Upper Extremity Surgery in Spastic Cerebral Palsy Serebral Paralizide Üst Ekstremite Cerrahisi

نویسندگان

  • Türker Özkan
  • Serdar Tunçer
چکیده

Involvement of the upper extremity in cerebral palsy often results in a typical pattern of spasticity, with elbow flexion, forearm pronation, ulnar deviation and flexion of the wrist, and adduction-flexion posture of the thumb. Although only a relatively small subset of cerebral palsy patients are candidates for surgery, properly selected patients and procedures yield a reasonable improvement. Nonsurgical treatment modalities include physical therapy, orthoses, and medications aimed at decreasing spasticity. Surgical options for the management of the spastic upper extremity vary with the specific parts, however they are focused around three basic principles: weakening the overactive muscle/tendons, strengthening the underactive muscle/tendons, and stabilizing non-stable joints. Surgical management of the spastic upper limb in cerebral palsy requires meticulous evaluation and planning. It is important to know that upper extremity deformities are secondary manifestations of the cerebral injury. Therefore, in addition to evaluation of upper extremity function, consideration should be given to the intelligence and motivation of the patient, and voluntary use of the upper extremity. Prior to surgery, the overall level of function needs to be considered. These are also important details for the patients and their families, who should know that surgery is aimed at improving the upper extremity deformity, and not the primary disorder. Appropriately indicated surgery can significantly contribute to upper extremity function. (JAREM 2012; 2: 43-54)

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

رابطه بین عملکرد اندام فوقانی با کیفیت زندگی در کودکان مبتلا به فلج مغزی مراجعه کننده به مراکز درمانی شهر تهران در سال 1392

Introduction: Regarding the prevalence of upper extremity disorders in cerebral palsy and its importance in educational performance and participation in daily life activities of children, upper extremity function could hold an essential role in quality of life. So this study was conducted to evaluate the relationship between upper extremity function and quality of life in the children with sp...

متن کامل

Effects of Leap Motion Controller on Improving Hand Function in Children with Bilateral Spastic Cerebral Palsy

Background and purpose: Cerebral palsy (CP) is a term used to classify children with non-progressive lesions in the developing brain. Bilateral spastic is the most common type of cerebral palsy. Reduced ability to manipulate objects is one of limiting factors in daily activities of these children and its improvements is one of the most important therapeutic goals. The aim of this study was to i...

متن کامل

Walker Assisted Gait in Children with Cerebral Palsy: Instrumentation and System Design

Instrumentation and System Design K.M. Baker, J.T. Long, S. Hassani, J. Lipsey, K. Reiners, W. Olson, P. Johnson, L. Kliebhan, J.D. Ackman, J.P. Schwab, G.F. Harris 1 Orthopaedic and Rehabilitation Engineering Center (OREC), Milwaukee, WI 2 Department of Orthopaedic Surgery, Medical College of Wisconsin, Milwaukee, WI 3 Motion Analysis Laboratory, Shriners Hospital for Children, Chicago, IL Int...

متن کامل

Functional activities of the upper extremity of young adults with cerebral palsy: a limiting factor for participation?

PURPOSE To assess functional activities of the upper extremity of young adults with cerebral palsy (CP) and to determine their relations with participant characteristics and participation. METHOD Assessment of functional activities of the upper extremity was performed on 103 participants (aged 16-20 years) with the Melbourne assessment and the Abilhand Questionnaire. Participation was measure...

متن کامل

Intraoperative Neurophysiology Monitoring During Selective Dorsal Rhizotomy for Spastic Cerebral Palsy

Selective Dorsal Rhizotomy (SDR) is a neurosurgical procedure currently used as a surgical treatment of children with spasticity in their legs. In SDR, the dorsal roots from L2 to S1 or S2 is partially sectioned. The primary goal of SDR is to reduce spasticity and improve the range of movement with preservation of muscle strength. The dorsal roots involved in spasticity are identified on the ba...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2012