Beck A J, Gaskill S J, Marlin A E
Children's Center, Methodist Hospital, San Antonio, Texas.
Am J Occup Ther. 1993 Aug;47(8):704-7. doi: 10.5014/ajot.47.8.704.
Selective posterior rhizotomy is being increasingly used in the treatment of spasticity associated with cerebral palsy. Anecdotal reports in the literature note that this procedure results in improved upper extremity function and trunk control. We present a systematic analysis of the results of selective posterior rhizotomy performed on patients with cerebral palsy at Santa Rosa Children's Hospital. Patients were video-taped before surgery and one year postoperatively. These videos were reviewed blind by an occupational therapist who graded patients' performance on three tasks: assumption of side sitting, maintenance of side sitting, and block building. Statistically significant improvements were noted in all three categories with p values of .0003, .0001, and .0044 respectively. These results support the anecdotal reports of improvement in upper extremity function and trunk control with selective posterior rhizotomy.
选择性后根切断术越来越多地用于治疗与脑瘫相关的痉挛。文献中的轶事报道指出，该手术可改善上肢功能和躯干控制能力。我们对圣罗莎儿童医院对脑瘫患者进行的选择性后根切断术的结果进行了系统分析。患者在手术前和术后一年进行了录像。这些视频由一名职业治疗师进行盲审，该治疗师对患者在三项任务中的表现进行评分：侧坐姿势、维持侧坐姿势和积木搭建。在所有三个类别中均观察到具有统计学意义的改善，p值分别为.0003、.0001和.0044。这些结果支持了选择性后根切断术可改善上肢功能和躯干控制能力的轶事报道。
