Management of upper limb spasticity in children with cerebral palsy
| Autor: | Matthew Nixon, Sara L. Dorman |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty medicine.diagnostic_test business.industry Physical examination 030229 sport sciences medicine.disease Cerebral palsy 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation medicine.anatomical_structure Quality of life Intervention (counseling) Pediatrics Perinatology and Child Health medicine Spastic Upper limb Orthopedics and Sports Medicine Spasticity medicine.symptom business Muscle contracture |
| Zdroj: | Orthopaedics and Trauma. 34:353-359 |
| ISSN: | 1877-1327 |
| DOI: | 10.1016/j.mporth.2020.09.005 |
| Popis: | Clinical examination and decision-making in the spastic upper limb is a complicated process. This article discusses key principles and strategies for assessment and management of these patients. The main aims of treatment are to improve function, appearance and facilitate caring. Key decision-making factors are the patient's age (with anti-spasticity procedures being preferred in the younger and rebalancing and stabilizations in older patients), degree of spasticity (pure spasticity being treated with neurectomies and contractures with surgical releases) and degree of voluntary control (high voluntary control doing better with rebalancing procedures and stabilizations doing better in those with little voluntary control). With careful planning, good patient selection and appropriate choice of treatment, patients typically experience improved quality of life and benefit from surgical intervention. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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