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姿势作为脑瘫患儿畸形的一个成因。

Position as a cause of deformity in children with cerebral palsy.

作者信息

Fulford F E, Brown J K

出版信息

Dev Med Child Neurol. 1976 Jun;18(3):305-14. doi: 10.1111/j.1469-8749.1976.tb03652.x.

DOI:10.1111/j.1469-8749.1976.tb03652.x
PMID:939345
Abstract

The asymmetrical deformities in 20 children with various types of cerebral palsy are compared with 20 children without cerebral palsy who have the so-called 'squint' baby syndrome (asymmetrical deformities of plagiocephaly, unilateral bat ear, facial and thoracic asymmetry, pelvic obliquity and apparent shortening of one leg). It is suggested that the 'squint' baby syndrome and the 'windswept' child syndrome in children with cerebral palsy are stages of the same syndrome and that in both the deformities are caused by the effect of gravity on an immobile growing child, rather than spasticity or muscle imbalance. Asymmetrical deformity should therefore be amenable to physiotherapeutic intervention, rather than trying to modify maturation of the damaged brain. As the 'windswept' cerebralpalsied child can develop some of the most severe deformities seen in cerebral palsy, it is important that asymmetrical deformities should be prevented.

摘要

将20名患有各种类型脑瘫的儿童的不对称畸形与20名没有脑瘫但有所谓“斜视”婴儿综合征(斜头畸形、单侧蝙蝠耳、面部和胸部不对称、骨盆倾斜以及一条腿明显缩短等不对称畸形)的儿童进行比较。研究表明,脑瘫儿童中的“斜视”婴儿综合征和“风吹”儿童综合征是同一综合征的不同阶段,并且在这两种情况中,畸形都是由重力对生长中无法活动的儿童的影响所致,而非痉挛或肌肉失衡。因此,不对称畸形应适合物理治疗干预,而非试图改变受损大脑的成熟过程。由于“风吹”型脑瘫儿童可能会出现一些在脑瘫中可见的最严重畸形,预防不对称畸形非常重要。

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