Nualart L, Cassis N, Ochoa R
Shriners Hospital for Crippled Children, Mexico City Unit, Mexico.
J Pediatr Orthop. 1995 Sep-Oct;15(5):637-40. doi: 10.1097/01241398-199509000-00017.
This was a prospective study to determine the functional results in patients with obstetric palsy treated with the Sever L'Episcopo procedure using a simple five-grade scale consisting of the ability to reach the abdomen (grade 0), upper thorax (grade I), mouth (grade II), forehead (grade III), and occiput (grade IV), which translates into an improvement in basic daily activities. Forty-nine procedures were done in 48 patients (one bilateral) with a preoperative and postoperative evaluation of each case. Range of motion was also recorded for each patient both preoperatively and postoperatively. The overall results showed an improvement of two grades in 61% of our patients. The improvement in range of motion averaged 64 degrees for active abduction and 42 degrees for active external rotation. Functional goals must be the principal concern. With this method of evaluation, we can measure (in a simple way) improvement in the activities of daily living.
这是一项前瞻性研究，旨在使用一种简单的五级量表来确定接受Sever L'Episcopo手术治疗的产瘫患者的功能结果，该量表包括触及腹部（0级）、上胸部（I级）、口部（II级）、前额（III级）和枕部（IV级）的能力，这转化为基本日常活动的改善。对48例患者（1例双侧）进行了49次手术，并对每个病例进行了术前和术后评估。还记录了每位患者术前和术后的活动范围。总体结果显示，61%的患者改善了两个等级。活动范围的改善平均为主动外展64度，主动外旋42度。功能目标必须是主要关注点。通过这种评估方法，我们可以（以简单的方式）衡量日常生活活动的改善情况。
