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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Pre- and postsurgical evaluation of hand function in hemiplegic cerebral palsy: exemplar cases.
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Pre- and postsurgical evaluation of hand function in hemiplegic cerebral palsy: exemplar cases.

机译：偏瘫性脑瘫手功能的术前和术后评估：典型病例。

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摘要

Evaluation of hand function for treatment planning and outcome documentation in individuals with cerebral palsy (CP) proves challenging. Because of the complexity of multisystem involvement and time constraints during physician clinic visits, we developed a comprehensive evaluation protocol to assist with team surgical decision making in CP. We report findings from three adolescents with hemiplegic CP who were evaluated pre-/post-intervention using measures of impairment (clinical examination procedures), activity (Pediatric Evaluation of Disability Inventory and Jebsen-Taylor Test of Hand Function), and participation (goal attainment scaling). An intervention to improve hand function consisted of single-event multilevel orthopedic surgery and postsurgical therapy. Wrist/finger biomechanics and active range of motion improved after the intervention. The targeted surgical intervention and undefined therapy intervention, however, seemed to have little influence on activity and participation. The descriptive results of these exemplar cases suggest that, instead of assisting only with surgical decision making, the evaluation protocol should focus on specific postsurgical therapy plans in addition to surgical/therapy decision making.
机译：评估手部功能以治疗脑瘫（CP）患者的治疗计划和结果文档证明具有挑战性。由于在医生诊所就诊期间多系统介入的复杂性和时间限制，我们开发了一种全面的评估方案来协助CP团队的外科手术决策。我们报告了三名患有偏瘫CP的青少年的发现，他们在干预前/干预后使用了障碍的测量（临床检查程序），活动（残疾儿童的儿科评估和Jebsen-Taylor手功能测试）以及参与（目标达成）缩放）。改善手功能的干预措施包括单事件多级骨科手术和术后治疗。干预后手腕/手指的生物力学和活动范围得到改善。然而，有针对性的手术干预和不确定的治疗干预似乎对活动和参与几乎没有影响。这些典型案例的描述性结果表明，除了手术/治疗决策外，评估方案还应侧重于特定的术后治疗计划，而不是仅协助手术决策。

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