Harris F A
Am J Phys Med. 1978 Jun;57(3):123-38.
A summary is presented of observations made and results obtained during evaluation and preliminary treatment of twenty-one predominantly spastic cerebral palsied subjects, whose neuromuscular function was studied in each of four positions (supine, prone, kneeling and sitting on the floor) and in three dynamic situations (rising to standing, maintaining standing balance, and ambulating). A description is given of the procedures utilized to; (i) correct the imbalance of muscle tone imposing abnormal "resting" joint positions and limiting the range of their voluntary movements, and (ii) assist them in developing the sensorimotor function requisite for postural stability and voluntary motor control, involving exercises performed in each of the four positions and in transitions between them. Resistance exercises performed with the investigator and independent exercises both were included in the program. Case studies of a six-year-old spastic with "pre-athetoid" tendencies, an 11-year old spastic and a 32-year-old spastic are provided to illustrate typical initial evaluations, therapeutic activities subsequently utilized to improve neuromuscular function, and results thereby obtained.
本文总结了对21名主要为痉挛型脑瘫患者进行评估和初步治疗期间的观察结果及所获成果。这些患者的神经肌肉功能在四个体位（仰卧位、俯卧位、跪位和坐在地上）以及三种动态情况下（起身站立、维持站立平衡和行走）进行了研究。文中描述了所采用的程序：(i) 纠正肌张力失衡，这种失衡导致异常的“静止”关节位置并限制其自主运动范围；(ii) 帮助他们发展姿势稳定性和自主运动控制所需的感觉运动功能，包括在四个体位及其转换过程中进行的练习。该项目包括与研究人员一起进行的阻力练习和独立练习。提供了一名6岁有“前手足徐动症”倾向的痉挛型患者、一名11岁痉挛型患者和一名32岁痉挛型患者的病例研究，以说明典型的初始评估、随后用于改善神经肌肉功能的治疗活动以及由此获得的结果。
