍然是在成长岁月直至成年期促进最佳的独立性。
