Frykman G K, Waylett J
Orthop Clin North Am. 1981 Apr;12(2):361-79.
Rehabilitation of the patient with a peripheral nerve injury requires knowledge, understanding, and cooperation between the patient, the physician, and the therapist. Careful documentation of the patient's status prior to beginning rehabilitation and periodic follow-up assessments are of utmost importance. We have presented a detailed scheme for initial and follow-up evaluation. Prevention of unnecessary stiffness, swelling, and contractures is emphasized. Education of the patient to prevent the individual from doing further damage to the anesthetic area is important. Proper splinting techniques, from the postoperative splint and cast to splints that prevent deformities as well as overcome established contractures and improve function, will aid in the patient's recovery. Desensitization is an important aspect of sensory recovery, and sensory reeducation will aid in recovery of sensibility. Early tendon transfers are found to be particularly advantageous for high radial and median nerve palsies to gain functional recovery earlier and to allow the patient to become brace-free sooner.
周围神经损伤患者的康复需要患者、医生和治疗师之间的知识、理解与合作。在开始康复治疗之前仔细记录患者的状况以及定期进行随访评估至关重要。我们已经提出了详细的初始评估和随访评估方案。强调预防不必要的僵硬、肿胀和挛缩。对患者进行教育以防止其对麻醉区域造成进一步损伤很重要。正确的夹板固定技术，从术后夹板和石膏到预防畸形以及克服已形成的挛缩并改善功能的夹板，将有助于患者康复。脱敏是感觉恢复的一个重要方面，感觉再教育将有助于感觉功能的恢复。发现早期肌腱转移对于高位桡神经和正中神经麻痹特别有利，可更早获得功能恢复并使患者更快摆脱支具。
