相关实验视频
Updated: Jul 23, 2026

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Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
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在性脑性麻上肢时,肌转移
Hadi Gerami1, G Hossain Shahcheraghi, Mahzad Javid
1Department of Orthopaedic Surgery, Bone and Joint Diseases Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Journal of pediatric orthopedics. Part B
|January 8, 2024
概括
肌移植手术显著改善了上肢性脑 (CP) 的成年人的功能和外观. 这种手术提供了长期的好处,改善了CP患者的日常活动和肢体美学.
科学领域:
- 整形外科手术 整形外科手术
- 儿科神经学 儿科神经学
- 康复医学 康复医学 康复医学
背景情况:
- 上肢脑 (CP) 在功能,美学和卫生方面带来了挑战.
- 对于CP的手术干预并不总是有效的,需要评估替代程序.
- 肌移植是改善上肢功能的一种潜在的手术选择.
研究的目的:
- 为了评估肌移植手术的长期结果在患有性脑影响手腕和前臂的患者.
- 为了评估手术后的运动,功能能力和化品外观的变化.
- 为了将功能改善与已建立的评估分数 (如GMFCS,MACS和DASH) 相关联.
主要方法:
- 一个单一中心的研究跟踪了42名性CP患者,他们在14年内接受了手腕和前臂肌移植.
- 患者的运动范围,功能结果 (抓取,释放,键盘使用) 和化品外观被评估.
- 手动能力分类系统 (MACS) 和手臂,肩膀,手 (DASH) 的残疾分数被用于评估.
主要成果:
- 所有患者的MACS得分都有所改善,48.5%的患者达到了超出中性的位.
- 在掌握 (50%),释放 (71%) 和键盘使用 (87%) 中发现了显著的改进.
- 患者对外观和功能的高满意度 (83-96%),与初始GMFCS和MACS得分相关.
结论:
- 在精心挑选的性上肢CP病例中,肌移植手术可以产生长期的功能和美学改善.
- 结果与最初的GMFCS和MACS分类有积极的相关性.
- 虽然功能和化品的结果是有希望的,但只有52%的病例在个人卫生方面有所改善.
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