Murphy K P, Molnar G E, Lankasky K
Department of Physical Medicine Rehabilitation, Duluth Clinic Ltd., MN 55805, USA.
Dev Med Child Neurol. 1995 Dec;37(12):1075-84. doi: 10.1111/j.1469-8749.1995.tb11968.x.
One hundred and one adults (19 to 74 years of age) with cerebral palsy were interviewed and examined. There were 52 subjects with dyskinesia, 28 with spastic quadriparesis, 11 with spastic diplegia, and 10 with spastic hemiplegia. Neuromuscular dysfunction was mild in two cases, moderate in 72 and severe in 27. 76 per cent of the subjects had multiple musculoskeletal problems. In 63 per cent, these occurred under 50 years of age, suggesting that abnormal biomechanical forces and immobility had led to excessive physical stress and strain, overuse syndromes, and possibly early joint degeneration. A number of the patients had urinary complaints due to difficulties with toilet accessibility and possible neurogenic bladder. General health care seemed satisfactory for acute illnesses, but preventive health care was almost totally lacking. Treatment for the musuculoskeletal system and availability of adaptive devices were less adequate than for children with cerebral palsy.
对101名年龄在19至74岁之间的成年脑瘫患者进行了访谈和检查。其中52名患有运动障碍，28名患有痉挛性四肢瘫，11名患有痉挛性双瘫，10名患有痉挛性偏瘫。神经肌肉功能障碍轻度的有2例，中度的有72例，重度的有27例。76%的受试者存在多种肌肉骨骼问题。其中63%发生在50岁以下，这表明异常的生物力学力量和活动受限导致了过度的身体压力和劳损、过度使用综合征，甚至可能导致早期关节退变。许多患者因如厕不便和可能的神经源性膀胱而有泌尿系统问题。急性疾病的一般医疗保健似乎令人满意，但预防性医疗保健几乎完全缺失。肌肉骨骼系统的治疗和适应性设备的可用性比脑瘫儿童要差。
