•  
  •  
 

Rehabilitation Practice and Science

Translated Title

以選擇性背側神經根切除術及肌內酚劑神經阻斷術治療腦性麻痺病童痙攣之成效比較：初步報告

Abstract

Severe spasticity often causes functional impairment in children with cerebral palsy. It is theissue that professionals have been working on to reduce the spasticity effectively and permanently. This study wants to find out the comparative effectiveness between the selective posterior rhizotomy and phenol intramuscular neurolysis on the treatment of the children with cerebral palsy. We collected 31 children with spastic cerebral palsy, aged 3 to 17, and divided the children into three groups. Group A received selective posterior rhizotomy and rehabilitation. Group B received phenol intramuscular neurolysis and rehabilitation. Group C received rehabilitation only. The preoperative evaluations included muscle tone by modified Ashworth scale, grasp strength of both hands, motor functions as well as activities of daily living by Minear's classification. The same evaluations were done 3 months later after treatments, to define the improvement. There were significant improvements in the muscle tones of hip adductors, ankle dorsiflexors and elbow flexors. Most were in the group A, followed group B. There was no significant change in the grasp strengths of hands among different treatments, even though it had significant change in the muscle tone of elbow flexors in group A. Therefore, the phenol intramuscular neurolysis was indicated for localized spasticity, and the selective posterior rhizotomy was prefered in severe and diffuse spasticity. Three children with cerebral palsy could ambulate with walker from non-walker after selective posterior rhizotomy. There was no significant difference among different treatments, although it showed improvement by using selective posterior rhizotomy for motor function as well as the activities of daily living by Minear's classification. The duration of follow-up may be too short or the subjects group was too small to detect the significant change. Further research and study are needed to find out the long-term effect.

Language

Traditional Chinese

First Page

129

Last Page

138

Download

Share

COinS