Eliasson A C, Ekholm C, Carlstedt T
Department of Woman and Child Health, Karolinska Institute, Stockholm, Sweden.
Dev Med Child Neurol. 1998 Sep;40(9):612-21. doi: 10.1111/j.1469-8749.1998.tb15427.x.
Thirty-two children with hand dysfunction due to cerebral palsy were examined before tendon transfer and muscle release, and 9 months postoperatively. All children improved their performance regardless of the degree of impaired hand function. The main advantage of surgery was a more functional position of the hand with increased wrist extension and forearm supination. There were also increased functionality of handgrips, grip strength, and dexterity. Impaired sensibility before surgery did not influence the outcome. Individual goals were set preoperatively. Individual functional goals outlined before surgery were met by most children. Children identified as having mild impairments gained new functional skills related to everyday activity (self-care and leisure), while children with severely impaired hand function demonstrated enhanced grasping ability, as well as a better cosmetic appearance.
对32名因脑瘫导致手部功能障碍的儿童在进行肌腱转移和肌肉松解术前及术后9个月进行了检查。所有儿童无论手部功能受损程度如何，其表现均有改善。手术的主要优势在于手部能处于更具功能性的位置，腕关节伸展和前臂旋后增加。握力、握力强度和灵活性的功能也有所增强。术前感觉功能受损并不影响手术结果。术前设定了个人目标。大多数儿童实现了术前概述的个人功能目标。被确定为轻度受损的儿童获得了与日常活动（自我护理和休闲）相关的新功能技能，而手部功能严重受损的儿童则表现出抓握能力增强以及外观改善。
